[1]陈永魁,李楠楠,严 云,等.名中医李果烈应用“补肝法”治疗脑卒中经验[J].陕西中医,2024,(11):1546-1548.[doi:DOI:10.3969/j.issn.1000-7369.2024.11.023]
　CHEN Yongkui,LI Nannan,YAN Yun,et al.Analysis of experience of LI Guolie in treatment of stroke by tonifying liver[J].,2024,(11):1546-1548.[doi:DOI:10.3969/j.issn.1000-7369.2024.11.023]
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名中医李果烈应用“补肝法”治疗脑卒中经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年11期
页码:
1546-1548
栏目:
名中医经验
出版日期:
2024-11-05

文章信息/Info

Title:
Analysis of experience of LI Guolie in treatment of stroke by tonifying liver
作者:
陈永魁1; 李楠楠1; 严 云1; 陆 艳2
(1.南京中医药大学,江苏 南京 210023; 2.南京中医药大学附属南京中医院,江苏 南京 210022)
Author(s):
CHEN Yongkui; LI Nannan; YAN Yun; LU Yan
(Nanjing University of Chinese Medicine,Nanjing 210023,China)
关键词:
脑卒中;  补肝法;  肝虚;  益肾;  调脾;  化瘀
Keywords:
Stroke;  Bugan method;  Ganxu;  Yishen;  Tiaopi;  Huayu
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2024.11.023
文献标志码:
A
摘要:
从肝论治脑卒中的治疗,多数医家以平肝、镇肝、疏肝为主,而“补肝”法较少。李果烈教授认为肝风作为脑卒中病机之一,其本质在于患者阴精气血亏虚,故将补肝法灵活运用于脑卒中的治疗过程。李果烈教授强调人的整体性,重视肝与肾、脾、筋脉的联系,在辨病与辨证的前提下,将补肝与益肾、调脾、通络化瘀相结合,使患者症状得以缓解。
Abstract:
In the treatment of stroke from liver,most doctors focus on Pinggan,Zhengan,Shugan,while the Bugan method is less.Professor LI Guolie believes that liver wind as one of the pathogenesis of stroke is essence of patient's Yin,Qi and blood deficiency,so Bugan method is flexibly applied to treatment of stroke.Professor LI Guolie emphasizes wholeness of human beings,attaches importance to connection liver and kidney,spleen and muscles,and combines liver tonifying with kidney tonifying,spleen regulating and blood stasis under premise of disease differentiation and syndrome differentiation,so that the symptoms of patients can be alleviated.

参考文献/References:

[1] 周良辅.砥砺前行——试论我国脑卒中的防治[J].中华脑科疾病与康复杂志:电子版,2021,11(1):1-3.
[2] 朱冉冉,王津翔,潘蓓,等.脑卒中中西医结合康复临床循证实践指南[J].上海中医药杂志,2024,58(6):1-11.
[3] 程引,高文波,李培,等.《金匮要略》“中风三方”探讨[J].北京中医药大学学报,2023,46(10):1361-1366.
[4] 邱月华,周冉冉,张聪,等.中风病古籍病名考辨[J].中国中医基础医学杂志,2024,30(4):639-643.
[5] 李卉,汤永红.脑卒中病因研究进展[J].现代诊断与治疗,2020,31(21):3380-3382.
[6] 林隆杰,范小璇,封玉宁,等.浅析中风之“外风”学说[J].中医学报,2024,39(1):49-54.
[7] 李菲,方邦江,姜超,等.基于“急性虚证”探讨益气活血方治疗急性脑血管病疗效机制[J].陕西中医,2022,43(9):1252-1255.
[8] 王禹丁,杨晶晶,王嘉铖,等.六经辨治发热经验总结[J].中华中医药杂志,2023,38(10):4791-4794.
[9] 沈哲韵,孙宏文.肝虚证治探析[J].江苏中医药,2019,51(11):8-10.
[10] 李钰,张雪亮,张敏,等.“肝无补法”争议考辨[J].上海中医药杂志,2019,53(10):54-56.
[11] 贾瑞雪,刘妍君,凌婷婷,等.《医学衷中参西录》肝气虚辨治特色探析[J].江苏中医药,2023,55(9):76-78.
[12] 唐勇,马岱朝,王晓玲,等.《临证指南医案》治疗中风方药及证治分析[J].陕西中医,2019,40(12):1799-1802.
[13] 陈乞,叶之华,李瀚旻.“补虚治形”理论的继承创新[J].中西医结合肝病杂志,2021,31(3):274-277.
[14] 张亚男,邹忆怀,罗树云,等.邹忆怀教授论治缺血性中风经验[J].陕西中医,2019,40(12):1765-1767.
[15] 冯宁宁,李京.一贯煎现代临床应用规律的文献分析[J].中国中医药现代远程教育,2024,22(8):62-64.
[16] 林莉娟,张金付.王旭高“补肝法”探要[J].江苏中医药,2021,53(4):68-69.
[17] 张锡纯.医学衷中参西录[M].北京:人民卫生出版社,2014:35.
[18] 纪云,张军斌,胡有权,等.基于五脏一体观探析从肝辨治寻常型银屑病[J].中医临床研究,2024,16(10):120-124.
[19] 熊滨雁,吴文军,沈冠峰,等.从入药品种、药用部位考察“柴胡劫肝阴”[J].中华中医药杂志,2022,37(2):971-974.
[20] 王丽玮.张锡纯从肝论治杂病的学术思想及用药特色[D].银川:宁夏医科大学,2023.
[21] 田志华,郑鸿波.肝气虚证治初探[J].陕西中医,2007,28(6):738-739.
[22] 张凯,朱肖鸿.黄芪补肝气传统机理探究[J].浙江中医杂志,2016,51(2):143-144.
[23] 司丹丹,邵静.络病学说的形成与发展探析[J].中国中医药现代远程教育,2020,18(8):43-45.
[24] 马怀芬,龙凯花,朱凤霞,等.基于网络药理学方法赤芍-牡丹皮药对治疗中风作用机制探讨[J].陕西中医,2021,42(11):1635-1639.
[25] 由杨,段克非,杨锐.急性脑梗死患者血浆代谢物的相关性分析[J].中风与神经疾病杂志,2019,36(7):632-637.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81804022); 全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号]; 南京市中青年拔尖人才项目[宁人才(20202)号]
更新日期/Last Update: 2024-11-11