北京中医药大学学报2025，Vol.48Issue(3)：392-397,6.DOI:10.3969/j.issn.1006-2157.2025.03.013
从奇经八脉辨治多系统萎缩思路初探
Preliminary exploration of differentiating and treating multiple system atrophy from the perspective of the eight extraordinary meridians
摘要
Abstract
Multiple system atrophy(MSA)is a rare neurodegenerative disease with complex clinical manifestations,presenting substantial challenges in clinical diagnosis and treatment.Its symptoms and the eight extraordinary meridians are potentially correlated;therefore,this article explores the association between MSA symptom clusters and the eight extraordinary meridians based on their circulation and physiological functions,as well as their treatment strategies.The progression from deficiency to damage in the eight extraordinary meridians aligns with the core pathogenesis of MSA,which is characterized by"the continuous accumulation of impacts from the vital qi deficiency leading to eventual damage".Liver and kidney deficiency and the emptiness of the eight extraordinary meridians are required for the onset of MSA;the stagnation of qi deficiency and the gradual damage to the eight extraordinary meridians are the key stages in the prolonged progression of MSA.The disease often begins with the involvement of the yin and yang qiao mai,governor vessel,thoroughfare vessel,and conception vessel before progressing to multiple meridian involvements,ultimately affecting all eight extraordinary meridians simultaneously.The treatment approach emphasizes that"the direct method may be used for joining battle,but indirect method will be needed in order to secure victory"and focuses on"eliminate pathogenic factors and reinforce healthy qi".Distinguishing the extraordinary meridians and focusing on the primary symptoms are pivotal to improving efficacy.Clinical treatment is aimed at the target,and tailored treatment based on careful clinical observation ensures precision in targeting the disease using the eight extraordinary meridians as the framework and core symptoms as the specific focus.Additionally,combining acupuncture,daoyin therapy,and other method may help prolong survival.This article classifies clinical manifestations based on the theory of the eight extraordinary meridians and explores treatment.关键词
奇经八脉/奇经辨证/多系统萎缩/正虚积损Key words
eight extraordinary meridians/differentiation and treatment based on the extraordinary meridians/multiple system atrophy/deficiency of healthy qi and accumulation of damage分类
中医学引用本文复制引用
赵迪,张凯歌,陈志刚,李楠楠,陈路,王垚,薛静,张新宁,贾承儒,徐萱..从奇经八脉辨治多系统萎缩思路初探[J].北京中医药大学学报,2025,48(3):392-397,6.基金项目
国家自然科学基金项目(No.82174328) （No.82174328）
中央高水平中医医院临床科研业务费(No.DFRCZY-2024GJRC006) National Natural Science Foundation of China(No.82174328) （No.DFRCZY-2024GJRC006）
