从"内风"论治莫旺综合征的经验探析OA北大核心CSTPCD

Morvan syndrome is a rare clinical disease with complex symptoms,mainly characterized by limb tremors,muscle twitching,spasmodic pain or weakness,excessive sweating,severe constipation,insomnia,and even mental confusion.Professor Song Enfeng believes that Morvan syndrome can be diagnosed as Chanzheng(tremor syndrome),Bumei(insomnia),Bianmi(constipation),Hanzheng(sweating syndrome),and other traditional Chinese medical names according to the clinical symptoms.The patients with this disease are deficient in Ben(primary aspect)and are attacked by disease in Biao(secondary aspect).In Ben(primary aspect),patients were deficient in the Five Zang organs and got Neifeng as the symptom in Biao(secondary aspect).The main pathogenesis is Yin deficiency of the liver and kidney and internal movement of the liver wind.Clinical patterns can be divided into five patterns:Yin deficiency generating wind,fluid deficiency generating wind,phlegm-heat dynamic wind,blood stasis and collateral obstruction wind,and heart-kidney disconnection generating wind,and the main location of the disease is in the liver and kidney,which is related to the spleen,heart,and lungs.Treatment is based on nourishing the liver and kidney,calming the liver,and extinguishing the wind,supplemented by nourishing the Yin and increasing the fluid,generating body fluids and clearing heat and phlegm,activating blood circulation and removing blood stasis,and communicating with the heart and kidneys.The four clinical diagnoses were combined to treat both the symptoms and the root cause of the disease;and good results were obtained.A representative case was analyzed and discussed.