朱丹溪“左瘀右痰”论治中风浅析

金元医家朱丹溪认为瘀和痰为中风的重要致病因素，通过对阴阳、左右、气血、肝肺的属性特点分析，结合其“阴升阳降”、“左肝右肺”、“左血右气”理论，并根据朱氏治疗中风对于病位在左者以行血补血治瘀为主，常用四物汤加减；病位在右者以化痰行气为主，多以二陈汤化裁的诊疗思路，笔者总结出丹溪论治中风“左瘀右痰”的观点，临床运用，效如桴鼓。

Analysis of the Theory of "Stasis Belongs to the Left and Phlegm Belongs to the Right"from Zhu Danxi on Diagnosis and Treatment of Stroke

Zhu Danxi, one of the Jin and Yuan dynasty's famous traditional Chinese medicine doctors, thought that stasis and phlegm were the important causes of stroke. The properties and characteristics of the Yin-Yang, left-right, Qi-blood, liver-lung were analyzed and the theory of "ascending of Yin and descending of Yang", "liver belongs to the left and lung belongs to the right ", "blood belongs to the left and Qi belongs to the right " were combined. Finally, we summarize the point of "stasis belongs to the left and phlegm belongs to the right " from Zhu Danxi on diagnosis and treatment of stroke. The diseases in left location were mainly treated to remove stasis, such as the often use of Siwu decoction, while the diseases in left mainly were reduced phlegm, such as Erchen decoction, which show a good effect.