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从风、痰、瘀论治痉挛性斜颈
范顺1,2,3, 张海宁1,2,3, 李华南1,2,4, 张玮1,2,4, 唐景潇1,2,4, 王建伍1,2,4, 王金贵1,2,4
1.天津中医药大学第一附属医院, 天津 300193;2.国家中医针灸临床医学研究中心, 天津 300193;3.天津中医药大学, 天津 301617;4.国家中医药管理局推拿手法生物效应三级实验室, 天津 300193
摘要:
痉挛性斜颈是临床上最常见的局灶型肌张力障碍疾病,该病的病机大抵外感、内伤所致气血亏虚、筋脉失养,以气血亏虚贯穿始终,风为该病发生主要病因,痰、瘀为该病发展过程的重要病理产物。临床治疗主以解肌散风,立涤痰破瘀、息风止痉之法,祛邪为先,务尽务细,后扶正培本。
关键词:  痉挛性斜颈      
DOI:10.11656/j.issn.1672-1519.2023.11.08
分类号:R244.1
基金项目:国家自然科学基金项目(81873394、81873393);国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者(国中医药人教函〔2021〕203号);国家区域中医(推拿)诊疗中心项目;天津市131优秀人才培养项目;天津中医药大学第一附属医院拓新工程课题(院ZD202105)。
Discussion on the pathogenesis of spastic torticollis from “wind, phlegm and stasis”
FAN Shun1,2,3, ZHANG Haining1,2,3, LI Huanan1,2,4, ZHANG Wei1,2,4, TANG Jingxiao1,2,4, WANG Jianwu1,2,4, WANG Jingui1,2,4
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China;3.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;4.Third-level Laboratory of Massage Biological Effects, State Administration of Traditional Chinese Medicine, Tianjin 300193, China
Abstract:
Spastic torticollis is the most common focal dystonia disease in clinical practice. The pathogenesis of this disease is mostly qi and blood deficiency caused by exogenous and internal injuries, and tendon and vein dystrophy. The deficiency of qi and blood runs through the whole process. Wind is the main cause of this disease. Phlegm and blood stasis are important pathological products in the development of this disease. Clinical treatment to relieve muscle wind first, set up phlegm and blood stasis, wind antispasmodic method, dispel evil first, do your best, after the righting peiben.
Key words:  spasmodic torticollis  wind  phlegm  stasis
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