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王国三治疗癫痫经验
引用本文:赵立新,张春丽,赵建新.王国三治疗癫痫经验[J].中华中医药杂志,2011(6):1324-1326.
作者姓名:赵立新  张春丽  赵建新
作者单位:唐山市中医医院老年病区;唐山市迁西县罗屯镇长岭峰卫生所;河北医科大学中医学院;
基金项目:第二批全国优秀中医临床人才研修项目(国中医药发[2008]21号文件)~~
摘    要:王国三认为癫痫在急性发作期以痰扰心窍为关键,非急性发作期尤以肾虚是癫痫发病之根。总结其治法与用药特点,急性发作期重在清心豁痰开窍,善用栀子、石菖蒲、远志、瓜蒌、生半夏等;潜镇安神法贯彻始终,常用龙骨、牡蛎、紫贝齿、磁石、龙齿、珍珠母等;非急性发作期以调补气血为主,喜用太子参、当归、白芍、龙眼肉、柏子仁、酸枣仁等,并注重温阳补肾,善用补骨脂、巴戟天、肉苁蓉、淫羊藿等。并认为多数就诊患者病程已久,或久服抗癫痫西药有副作用,切勿一味疏肝理气,或一派虫类熄风止痉,必须时时顾护正气。

关 键 词:癫痫  临证经验  中医药  清心豁痰开窍  潜镇安神  调补气血  温阳补肾

Experience of WANG Guo-san in treating epilepsy
ZHAO Li-xin,ZHANG Chun-li,ZHAO Jian-xin.Experience of WANG Guo-san in treating epilepsy[J].China Journal of Traditional Chinese Medicine and Pharmacy,2011(6):1324-1326.
Authors:ZHAO Li-xin  ZHANG Chun-li  ZHAO Jian-xin
Institution:ZHAO Li-xin1,ZHANG Chun-li2,ZHAO Jian-xin3(1Geriatrics ward,TCM Hospital of TangShan,Tangshan 063000,China,2Changlingfeng Clinic in Luotun town Qinxi County Tangshan City,Tangshan 064305,3TCM College of Hebei Medical University,Shijiazhuang 050091,China)
Abstract:According to the theory made by WANG Guo-san, it is critical that the phlegm blocked the heart in the acute stage,kidney asthenia is the fundamental reason of epilepsy’s occurrence out of acute stage.Make summary of his medication experience,the methods of clearing the heart,sweeping phlegm and opening the orifices are very important in acute stage,the herbs of common gardenia fruit,thinleaf milkwort root,mongolian snakegourd fruit and ternate pinellia are commonly used.The methods of subduing,settling and quieting the spirit remain consistent from the start to the very end, the herbs of dragon’s bones,common oyster shell,arabia cowry shell,magnetite,dragon’s teeth and nacre etc.are commonly used.In the non acute stage, the methods of regulating qi and blood are mainly suggested,the commonly used herbs are different leaves pseudostellaria root tuber, chinese angelica, white peony root, dried longan pulp, chinese arborvilae seed and spine date seed.Meanwhile,the methods of warming yang and invigorating the kidney are emphasized usually,suggested herbs including fructus psoraleae,medicinal morinda root,desertliving cistanche herb,short-horned epimedium herb etc. Doctor WANG also believes that most patients have long disease history,the anti-epileptic have side effect.In avoiding of the methods of soothing liver and regulating qi;extinguishing wind and resolving tetany are abused,the safeguard of healthy qi should be payed more attention now and then.
Keywords:Epilepsy  Clinical experience  TCM  Clearing the heart  Sweeping phlegm and opening the orifices  Subduing  settling and quieting the spirit  Regulating qi and blood  Warming yang and invigorating the kidney  
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