基于气机理论的难治性癫痫宏微观辨治策略探析
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1.厦门市中医院(福建 厦门 361009);2.福建中医药大学(福建 福州 350122);3.北京中医药大学东直门医院(北京 100700)

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※基金项目 福建省自然科学基金联合资助项目(No.2024J011369)


Exploration of the application principle about treating intractable epilepsy with envoy herbs based on the theory of “brain network-Xuanfu-Shenji”Jiang Tao1,Wang Junxin1,2,Wang Yongli1,Li Hui1,Huang Qingyong1, Zhang Jinfeng1,Liu Jinmin3#
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    摘要:

    文中基于中医气机升降理论,提出难治性癫痫的核心病机为“脏气不平”所致枢机不利,并进一步引入王永炎院士“脑络-玄府-神机”理论,将气机学说延伸至人体超微结构层面,构建了宏微观相结合的辨治策略。该策略在宏观上以调和少阴、少阳枢机为核心,重在调畅气机;在微观上则以辛润通络、开通玄府为法,旨在恢复神机。该策略可在改善脑能量代谢与神经网络功能中发挥重要作用,为丰富难治性癫痫的中医治疗路径提供了新思路。

    Abstract:

    Epilepsy is a kind of chronic cerebral network disease [ ]characterized by paroxysmal abnormal nerve function.Currently,modern medicine emphasizes that epilepsy is a brain neural network disease,where abnormal networks play a crucial role in the generation and development of epilepsy.Epilepsy falls within the scope of"epilepsy syndrome"in traditional Chinese medicine,with the affected area being the brain and its network.Wang Yongyan Academician proposed that the brain network,Qi,blood and brain spirit have close physiological and pathological relationships,which provides important inspiration for the treatment of traditional Chinese medicine brain diseases,including epilepsy.We believe that the theory of"brain network-Xuanfu-Shenji"is the extension and expansion of the theory of Qi movement in the ultrastructure of the human body,and provides us with the overall idea of combining macro and micro syndrome differentiation,as well as the law of drug channeling and prescription medication.

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江涛,王峻鑫,王永丽,李蕙,黄清勇,张金锋,刘金民.基于气机理论的难治性癫痫宏微观辨治策略探析[J].,2025,24(11):18-23

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  • 收稿日期:2025-03-12
  • 最后修改日期:2025-08-06
  • 录用日期:2025-09-03
  • 在线发布日期: 2026-02-05
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