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国医大师石学敏院士从“神”分期论治中风病学术思想
李波漩1,2, 孟智宏1,2
1.国家中医针灸临床医学研究中心, 天津 300381;2.天津中医药大学第一附属医院, 天津 300381
摘要:
国医大师石学敏院士针对中风病创立了“醒脑开窍”针刺法,该针法以“脑府”立论,重视对“神”的调护,治以醒脑开窍、益精填髓。在分期辨证论治方面,石院士分别对“治未病”阶段、中风病急性期、恢复期及后遗症期患者给予“大醒脑”针法、“小醒脑”针法、“调神益智”针法等针刺处方,对中风病的精准化、个性化治疗具有重要意义。在针刺操作方面,石院士规定了详细的手法量学参数,在中风各个阶段均重视患者与医者的“神应”过程,具有较高的针刺应用价值和临床推广意义。文章对国医大师石院士从“神”论治的学术思想进行总结,并从疾病时空效应进行阐述,以飨同道。
关键词:  中风  针刺  石学敏  学术思想
DOI:10.11656/j.issn.1672-1519.2025.03.01
分类号:R743.3
基金项目:国家重点研发计划(973计划)项目(2018YFC1706001, 2010CB530506);国家中医针灸临床医学研究中心开放课题(NCRCOP2023003);天津市研究生科研创新项目(2022BKYZ 046);天津中医药大学研究生科研创新项目(YJSKC-20222002)。
Exploration of academic thought of Academician SHI Xuemin,national master of traditional Chinese medicine, in the treatment in different stage of stroke from spirit aspect
LI Boxuan1,2, MENG Zhihong1,2
1.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China;2.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
Abstract:
National traditional Chinese medicine master SHI Xuemin created “Xingnao Kaiqiao” acupuncture method for stroke. This acupuncture method is based on the theory of brain mansion attaches importance to the regulation and care of “spirit”. And the treatment is to wake up the brain and resuscitate the body,and replenish the essence and marrow. During the portent stage,the acute stage,recovery stage and sequela stage,different acupuncture prescripts are applied by academician SHI Xuemin such as “intensified Xingnao” acupuncture method,“weak Xingnao” acupuncture method,and the “spirit-regulating and intelligence-improving” acupuncture method,which are in great significance for the precise and personalized treatment of stroke. Regarding to the acupuncture manipulation,academician SHI Xuemin had specified detailed manipulation parameters,and paid attention to the “spirit response” process between patients and doctors at all stages of stroke,which has high acupuncture application value and clinical significance. In this article,we summarized the academic thought of SHI Xuemin,a master of traditional Chinese medicine,from the aspect of spirit in the treatment of stroke,expounded the time-space effect of acupuncture on stroke,and aimed to inspire acupuncturists to guide the clinic.
Key words:  stroke  acupuncture  SHI Xuemin  academic thought
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