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本文介绍了一例痿证 (大脑白质多发性硬化 )治验的经过 :原先按传统的辨证论治原则辨证为脾气亏虚 ,精微不布 ,痰瘀阻络 ,施以健脾益气升清、化痰祛瘀通络法 ,效果不明显 ,后结合西医诊断———大脑白质多发性硬化 ,确定病变部位在脑 ,根据“脑为髓之海”和肾生髓的中医理论 ,重新辨证为肾精气亏虚 ,痰瘀阻于脑络 ,拟补肾填精、豁痰开窍、活血化瘀法而取得了较好的疗效。该验案提示 :传统的辨证论治存在一定的局限性 ,应该积极而合理地借鉴、参考西医诊断 ,拓展、创新辨证论治理论 ,使之更好地为中医临床服务
This article describes a case of atrophy syndrome (white matter multiple sclerosis) test of the past: the original dialectical theory of traditional dialectical as temper deficiency, subtle, phlegm and blood stasis, spleen qi invigorating, phlegm Stasis meridians method, the effect is not obvious, combined with Western diagnosis --- white matter multiple sclerosis, to determine the lesion in the brain, according to “the brain of the sea of marrow,” and kidney marrow of Chinese medicine theory, re-dialectical kidney essence Qi deficiency, phlegm obstruction in the brain network, intended to fill the kidney, phlegm resuscitation, blood circulation and achieved good results. The examination suggests that: traditional syndrome differentiation has some limitations, it should be positive and reasonable reference, with reference to Western diagnosis, expansion, innovation syndrome differentiation theory to make it better for the clinical services of Chinese medicine