基于中医"五脏辨治理论"探析脑卒中后失语症的病机与治法OA

Post-stroke aphasia(PSA)is an acquired language dysfunction that can lead to multiple negative out-comes such as prolonged average length of stay,increased in-hospital mortality,and increased medical costs.Research has proven that traditional Chinese medicine can improve various language dysfunctions caused by stroke.However,the traditional Chinese medicine syndrome type of this disease is still controversial,which may limit the clinical efficacy of traditional Chinese medicine.This article provides a theoretical basis for the syndrome differentiation of the five viscera of PSA through the"five viscera theory of identification and treatment"of traditional Chinese medicine,and provides ideas and methods for the syndrome differentiation and treatment of PSA from the perspective of traditional Chinese medicine's five viscera,thereby improving clinical efficacy.Based on this theory,it is explained that the five viscera can affect the generation of language through their respective physiological functions,the circulation of meridians,and their corresponding relationships with the body,hua,and orifices;it is pointed out that PSA is based on the five viscera,and the imbalance of yin and yang in the five viscera and the abnormal operation of meridians,caused by abnormal function of the five viscera,is the fundamental pathogenesis of PSA.Based on the communication relationship between the five viscera and external things in this theory,combined with the clinical research results in recent years,it is em-phasized that the treatment principle of PSA is to"harmonize the five viscera and unblock the meridians"as the general guideline,in order to achieve the therapeutic purpose of"opening up the mind and explaining the language".