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中医药学报
|学术探讨
2026
, 54
(1) :
1
-5
基于“内虚暗风”理论探讨寒地缺血性脑卒中的病机及治疗
全屏
辜耀东1 , 李若冰1 , 雷俊1 , 陈伟1 , 张金龙1 , 金常鑫1 , 蒋希成1
作者信息
1 黑龙江中医药大学,黑龙江 哈尔滨 150040
通讯作者:
* 蒋希成(1964-),男,博士,研究员,博士生导师,研究方向:经方治疗疑难病的临床与基础研究。
作者简介:
辜耀东(1999-),男,博士研究生,研究方向:经方治疗疑难病的临床与基础研究。
Exploration of the Pathogenesis and Treatment of Ischemic Stroke in Cold Regions Based on the Theory of "Internal Deficiency and Latent Wind"
GU Yaodong1 , LI Ruobing1 , LEI Jun1 , CHEN Wei1 , ZHANG Jinlong1 , JIN Changxin1 , JIANG Xicheng1
Affiliations
1 Heilongjiang University of Chinese Medicine, Harbin 150040, China
doi: 10.19664/j.cnki.1002-2392.260001
文章导航
“内虚暗风”是明代医家缪希雍在前贤认识基础上所提出的中风新识,其认为南方湿热之地人群因真阴亏耗、阴阳两虚,内热弥盛、痰热壅塞气道,以致脉络不得通利而发为中风。本文基于“内虚暗风”理论,结合寒地致病特点,认为寒地缺血性脑卒中发病与肝肾亏耗、阴阳虚损,痰湿内蕴、热瘀互结,外寒侵袭、风寒相激及外燥与内燥共相袭扰等相关。治疗当重视寒地气候与人群体质特点,在疏散外风、祛除痰瘀的基础上重视填补肝肾真阴,并酌情选用柔润之品以滋阴而润燥开玄,以期为临床防治寒地缺血性脑卒中提供参考。
内虚暗风
/
寒地
/
缺血性脑卒中
/
病机
/
治则治法
The concept of "Internal Deficiency and Latent Wind" was proposed by the Miao Xiyong, a physician in Ming Dynasty, based on the understanding of sages, as a new insight into the pathogenesis of stroke. He believed that in the hot and humid southern regions, people are prone to stroke due to the consumption of true yin and dual deficiency of yin and yang; internal heat becomes rampant, and phlegm - heat congests the airways, leading to the obstruction of the meridians and the onset of stroke. This article starts from the theoretical understanding of 'Internal Deficiency and latent Wind' and, combined with the characteristics of cold regions, suggests that the pathogenesis of ischemic stroke in cold areas is related to the depletion of the liver and kidneys, deficiency of yin and yang; internal phlegm - dampness and heat - stasis interplay; external cold invasion and the mutual stimulation of wind and cold; as well as the combined invasion of external and internal dryness. Treatment should pay attention to the climate and physical characteristics of cold regions, focus on dispersing external wind and removing phlegm - stasis, and emphasize replenishing the true yin of the liver and kidneys. Additionally, moistening agents should be used with discretion to nourish yin, moisten dryness, and open the Xuanfu, with the aim of providing a reference for the clinical prevention and treatment of ischemic stroke in cold regions.
Internal deficiency and latent wind
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Cold regions
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Ischemic stroke
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Pathogenesis
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Treatment
辜耀东, 李若冰, 雷俊, 陈伟, 张金龙, 金常鑫, 蒋希成.
基于“内虚暗风”理论探讨寒地缺血性脑卒中的病机及治疗.
中医药学报,
2026
, 54
(1)
: 1
-5
.
DOI: 10.19664/j.cnki.1002-2392.260001
GU Yaodong, LI Ruobing, LEI Jun, CHEN Wei, ZHANG Jinlong, JIN Changxin, JIANG Xicheng.
Exploration of the Pathogenesis and Treatment of Ischemic Stroke in Cold Regions Based on the Theory of "Internal Deficiency and Latent Wind"[J].
Acta Chinese Medicine and Pharmacology ,
2026
, 54
(1)
: 1
-5
.
DOI: 10.19664/j.cnki.1002-2392.260001
2026年第54卷第1期
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doi: 10.19664/j.cnki.1002-2392.260001
接收时间:2024-09-08
首发时间:2026-09-09
https://castjournals.cast.org.cn/joweb/zyyxb/CN/10.19664/j.cnki.1002-2392.260001
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2种不同金属材料的力学参数
科 Family 属数 Number of genus 种数 Number of species 占总种数比例 Percentage of total species (%) 属 Genus 种数 Number of species 占总种数比例 Percentage of total species (%) 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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