中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091
yunlingzhang2004@163.com
收稿:2024-01-22,
修回:2024-04-18,
纸质出版:2025-02-17
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张雪茹,申伟,梁晓等.运用角药治疗缺血性脑卒中经验[J].中医杂志,2025,66(04):407-410.
ZHANG Xueru,SHEN Wei,LIANG Xiao,et al.Experience in Treating Ischemic Stroke with Triple-Medicinal Combinations[J].Journal of Traditional Chinese Medicine,2025,66(04):407-410.
张雪茹,申伟,梁晓等.运用角药治疗缺血性脑卒中经验[J].中医杂志,2025,66(04):407-410. DOI: 10.13288/j.11-2166/r.2025.04.013.
ZHANG Xueru,SHEN Wei,LIANG Xiao,et al.Experience in Treating Ischemic Stroke with Triple-Medicinal Combinations[J].Journal of Traditional Chinese Medicine,2025,66(04):407-410. DOI: 10.13288/j.11-2166/r.2025.04.013.
总结运用角药治疗缺血性脑卒中的临证经验。以肉苁蓉-山萸肉-龟甲补肾填精,针对肝肾亏损、精血不足之本虚病机;豨莶草-天麻-钩藤熄风除湿,主要缓解肢体麻木肿胀;石菖蒲-远志-郁金益智醒脑、清明神志,针对伴有认知功能障碍、记忆力下降、言语不利者;半夏-白术-天麻化痰熄风、通络止眩,针对伴有眩晕、头晕或头痛者;当归-川芎-鬼箭羽养血活血、祛瘀通经,针对缺血性脑卒中后肢体力弱、活动不利者;柴胡-栀子-贯叶金丝桃疏肝解郁、凉血安神,针对伴有情绪问题者。
This paper summarized the clinical experience in treating ischemic stroke with
jiao
(角) medicine (triple-medicinal combinations). Clinically, the combination of Roucongrong (
Cistanche deserticola
)-Shanyurou (
Cornus officinalis
)-Guijia (
Testudinis Carapax et Plastrum
) is used to nourish the kidneys and liver for disease mechanism of liver-kidney depletion, and foundation deficiency due to insufficient essence and blood; the combination of Xixiancao (
Sigesbeckia orientalis
)-Tianma (
Gastrodia elata
)-Gouteng (
Uncaria rhynchophylla
) is used to extinguish wind and eliminate dampness for treating numbness and swelling of limbs caused by ischemic stroke; the combination of Shichangpu (
Acorus Tatarinowii
)-Yuanzhi (
Polygala
tenuifolia
)-Yujin (
Curcumae Radix
) is used to improve intelligence, refresh the brain, and clear the mind for treating cognitive impairment, memory loss, or speech difficulties caused by ischemic stroke; the combination of Banxia (
Pinellia ternata
)-Baizhu (
Atractylodes macrocephala
)- Tianma (
Gastrodiae rhizoma
) is used to dissolve phlegm and extinguish wind, unblock meridians and relieve dizziness for treating dizziness or headache caused by ischemic stroke; the combination of Danggui (
Angelica sinensis radix
)- Chuanxiong (
Ligusticum chuanxiong
)-Guijianyu (
Euonymus alatus
) is used to nourish and activate blood circulation, remove blood stasis and unblock meridians for treating weak limbs and activiry difficulty caused by ischemic stroke; the combination of Chaihu (
Bupleurum chinense
)-Zhiziz (
Gardenia
jasminoides
)-Guanye Jinsitao (
Hypericum perforatum
) is used to soothe the liver and resolve constraint, cool the blood and calm the mind for treating emotional complications.
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尹兴斌 , 翟玉静 , 曹飒丽 , 等 . 贯叶金丝桃药理作用研究进展 [J]. 中华中医药学刊 , 2013 , 31 ( 8 ): 1634 - 1637 .
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传娟娟 , 李燕 . 贯叶金丝桃(圣约翰草)的国内外研究概况 [J]. 西北药学杂志 , 2016 , 31 ( 3 ): 330 - 332 .
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