主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (2): 65-67.doi: 10.3969/j.issn.2095-6606.2021.02.014

• 思路与方法 • 上一篇    下一篇

基于五神脏理论探讨癫痫中医临证思维*

王凯悦1, 董笑克1, 李中浩1, 黎莉莉1, 吴婧1, 王苏妹2, 刘金民2#   

  1. 1 北京中医药大学 北京 100029;
    2 北京中医药大学东方医院
  • 收稿日期:2020-08-28 出版日期:2021-03-30 发布日期:2021-03-30
  • 通讯作者: #刘金民,男,博士,教授、主任医师,博士生导师,E-mail:jmvip@vip.163.com
  • 作者简介:王凯悦,女,在读硕士生
  • 基金资助:
    *国家自然科学基金资助项目(No.81373586),中央高校基本科研业务费专项资金资助(No.2020-JYB-ZDGG-133)

Discussion on the clinical TCM treatment of epilepsy based on the theory of wu-shenzang*

Wang Kaiyue1, Dong Xiaoke1, Li Zhonghao1, Li lili1, Wu Jing1, Wang Sumei2, Liu Jinmin2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 Dongfang Hospital, Beijing University of Chinese Medicine
  • Received:2020-08-28 Online:2021-03-30 Published:2021-03-30

摘要: 癫痫是神经系统常见疑难病,严重影响患者的生命、生活。五神脏理论是对五神与五脏关系的高度概括,是中医形神统一整体观念的重要体现:通过对五神亢盛调节可协调五脏功能,通过对五脏虚实调理亦可调节五神。癫痫发病特点与五神病变特点有高度相似之处,与五脏相关,且癫痫病因病机复杂,非独一脏一神可言尽,因此,在此基础上提出“五神-五脏-五痫”辨证体系,将神、脏病变特点与癫痫发作特点对应,五脏精准定位,以整体观为核心,调节五神盛衰、五脏虚实,以求保障机体阴阳平衡,有利于患者个体化治疗方案建立,指导癫痫辨证,为癫痫中医临床论治提供新的思路。

关键词: 癫痫, 神, 五神脏理论

Abstract: Epilepsy is a commondisease which is difficult to cure. It seriously threats lives and affects daily living.The theory of wu-shenzang is a high generalization of the relationship between fivespiritsand the five-zangorgans, which embodies the core theory of TCM on Holistic Thinking. We can adjust the abnormal spirits to restore the function of the five-zang organs and vice versa. The pathogenesis ofepilepsy is complicated, butwehavefoundthatitisrelatedtothistheory in TCM. Based on the unique theory, we proposed the “syndrome differentiation system of five spirits -five-zang organs -fiveepilepsies”tomatch the characteristics of spirits and the five-zang organ lesions with those of epileptic seizures. This system can help restore the balance of yin and yang to get better treatment for epilepsy. This paper could provide a new idea for treating epilepsy in TCM.

Key words: epilepsy, spirit, the theory of wu-shenzang

中图分类号: 

  • R742.1