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Professor Chang Jingling’s experience in the treatment of post-stroke aphasia based on the theory of “brain-kidney-marrow” |
WANG Haifang XU Minjie CHANG Jingling |
Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China |
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Abstract Post-stroke aphasia is one of the most common complications of stroke, and one of the causes of long-term deficits in speech disorders, which seriously affects patients’ quality of daily life. At present, it is mainly treated with speech rehabilitation therapy combined with conventional western medicine treatment in stroke medicine, which the clinical efficacy varies greatly among individuals. Through years of clinical observation and practice, Professor Chang Jingling concluded that post-stroke aphasia should be treated with “brain-kidney-marrow” as the main line of syndrome differentiation and treatment, and overall syndrome differentiation and treatment of pathological factors such as wind, fire, and phlegm. The theory is based on strengthening vital qi and dispersing blood stasis. The syndrome differentiation adopts the methods of clearing heat and promoting blood circulation, soothing the liver and extinguishing wind, resolving phlegm and unblocking collaterals, awakening the spirit and opening the body, and treating both the tip and root, combining tonifying and supplementing, demonstrating the dialectical thinking advantages of “integration of body and spirit” for traditional Chinese medicine.
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[1] Hamilton RH. Neuroplasticity in the language system:Reorganization in post-stroke aphasia and in neuromodulation interventions [J]. Restor Neurol Neurosci,2016,34(4):467- 471. [2] Berthier ML. Poststroke aphasia:epidemiology,pathophysiology and treatment [J]. Drugs Aging,2005,22(2):163-182. [3] 刘雪云,柯俊,李坦,等.卒中后失语症语言康复机制和治疗研究进展[J].中国康复理论与实践,2018,24(8):884- 888. [4] 熊乐乐,郑哲龙,山花,等.中西医结合治疗脑卒中后失语症研究进展[J].浙江中西医结合杂志,2021,31(4):390- 393. [5] 杨牧祥,于文涛,魏萱,等.缺血性中风患者证型分布规律的研究[J].中医药学刊,2006,24(9):1593-1595. [6] 黄佳钦,谢巍,曹云,等.从下丘脑—垂体—肾上腺轴角度探讨中医“脑—肾—髓”理论指导下卒中后失语神经机制[J].环球中医药,2022,15(5):786-791. [7] 贺文彬,张俊龙,陈乃宏.“肾-髓-脑”生物轴理论初探[J].中医杂志,2015,56(14):1182-1184. [8] 曹云,黄佳钦,张丹莉,等.脑-肠互动理论下应用“益髓醒神调枢”法治疗卒中后失语的机理探讨[J].中华中医药杂志,2021,36(12):7103-7107. [9] 常静玲,高颖,孙塑伦.“形神合一”理论指导下的脑卒中后失语康复治疗与评价[J].中华中医药杂志,2013,28(9):2523-2527. [10] 沈翊康,姜婧,张钰欣,等.时空一体观下的张元素脉证用药法式初探[J].四川中医,2022,40(9):15-18. [11] 周海哲,赵欢,严亚锋.国医大师张学文从热瘀论治中风先兆症思想探析[J].中华中医药杂志,2022,37(7):3928-3931. [12] 张雅雯,冯瑞雪,张紫微,等.李士懋从湿热论治中风经验[J].中医杂志,2021,62(21):1846-1849. [13] 孔乔,倪建璋,李颖,等.基于因子分析与关联规则法的卒中后失语方药规律研究[J].环球中医药,2020,13(11):1867-1872. [14] 石静资,刘红喜,张允岭.从肝分期辨治脑卒中[J].中医杂志,2022,63(15):1488-1491. [15] 樊蓥.周仲瑛治疗震颤麻痹的经验[J].中医杂志,1996(11):663-664. [16] 寇秘榔,屈会化,白雪,等.扶正解郁散火法治疗复发性口腔溃疡[J].中医学报,2021,36(9):1846-1849. [17] 朱丹溪.丹溪心法[M].北京:人民卫生出版社,2005:220-223. [18] 赵伯智,关幼波.关幼波肝病杂病论[M].北京:中国医药科技出版社,2013:218-220. [19] 柏久莲,汪娅蓓,马天牧,等.符为民教授从正虚痰瘀论治脑梗塞后遗症经验[J].浙江中医药大学学报,2018, 42(7):525-528. [20] 高尚社.国医大师张琪教授治疗痴呆验案赏析[J].中国中医药现代远程教育,2013,11(21):10-12. [21] 曾平,闫玉梅,郁红礼,等.胆南星拮抗热性惊厥模型小鼠脑组织损伤及炎症的作用研究[J].南京中医药大学学报,2022,38(6):520-526. [22] 申鹏飞.石学敏针刺治神学术思想浅析[J].辽宁中医杂志,2007,34(11):1515-1516. [23] 严亚锋,张琪,周海哲,等.国医大师张学文治疗瘀血证常用药对[J].中华中医药杂志,2020,35(12):6108- 6110. [24] 张志刚,范小璇,连露露,等.芳香开窍药对血脑屏障通透性调控作用的研究进展[J].环球中医药,2022,15(8):1510-1516. [25] 董波,黄巍,冯茜,等.石菖蒲-冰片配伍对戊四氮点燃癫痫大鼠的影响[J].中药材,2022,45(8):1969-1974. [26] 关玉杰,庞青民,王承惠.针刺联合语言康复训练对中风后失语患者语言功能及血液流变学指标的影响[J].新中医,2022,54(23):159-163. [27] 曹玉婷,刘梦月,盛佑祥.头皮针治疗中风后失语症的弥散张量成像研究[J].广州中医药大学学报,2022,39(5):1066-1070. |
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