基于“痿-宗气理论”辨治脊髓梗死
白烨升,陈伟佳,曾奇,窦群立
摘要(Abstract):
脊髓梗死作为一种发病率极少、损伤程度严重的疾病,中医根据其临床特点将其归属为“痿证”“骨痿”,病位在骨与脊髓,历代医家对骨痿的病机多以肝肾阴虚为主,很少论及宗气对骨痿的直接影响。本文基于一则脊髓梗死病例,以“宗气”为病机角度阐述骨痿的发病机制,梳理脊髓梗死的辨证及治疗,认为宗气下陷是导致该病发生的根本原因,兼有肝肾阴虚及脾胃气虚,进一步导致湿痰瘀血等病理产物的产生,加重疾病的病情与愈后。
关键词(KeyWords): 脊髓梗死;骨痿;宗气;发病机制
基金项目(Foundation):
作者(Author): 白烨升,陈伟佳,曾奇,窦群立
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