刘茂才阴阳虚实分治法辨治癫痫经验介绍
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R249

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国家中医药管理局全国名中医传承工作室项目(2018YFC1704100);国家重点研发计划项目纵向课题(2018YFC1704102);广东省 中医药局科研项目(20192035)


Experience Introduction of LIU Maocai in Syndrome Differentiation and Treatment of Epilepsy with by Differentiating Yin,Yang,Deficiency and Excess
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    摘要:

    总结介绍刘茂才教授运用阴阳虚实分治法辨治癫痫的临床经验。刘茂才教授认为,癫痫病因以虚为本,以风、痰、火、瘀为标,“顽痰胶着”为核心病理因素。临证应根据矛盾主次,分阶段辨治。急性期以阴阳为纲,阳痫属风火痰热,治以清热泻火、平肝熄风、涤痰开窍,可选用其创制的院内制剂通腑醒神胶囊;阴痫属虚寒痰瘀,治以温化寒痰、熄风活血、开窍醒神,可选用其创制的院内制剂益脑安胶囊。缓解期应辨虚实,实治心肝,虚补脾肾。其创制的院内制剂通腑醒神胶囊可用于阳痫急性期,而益脑安胶囊可用于阴痫或癫痫的缓解期治疗。在遣方用药上,灵活运用虫类药物,并强调用药应求平和而避毒性,注意时刻护本,顾护脾胃。

    Abstract:

    Abstract: This paper summarizes the clinical experience of Professor LIU Maocai in syndrome differentiation and treatment of epilepsy by differentiating yin,yang,deficiency and excess. Pro. LIU holds that the etiology of epilepsy is rooted at deficiency, with wind, phlegm, fire and blood stasis as branches,and "lingering and congealing phlegm" as the core pathological factor. In clinical practice,staging syndrome differentiation and treatment should be carried out according to the primary and secondary contradictions. In the acute stage,yin and yang are the key points;yang epilepsy belongs to wind-fire and phlegm- heat, which can be treated by clearing heat and purging fire, calming the liver and extinguish wind,and clearing up phlegm and resuscitating,and the hospital preparation,Tongfu Xingshen capsules made by Pro. LIU will be useful. Yin epilepsy belongs to phlegm- stasis due to deficiency- cold;it can be treated by warming and dissolving cold-phlegm,extinguish wind and invigorating blood,and opening the orifices to awaken the mind,and the hospital preparation,Yinao’an capsules made by Pro. LIU is a choice for the treatment. In the remission period, after the differentiation between deficiency and excess, the heart and liver should be treated if there is excess,and the spleen and kidney should be supplemented if there is deficiency. Tongfu Xingshen capsules can be used in the acute phase of yang epilepsy, while Yinaoan capsules can be used in the treatment of yin epilepsy or the remission period of epilepsy. In terms of prescription and medication, insect medicinals should be used flexibly, and it is emphasized that the medication should be neutral and avoid toxicity,and attention should be paid to protecting the foundation and the spleen and stomach at all times.

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余佳彬,朱少芳,伍犹梁,谢学敏,卢明.刘茂才阴阳虚实分治法辨治癫痫经验介绍[J].新中医,2022,54(16):199-203

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  • 在线发布日期: 2022-08-28
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