| 闫津豪,付强,曲春成,等.心中风浅析[J].浙江中医药大学学报,2024,48(3):368-372. |
| 心中风浅析 |
| Brief Analysis of Wind Injuring the Heart |
| DOI：10.16466/j.issn1005-5509.2024.03.020 |
| 中文关键词: 心中风 血肉之心 神明之心 血肉之心中风 神明之心中风 其他心中风 |
| 英文关键词: wind injuring the heart heart of flesh and blood heart of the spirit wind damage to the heart of flesh and blood wind damages the heart of the spirit other types of wind injury to the heart |
| 基金项目:中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目(国中医药人教函﹝2018﹞284号) |
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| 中文摘要: |
| [目的] 梳理古籍文献中“心中风”的内涵、病机以及治疗，以期为临床病毒性心肌炎、癫痫等难治性疾病的治疗提供理论参佐。[方法] 基于第5版《中华医典》数据库，查阅古籍文献中关于“心中风”的论述，分别从“心之义”“中之音”“风之义”三个角度辨析”心中风“的具体内涵，并概括其临床症状、病机和治疗，以期更好地指导临床。[结果] 中医学之“心”乃五脏六腑之大主，不仅具有主血脉之功，尚具主藏神之能，同时部分古代医家常以“心”来代指中焦脾胃。中医学之“风”则有外风与内风之别，内风多因情志而生。故笔者基于古今文献相关论述，简要阐析“心中风”之不同内涵，其中包括血肉之心中风、神明之心中风以及其他心中风。血肉之心中风和其他心中风多由外风所致，神明之心中风可因外风或内风引起。血肉之心中风治疗以祛风药为主，佐以益气养血之药；神明之心中风则以安神药为主。[结论] 血肉之心中风、神明之心中风及其他心中风分别与现代医学之病毒性心肌炎、神经系统疾病、胃肠疾病甚为相似，或可依据古籍文献为此三类疾病的临证组方提供理论依据。 |
| 英文摘要: |
| [Objective] To sort out the connotation， pathogenesis and treatment of “wind injuring the heart” in ancient literature， in order to provide theoretical reference for the treatment of refractory diseases such as viral myocarditis and epilepsy. [Methods] Based on the database of the fifth edition of the Chinese Medical Code， this study examines the discourse on “wind injuring the heart” in ancient literature， analyzes the specific connotation of “wind injuring the heart” from three perspectives: “the connotation of the heart” “the pronunciation of Zhong”and “the connotation of wind”， and summarizes its clinical symptoms， pathogenesis and treatment， in order to better guide clinical practice. [Results] The “heart” in traditional Chinese medicine is the master of the viscera. It not only has the function of controlling blood vessels， but also has the ability to store spirits. At the same time， some ancient physicians often used “heart” to refer to the spleen and stomach in the middle-Jiao. The “wind” in traditional Chinese medicine includes external wind and internal wind. The internal wind is often generated by emotion. Therefore， based on the relevant discussion of ancient and modern literature， the paper briefly expounds the different connotations of “wind injuring the heart”， including wind damage to the heart of flesh and blood， wind damage to the heart of the spirit and other types of wind injuring the heart. Wind damage to the heart of flesh and blood and other types of wind injury to the heart are mostly caused by external wind， and wind damaging the heart of the spirit can be caused by external wind or internal wind. The treatment of wind damage to the heart of flesh and blood is mainly composed of drugs for dispelling wind， supplemented by drugs for reinforcing Qi and nourishing blood; wind damaging the heart of the spirit is mainly calming. [Conclusion] Wind damage to the heart of flesh and blood， wind damaging the heart of the spirit and other types of wind injury to the heart are very similar to the viral myocarditis， nervous system diseases， and gastrointestinal diseases in modern medicine， or the clinical prescriptions for these three kinds of diseases can be provided with theoretical basis according to ancient literature. |
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