裘昌林治疗运动神经元病的经验_张丽萍.pdfVIP

第 29 卷 第 1期 Vol. 29 No. 1 2 0 1 1年 1月 CH INESE ARCH IVES OF TRAD IT OI NAL CH INESE M ED CI INE Jan. 2 0 1 1 张丽萍, 王 珏, 指导: 裘昌林 (, 310006) : 运动神经元病是指只累及脊髓和脑部的 下运动神神经元的一组缓慢进行性变性疾病, 属于中医 / 痿证0/ 瘖痱证0 范畴裘昌林主任认为本病以虚为主, 表现为肝肾阴虚, 脾肾阳虚, 精血亏耗, 气血亏虚, 涉及 到肝脾肾三脏, 络病是本病缠绵难愈的主要机制其治疗应遵循/ 虚者补之0的原则, 随证选方, 肝肾阴虚型是 本病的主要证型, 首选地黄饮子加减; 阴虚火旺型选用虎潜丸加减; 脾肾阳虚型选用右归丸加减; 气虚血瘀型选用 补阳还五汤加减裘老在辨证论治的基础 加用虫类药, 且在 70年代研制出炙马钱子胶囊, 疗效显著, 全蝎配对 使用, 可消除马钱子大量服用后引起的相关症状 : 运动神经元病; 中医药疗法; 名医经验; 炙马钱子胶囊; 裘昌林 : R744. 8 : A : 1673- 77 17( 2011) 01- 0086- 03 Q IU Chang-lin Treatment Experience fM t rNeur n D isease ZHANG L i-pin , WANG Jue, advisor: Q IU Chan -lin ( Dep artm ent of Neurolo y, F irstA ffiliated H osp ital of Zh ejian Ch in eseM edicalUn iversity, H an zhou 310006, Zhejian , Ch ina) Abstrac:t M otor neuron disease is a roup of slow ly pro ressive de enerative d iseases wh ich has affected the sp inal cord, the upperm otor neurons and the low erm otor neurons of brain, it belon s to W ei syndrom e and Y in- Fei syn- drom e of trad ition Chinese m ed icine. Q IU Chan -lin Ch ief Phys ician cons iders the most of d isease w as of deficiency, man ifested as y in deficiency of liver and k idney, yan deficiency of spleen and kidney, q i and blood deficiency, involvin the liver, sp leen, kidney, Collateral Disease is them ain mechan ism of th is d isease hard to be cured. The treatm ent prin- ciple shou ld follow the treatin deficiency w ith tonification, w ith the syndrom e selection prescription, Y in deficiency of liver- k idney is the m ain syndrom e of the disease, the preferred D ihuan y inziM