·理论探讨·

    作者单位：116011大连市第二人民医院神经内科

    脑梗死(中风)中医“肝肾阴虚，脑络瘀滞”病机理论探析

    吕晶

    【摘要】脑梗死属中医“中风”范畴，总结历代医家学者对中风的病机认识，结合中医络病理论，提出“肝肾阴虚，脑络瘀滞”是脑梗死的基本病机。认为病位在脑，其与肝肾关系密切；病机中“肝肾阴虚”与“脑络瘀滞”并重，脑络瘀滞为病机关键，贯穿始终。肝肾阴虚为致病之本；脑络瘀滞外延气滞、痰、虚、火、瘀等皆致脑络瘀滞而发病，是致病之标。立足病机，提出“滋补肝肾化瘀通络”之法。

    【关键词】脑梗死；肝肾阴虚；脑络瘀滞；病机；

    作者简介：吕晶(1975- )，女，硕士，副主任医师。研究方向：脑血管病。E-mail:wclj1001@163.com

    【中图分类号】R743.3

    收稿日期：(2014-08-07)

    Cerebral infarction (stroke) of traditional Chinese medicine “liver-kidney Yin deficiency, the brain stasis” pathogenesis theory analysisLYUJing.NeurologyDepartment,theSecondPeople’sHospitalinDalian,Dalian116011,China

    Correspondingauthor:LYUJing，E-mail:wclj1001@163.com

    Abstract【】Cerebral infarction is a “stroke” category of traditional Chinese medicine, concluded that generations of physicians scholars understanding of pathogenesis of stroke, combined with the theory of traditional Chinese medicine disease, put forward “liver-kidney Yin deficiency, the brain stasis” is the basic pathogenesis of cerebral infarction. Considers its relations with liver and kidney disease in the brain, closely; Pathogenesis of “liver and kidney Yin deficiency” and “brain stasis” pay equal attention to, the brain stasis throughout, as the key pathogenesis, liver and kidney Yin deficiency is the foundation of the disease; Brain stasis and qi stagnation, phlegm, virtual extension, fire and blood stasis are brain stasis and disease, is the standard of disease. Based on the pathogenesis,proposed“the kidney blood know luo”. ......