山东中医药大学学报2025，Vol.49Issue(4)：405-410,6.DOI:10.16294/j.cnki.1007-659x.2025.04.001
中风发病之慢病共病病因病机探讨
Exploration of Etiology and Pathogenesis of Chronic Disease Multimorbidity in Stroke
摘要
Abstract
Chronic disease multimorbidity is one of the important factors leading to stroke.Exploring its pathogenesis has guiding value for the prevention and treatment of stroke.This article proposes that disharmony between nutrient qi and defensive qi serves as the core pathogenesis of chronic disease multimor-bidity,involving pathogenic factors such as improper diet,overstrain and lack of physical exercise,abnormal emotions,and physical weakness due to old age,etc.These factors lead to the dysfunction of visceral qi transformation and the imbalance of qi and blood,resulting in endogenous phlegm-turbidity and blood stasis,which affect the blood vessels.The coexistence of multiple visceral diseases and the impairment of the six meridians are the key to the development of chronic comorbidities,which eventually lead to pan-vascular diseases,especially severe damage to the heart and brain.Among them,the damage of the marrow and spirit may induce severe outcomes such as stroke.The treatment strategy emphasizes the complexity of chronic disease multimorbidity and early intervention,advocating a holistic life-cycle approach,guided by the holistic view,the principles of harmonizing nutrient qi and defensive qi,dredging collaterals,and protecting vessels,so as to provide a theoretical basis for the prevention and treatment of stroke throughout the life cycle.关键词
慢病共病/营卫失常/中风发病/中风预防/通调营卫/调气护脉Key words
chronic disease multimorbidity/disharmony between nutrient qi and defensive qi/stroke pathogenesis/stroke prevention/harmonizing nutrient qi and defensive qi/regulating qi and protecting vessels分类
医药卫生引用本文复制引用
李佳静,丁元庆..中风发病之慢病共病病因病机探讨[J].山东中医药大学学报,2025,49(4):405-410,6.基金项目
丁元庆全国名老中医药专家传承工作室建设项目(批文号:国中医药人教函[2022]75号) （批文号:国中医药人教函[2022]75号）
齐鲁医派中医药特色技术整理推广项目(批文号:鲁卫函[2021]45号) （批文号:鲁卫函[2021]45号）
2022年度齐鲁医派中医学术流派传承项目(批文号:鲁卫函[2022]45号) （批文号:鲁卫函[2022]45号）
