摘要
癫痫发作突发突止,症见猝然昏仆倒地、僵直、两目直视、痉挛、抽搐等。根据中医“取象比类”思维,癫痫与风邪主动、善行而数变的致病特点相似,可类比为风象。笔者认为风邪是癫痫发病的重要因素,提出从风论治癫痫,倡导“肝风”论。风有外风内风之分,外风走窜,上袭清窍,扰动神明,同时,肝应风木之气,风邪侵袭,易致肝失疏泄,导致气机逆乱,化生内风,上犯脑窍,亦可导致癫痫。从风辨治癫痫,强调治随风变,散外风,熄内风,搜络风,以达临床疗效。
The symptoms of the seizures appear with “Sudden”, which means suddenly occur and suddenly stop, accompanied by sudden fainting, stiffness in the eyes, spasms and convulsions, etc. According to the thinking of “taking analogical image” in traditional Chinese medicine, epilepsy is similar to the pathogenic characteristics of active wind evil. The thoughts and seizures show the same pathogenic characteristics with the evil wind, fluctuations then causing the changes in quantity. The author believes that wind evil is an important factor of epilepsy, and proposes to treat epilepsy from wind and advocate the theory of “liver wind”. The wind is characterized of the internal and external. The external wind attacks the Qingqiao, disturbing the soul. At the same time, the liver should be corresponded to the Qi of wind and wood, the wind evil invasion is easy to cause liver loss and drainage, leading to the disorder of Qi movement. The internal wind disturbs the brain, can also lead to epilepsy. From the wind theory to distinguish the treatment of epilepsy, emphasizing the treatment of wind changes, dispersing the external wind, quenching the internal wind, organizing the wind, aiming to achieve the clinical efficacy.
出处
《中医学》
2023年第7期1613-1618,共6页
Traditional Chinese Medicine
