| 沈悦倩,周天梅.从太阴中风病传风痹血痹论治不安腿综合征[J].浙江中医药大学学报,2020,44(9):905-907. |
| 从太阴中风病传风痹血痹论治不安腿综合征 |
| Clinical Treatment Strategies of “Restless Legs Syndrome” Based on Transmission of Taiyin Apoplexy to Wind Impediment and Blood Impediment |
| DOI：10.16466/j.issn1005-5509.2020.09.016 |
| 中文关键词: 不安腿综合征 太阴中风 腿痹 风痹 血痹 桂枝汤 |
| 英文关键词: restless legs syndrome Taiyin apoplexy leg impediment wind impediment blood impediment Guizhi decoction |
| 基金项目:国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24号) |
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| 中文摘要: |
| [目的]总结从太阴中风病传风痹、血痹论治不安腿综合征的临床施治策略。[方法]通过跟随导师临证诊疗，整理《黄帝内经》《金匮要略》《备急千金要方》《圣济总录》等古代文献中对不安腿综合征的发病特点与临床表现的记载，确立所属范畴，以审症求因的方式，总结不安腿综合征的病因病机，并从经方中探索诊治思路，确立主方，随症加减，观察临床疗效，最后附验案加以佐证。[结果]从主症的相似性、病机和论治的相关性分析，太阴中风病传风痹、血痹与不安腿综合征主症“酸麻痒痛”“痛处游走”类似，病机“里虚水饮，津亏血弱，邪风侵袭”切合，治疗以桂枝汤为主方加减，分别佐以化痰祛湿、活血行滞、补养气血、健脾益胃等法。所附医案，其主症为夜间左腿乏力、麻木疼痛、局部有痒感，辨为太阴中风病传血痹，治以黄芪桂枝五物汤加减治疗，临床疗效确切。[结论]从太阴中风病传风痹、血痹角度加深对不安腿综合征病因病机与治法的认识，能够为临床发挥中医药优势治疗不安腿综合征提供更多思路。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience in treating restless legs syndrome(RLS) based on transmission of Taiyin apoplexy to wind impediment and blood impediment.[Methods] Through following the tutor for clinical diagnosis and treatment， organizing the literature of ancient books， such as “Huangdi's Internal Classic”“Synopsis of Golden Chamber”“Thousand Golden Prescriptions”“Complete Record of Benevolence”， clearing up the characteristics and clinical manifestations of the disease and classify its category， the etiology and pathogenesis were summarized by means of seeking the cause from patterns identified， the diagnosis and treatment of RLS from classical formula were explored， the main prescription was established and the clinical efficacy was observed， and one case was attached as proof.[Results] The relation between transmission of Taiyin apoplexy and RLS is analyzed from the similarity of main symptoms， the correlation of pathogenesis and treatment. The main symptoms of transmission of Taiyin apoplexy to wind impediment and blood impediment is similar to RLS， such as “ache， numbness， itching and pain” and “wandering pain”， and the pathogenesis of transmission of Taiyin apoplexy to wind impediment and blood impediment is “fluid-retention and interior deficiency， body fluid deficiency and blood weakness， and invasion of evil wind” fits the pathogenesis of RLS. Major prescription is Guizhi decoction， supported by removing dampness and eliminating turbid， promoting blood circulation and removing stagnation， nourishing Qi and blood， invigorating the spleen and benefiting the stomach，etc. The main symptoms of the case were weakness of the left leg at night， numbness and pain， and local itching， which was distinguished as transmission of Taiyin apoplexy to blood impediment. The patient achieved good results after treated with modified Huangqi Guizhi Wuwu decoction.[Conclusion] The etiology， pathogenesis and treatment of RLS are deepened from the perspective of transmission of Taiyin apoplexy to wind impediment and blood impediment， providing more ideas for the clinical treatment of RLS. |
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