北京中医药大学学报2025，Vol.48Issue(5)：690-695,6.DOI:10.3969/j.issn.1006-2157.2025.05.014
基于"年长则求之于府"从"六腑-玄府-络脉"探析中风病辨治思路
Exploring the differentiation and treatment of apoplexy based on"treating the elderly by focusing on the fu":a perspective from"six fu viscera-xuanfu-collaterals"
摘要
Abstract
The incidence of apoplexy remains persistently high among the older population.Based on the traditional Chinese medicine principle of"treating the elderly by focusing on the fu",this paper explores the holistic connotation of"fu".It proposes that the onset of apoplexy in the elderly is characterized by obstruction,stagnation,depression,and sluggishness,which should be treated from six fu viscera,xuanfu,and collaterals.The interconnected hierarchical network of these three systems,serving as macro-and micro-channels for qi and fluid metabolism,plays a central role in both disease development and treatment.The failure of the six fu viscera to descend and the upward invasion of turbid yin are identified as prerequisites for apoplexy onset,whereas yang qi stagnation and xuanfu blockage act as key pathogenic drivers,and the core mechanisms involve phlegm-stasis-toxin accumulation,and dysfunction of the collaterals and fu.In the treatment,acute phase requires unblocking fu viscera and restoring xuanfu patency;chronic phase focuses on dredging collaterals and opening xuanfu;and recovery phase emphasizes tonifying combined with regulating xuanfu.The understanding of"treating the elderly by focusing on the fu"emphasizes that the pathogenesis of the disease should be changed to individual conditions;"six fu viscera-xuanfu-collaterals"exhibits a pathological mechanism characterized by the transmission and reception of pathogenic factors,as well as progressive mutual involvement;in clinical practice,treatment should meticulously assess the severity and nuances of the condition,prioritizing method that emphasizes unobstructed flow;additionally,therapy should be essential to protect stomach qi and integrate therapeutic attacks within a framework of supplementation.These principles offer valuable reference for the differentiation and treatment of apoplexy.关键词
年长则求之于府/中风病/六腑/玄府/络脉Key words
treating the elderly by focusing on the fu/apoplexy/six fu viscera/xuanfu/collaterals分类
医药卫生引用本文复制引用
赵迪,张允岭,梁晓,魏竞竞,苗丽娜,张云帆,刘红喜,刘悦,王柳丁,张琦..基于"年长则求之于府"从"六腑-玄府-络脉"探析中风病辨治思路[J].北京中医药大学学报,2025,48(5):690-695,6.基金项目
国家中医药管理局高水平中医药重点学科建设项目(No.ZYYZDXK-2023224) （No.ZYYZDXK-2023224）
国家中医药管理局中医药传承与创新"百千万"人才工程(岐黄学者)——国家中医药领军人才支持计划项目(国中医药人教发[2018]12号) （岐黄学者）
中国中医科学院科技创新工程创新团队(No.CI2021B006) （No.CI2021B006）
中国中医科学院科技创新工程项目(No.CI2021A01301) （No.CI2021A01301）
中国中医科学院西苑医院能力提升项目(No.XYZXRC01-01,No.XYZX0101-21) （No.XYZXRC01-01,No.XYZX0101-21）
中国中医科学院西苑医院学术经验继承项目(No.0203048) High-level Traditional Chinese Medicine Key Discipline Construction Project of National Administration of Traditional Chinese Medicine(No.ZYYZDXK-2023224) （No.0203048）
