黄培新从虚、风、痰、瘀四维论治面瘫后面肌痉挛经验介绍
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R249

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第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);广东省名中医传承工作室建设项目(粤中医办函〔2019〕5号)


Introduction of HUANG Peixin's Experience in Treating Hemifacial Spasm After Facial Paralysis from Four Aspects of Deficiency,Wind,Phlegm and Stasis
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    摘要:

    介绍黄培新教授从虚、风、痰、瘀四维论治面瘫后面肌痉挛的临床经验。黄培新教授认为,面肌 痉挛病机为本虚标实,本虚为气血阴阳不足,久病耗损,筋失濡养;标实为风、痰、瘀相合,阻滞面络。病位 主要与肺、脾、肝三脏有关;临证从虚、风、痰、瘀四维论治,以燮理肺肝脾三脏气机升降为期。以补虚祛 邪、调和气血为治疗原则,扶正、祛风、活血、化痰有所侧重,灵活变通,随证治之,以平为期。

    Abstract:

    Abstract: This paper introduces the experience of HUANG Peixin in treating hemifacial spasm after facial paralysis from four aspects of deficiency,wind,phlegm and stasis. According to HUANG Peixin,the pathogenesis of hemifacial spasm is deficiency in the root and excess in the branch. Deficiency in the root refers to the deficiency of qi,blood,yin and yang,the consumption and depletion due to chronic disease, and the failure of tendons to be nourished. Excess in the branch means that the co-incidence of the wind, phlegm and stasis obstructs the face vessels. The disease location is mainly related to the lung,spleen and liver. In clinical practice, the treatments start from the four aspects of deficiency, wind, phlegm and stasis, so as to regulate the descending and ascending of the lung, liver and spleen in terms of qi movement. The treatment principles are to supplement deficiency and dispell pathogenic qi as well as regulate and harmonize qi and blood, supplemented by reinforcing healthy qi, dispelling the wind, invigorating the blood and resolving the phlegm, and the treatments are flexibly modified according to different syndromes,so as to harmonize the disease.

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翁銮坤,指导:黄培新.黄培新从虚、风、痰、瘀四维论治面瘫后面肌痉挛经验介绍[J].新中医,2024,56(18):231-236

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  • 在线发布日期: 2024-09-27
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