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| Professor ZHANG Boli’s clinical thinking in treating moyamoya disease based on the theory of “aim for balance” |
| Hits 743 Download times 756 Received:July 10, 2023 |
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| DOI
10.11656/j.issn.1673-9043.2023.05.01 |
| Key Words
moyamoya disease;aim for balance;famous physician’s experience;ZHANG Boli |
| Author Name | Affiliation | E-mail | | YAN Jingxian | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | | | XIAO Lu | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China | | | LIU Yaoyuan | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | | | HUANG Xianglong | Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | LI Xiao | Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | MA Yan | Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China | | | JI Hongchang | Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | JIANG Feng | Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | wecm@sina.com |
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| Abstract
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| Moyamoya disease(MMD) is characterized by the fragile compensatory collateral circulation of the skull base that is prone to rupture and hemorrhage. Under the guidance of the theory of "aim for balance",herbs with mild properties are the preferred choice. Through the proper compatibility between herbs,a tendency towards balance of the overall effect of the decoction is equally expected. By analogy with stroke,the four syndrome elements of phlegm,blood stasis,liver-yang hyperthyroidism and deficiency are important in syndrome differentiation and treatment. Although the above syndrome elements may have different emphasis with the different stages of the disease,the overall pathogenesis of traditional Chinese medicine follows the following rules:the deficiency syndrome is the basis,the mutual accumulation of phlegm and blood stasis leads to the progress,and the hyperthyroidism of liver-yang leads to the critical condition. The treatment should take into account both qi and blood,such as tonifying qi and activating blood circulation,regulating qi and promoting blood circulation,but herbs with strong activity of activating blood circulation and removing blood stasis should be used with caution. For the treatment of phlegm syndrome,tongue diagnosis is helpful to use herbs accurately according to the development trend of the disease. When the chronic course causes the pathogenic factors to enter the collaterals,the appropriate application of medicinal insects can dredge the collaterals. In the treatment of suppressing the hyperthyroidism of liver-yang,the method of soothing should also be considered,and it is expected to comply with the physiological characteristics of the liver by regulating the body and spirit. While supplementing the congenital and acquired foundation,it is also necessary to protect the stomach qi to enhance the therapeutic effect. |
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