| 摘要: |
| 总结国医大师孙申田教授（以下尊称“孙老”）基于“益气通络，调神达形”理论治疗脑梗死后遗
症的临证经验。孙老认为，脑梗死后遗症属“形神同病”，以“形神失和”为主导，病位在脑，伤于气血瘀滞，“气
虚络瘀，形神失和”为其基本病机。孙老基于“益气通络，调神达形”理念，提出针药结合治疗策略：针刺以头
针运动区、感觉区为主穴调控中枢神机，辅以百会调神醒脑；中药以补阳还五汤化裁，重用“黄芪- 地龙”以补
气通络，配伍远志、石菖蒲等开窍解郁。孙老根据兼症灵活加减方药，并重视多法调神，强调经颅重复针刺刺
激疗法（repetitive transcranial acupuncture stimulation，rTAS）的重要作用，形成以补气通络为基、调神醒脑为枢、
形神共复为目标的综合干预体系，临床疗效显著，为治疗脑梗死后遗症提供了新思路。附2 则验案，加以佐证。 |
| 关键词: 脑梗死后遗症 益气通络，调神达形 针药结合 大师经验 孙申田 |
| DOI： |
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| Experience of National Chinese Medicine Master Sun Shentian in treatment of cerebral infarction sequelaebased on the theory of “benefiting Qi, dredging collaterals, and regulating the spirit to restore the body” |
| MENG Shanhui,HUANG Baoling,WU Chaoling,GUO Mengkun,TANG Yao,YAN Xu |
| (. Hunan University of Chinese Medicine, Changsha 410208, Hunan, China;Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Changsha 410006,
Hunan, China) |
| Abstract: |
| This article summarizes the clinical experience of National Chinese Medicine Master Professor Sun
Shentian （hereinafter respectfully referred to as “Master Sun”） in the treatment of cerebral infarction sequelae based
on the theory of “benefiting Qi, dredging collaterals, and regulating the spirit to restore the body”. Master Sun believes
that the sequelae of cerebral infarction belong to the category of “diseases involving both the body and the spirit” and are
mainly characterized by “disharmony between the body and the spirit”. This disease is located in the brain and is caused
by the stagnation of Qi and blood, with the basic pathogenesis of “Qi deficiency, collateral obstruction, and disharmony
between the body and the spirit”. Based on the theory of “benefiting Qi, dredging collaterals, and regulating the spirit
to restore the body”, Master Sun proposed the strategy of acupuncture-medicine therapy, in which scalp acupuncture is
performed at the main points in the motor and sensory areas to regulate the central spirit, supplemented by acupuncture
at Baihui point to regulate the spirit and awaken the brain, and modified Buyang Huanwu decoction is used for treatment,
with the application of Astragalus membranaceus -Pheretima for benefiting Qi and dredging collaterals, in combination
with Polygala tenuifolia and Acori Tatarinowii Rhizoma for opening orifices and resolving stagnation. Master Sun flexibly
modifies prescriptions according to accompanying symptoms, emphasizes the importance of various methods for regulating
the spirit, and focuses on the crucial role of repetitive transcranial acupuncture stimulation. He has formed a comprehensive
intervention system that takes benefiting Qi and dredging collaterals as the foundation, regulating the spirit and awakening
the brain as the pivot, and restoring both the body and the spirit as the goal. This approach has achieved remarkable clinical
efficacy and provides new ideas for the treatment of cerebral infarction sequelae. Two proven cases are attached as evidence. |
| Key words: cerebral infarction sequelae benefiting Qi, dredging collaterals, and regulating the spirit to restore the
body acupuncture-medicine therapy master experience Sun Shentian |
