张智龙治疗脑病经验

张智龙教授认为,脑的生理特点为"宜实宜满,宜清宜静",脑的病理特点为"髓海空虚,空则神浮,虚则邪害,浊邪害清,元神受损,神机失用".髓海空虚、痰瘀闭阻、神机失用是脑病的病机关键,本虚标实、虚实错杂,治疗应辨证论治,依据病情虚实之偏重,养精益髓补其虚,清浊开闭泻其实,或攻补兼施,补虚不碍邪,祛邪不伤正.脑病易虚易闭,治疗...

ZHANG Zhi-long's Experience of Treating Encephalopathy

Professor Zhang Zhi-long believes that the physiological characteristics of the brain are"solid and full,clear and quiet",and the pathological characteristics of the brain are"deficient and empty marrow sea,resulting in floating mind and pathogens,damaging clearing state and original qi of the mind."The key pathogenesis of encephalopathy is the deficiency and emptiness of marrow sea,the obstruction of phlegm and blood stasis,and the loss of magic mechanism of life,marked by deficiency as primary aspect and excess as secondary,deficiency and excess in complexity,so the treatment should be based on syndrome differentiation.According to the degree of deficiency and excess,it is necessary to nourish marrow essence to supplement its deficiency,clear turbidity to purge its excess,or attack and supplement at the same time,so as to supplement deficiency without hindering to remove pathogens and dispel pathogens without harming the healthy qi.Encephalopathy is prone to deficiency and closure,and the treatment should be based on the principle of"clearing"and"nourishing".According to Professor Zhang,for stroke in viscera,closure or collapse should be distinguished,then nourishing the viscera is adopted first;for long-time stroke,removing pathogens is important.For dementia,based on the treatment principles of nourishing marrow essence,clearing turbidity,opening the closed orifices,regulating spirit and benefiting intelligence,he has established acupuncture for regulating mind and benefiting intelligence,Granules for Stabilizing the Mind and Benefiting Intelligence,and modified them flexibly according to different degrees of deficiency and excess.For epilepsy,according to the theory of dynamic balance,he adopts the method that"excessive movement should be controlled by quietness,and hyperactivity of yin should be controlled by yang",and often uses acupuncture for dredging GV and calming the mind,and Bupleurum and Cinnamon Twig Gallbladder-Warming Mind-Stabilizing Decoction.For vertigo,he pays attention to the ascending and descending of the middle energizer,and emphasizes that the spleen and stomach are the source of qi and blood formation.Because nutrients for all orifices of the five senses depend on the ascending rise of lucid yang;the spleen and stomach are the pivots of the rise and fall of ascending and descending of qi movement,to stretch the qi movement of the whole body.Therefore,he often adopts the acupuncture method of regulating the spleen and stomach for treatment.