1.武汉大学人民医院,湖北省武汉市武昌区张之洞路99号,430060
2.广东省东莞市松山湖中心医院
songef@126.com
收稿:2026-01-04,
修回:2026-05-21,
录用:2026-05-20,
网络首发:2026-08-03,
纸质出版:2026-08-02
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马丹,宋恩峰.基于“五脏虚损-内风扰动”思路辨治莫旺综合征[J].中医杂志,2026,67(15):1669-1672.
MA Dan,SONG Enfeng.Differentiation and Treatment of Morvan Syndrome Based on the Concept of "Five Zang (脏) Organs Depletion and Internal Wind Stirring"[J].Journal of Traditional Chinese Medicine,2026,67(15):1669-1672.
马丹,宋恩峰.基于“五脏虚损-内风扰动”思路辨治莫旺综合征[J].中医杂志,2026,67(15):1669-1672. DOI: 10.13288/j.11-2166/r.2026.15.015.
MA Dan,SONG Enfeng.Differentiation and Treatment of Morvan Syndrome Based on the Concept of "Five Zang (脏) Organs Depletion and Internal Wind Stirring"[J].Journal of Traditional Chinese Medicine,2026,67(15):1669-1672. DOI: 10.13288/j.11-2166/r.2026.15.015.
认为莫旺综合征(MoS)核心病机为五脏虚损、内风扰动,痰、热、瘀参与其中,本虚致风动、生痰化热致瘀。临床分为三期辨治:急性发作期以标实为主,风痰热瘀相互胶着,治宜熄风、化痰、清热、祛瘀;缓解期本虚标实兼见,治当标本兼顾;恢复期以本虚为主,当以扶正为主。
The core pathogenesis of Morvan syndrome (MoS) lies in five
zang
(脏) organs depletion and internal wind stirring, with the involvement of phlegm, heat, and stasis. Root deficiency leads to wind stirring, which further generates phlegm, transforms into heat, and causes stasis. The disease is divided into three stages for treatment. In the acute stage, branch excess predominates with intermingled wind, phlegm, heat, and stasis, for which treatment should focus on extinguishing wind, resolving phlegm, clearing heat, and removing stasis. In the remission stage, both root deficiency and branch excess are present, and treatment should address both the root cause and the manifestations simultaneously. In the recovery stage, root deficiency predominates, and treatment should focus on reinforcing healthy
qi
.
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宋恩峰 , 莫郑波 , 项琼 , 等 . 中医药治疗莫旺综合征1例 [J]. 医药导报 , 2021 , 40 ( 9 ): 1225 - 1227 .
马丹 , 宋恩峰 . 从“内风”论治莫旺综合征的经验探析 [J]. 医药导报 , 2024 , 43 ( 9 ): 1381 - 1386 .
Ma D , Xiang Q , Mo Z , et al . A case series: three cases of Morvan's syndrome as a rare autoimmune disorder with anti-Caspr2 antibody [J]. Medicine , 2024 , 103 ( 42 ): e40159 .
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