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| 刍议卒中后疲劳的脑-神-气一体观 |
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胡赫其1,2, 韩李莎1,2, 鲁海1,2, 张春红1,2,3
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1.天津中医药大学第一附属医院, 天津 300193;2.天津中医药大学研究生院, 天津 301617;3.国家中医针灸临床医学研究中心, 天津 300381
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| 摘要: |
| 卒中后疲劳（PSF）是脑卒中常见的并发症，也是脑卒中患者死亡的重要预测因素。基于脑-神-气一体观，从其病因病机探讨3者在疾病发生发展中的关系。张春红教授认为其病位在脑，主责脑、神、气，关乎心、肝、脾、肾，将其病机概括为窍闭神伤、神不导气、气不化神，提出“治脑，调神，运气”为治疗大法，以期为PSF的中医药治疗提供新思路。 |
| 关键词: 卒中后疲劳 脑-神-气 病因病机 理论探讨 |
| DOI：10.11656/j.issn.1672-1519.2021.06.14 |
| 分类号:R228 |
| 基金项目:石学敏国医大师传承工作室建设项目（81573849）。 |
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| Humble opinion of post-stroke fatigue: the theory of nao-shen-qi integration |
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HU Heqi1,2, HAN Lisha1,2, LU Hai1,2, ZHANG Chunhong1,2,3
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1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;3.National Clinical Research Center of Traditional Chinese Acupuncture and Moxibustion, Tianjin 300381, China
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| Abstract: |
| Post-stroke fatigue (PSF) is a common complication of stroke and an important predictor of death in stroke patients. Based on the concept of nao-shen-qi integration,this paper discusses the relationship between the three factors in the development of PSF from their physiological and pathological aspect. Professor ZHANG Chunhong considers that the focal position is brain,mainly concerned with the changes of the nao,shen,qi,moreover is related to the heart,liver,spleen and kidney. The pathogenesis of the disease in traditional Chinese medicine,is summarized as the shen was injured because of the qiao closing,and the shen could not guide the qi,and the shen was not sufficiently produced with the lack of qi. Based on this theory,this paper proposes a principle of treatment ‘zhinao,tiaoshen,yunqi’ to provide a new direction of traditional Chinese medical treatment for PSF. |
| Key words: post-stroke fatigue nao-shen-qi etiology and pathogenesis investigation on theory |
