史亚楠 韩露露 黄世敬

    [摘要] 本文从玄府理论角度阐述缺血性脑白质病中医病机。在对玄府理论梳理的基础上，本文对脑白质中玄府气液生理状态、缺血性脑白质病玄府开阖通利障碍的主要病机及不同阶段病机特点进行分析归纳。缺血性脑白质病玄府开阖通利功能与神经血管单元功能密切相关。缺血性脑白质病病机主要包括玄府开阖通利太过和开阖通利不及，郁、痰、水、瘀、毒等病理产物可郁于玄府为病。因此，玄府理论可阐释缺血性脑白质病的病因病机特点。

    [关键词] 玄府;气液;缺血性脑白质病;病机

    [中图分类号] R742 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2019)12(c)-0139-03

    [Abstract] Based on sweat pores， this paper elucidates the traditional Chinese medicine pathogenesis of ischemic white matter lesions. Based on the theory of sweat pore， this paper analyzes the physiological status of sweat pores， qi and body fluid， the main pathogenesis of opening and closing function of sweat pore of ischemic white matter lesions， and the pathogenesis of different stages. The opening and closing function of sweat pore is closely related to the function of the neurovascular unit. The pathogenesis of ischemic white matter lesions mainly includes too much or too little opening of sweat pore， and qi stagnation， phlegm， excessive fluid， blood stasis， and toxin can be aggregated in sweat pore. So the sweat pore theory can elucidate the etiology and pathogenesis of ischemic white matter lesions. ......