四川中医2025，Vol.43Issue(9)：37-42,6.DOI:10.26946/j.cnki.1000-3649.sczy.2504170011
基于伏风脑络理论运用"类提壶揭盖法"治疗中风后便秘
Clinical experience in treating post-stroke constipation using the"pot-lid-lifting analogy method"based on the theory of latent wind in brain collaterals
摘要
Abstract
Post-stroke constipation is a common complication in stroke patients,severely impacting rehabilitation and quality of life.Based on the"latent wind in brain collaterals"theory and the traditional Chinese medicine(TCM)concept of the"pot-lid-lifting method",this study proposes a novel approach—the"pot-lid-lifting analogy method"—for treating post-stroke constipation.The theory posits that latent wind in the brain collaterals and blockage of the Xuanfu(microscopic functional pores)disrupt the ascending-descending movement of qi,leading to constipation,analogous to a"blocked pot lid".By dispelling wind,unblocking brain collaterals,and regulating qi movement in the brain-gut axis(akin to"lifting the lid"),intestinal function is restored.While the traditional pot-lid-lifting method focuses on ventilating the lungs to relieve constipation caused by impaired lung qi diffusion,this method emphasizes"dispersing wind to open Xuanfu"as its core mechanism,embodying the broader concept of"unblocking upper orifices to benefit lower orifices"through qi regulation.By dispelling wind,unblocking collaterals,and restoring the qi movement in the"brain Xuanfu-large intestine"axis,a multidimensional model for intestinal regulation is established.The proposed intervention strategy—"unblocking the upper to activate the lower,opening Xuanfu to benefit orifices"—provides new clinical insights.关键词
中风后便秘/类提壶揭盖法/伏风脑络/临床经验/气机升降Key words
Post-stroke constipation/Pot-lid-lifting analogy method/Latent wind in brain collaterals/Clinical experience/Qi movement and regulation分类
医药卫生引用本文复制引用
柳洪奎,佟枫,鲁军,荣文双,景世元,柴茗耀,王茜,吴华阳..基于伏风脑络理论运用"类提壶揭盖法"治疗中风后便秘[J].四川中医,2025,43(9):37-42,6.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(zyyzdxk-2023248) （zyyzdxk-2023248）
中央引导地方-自由探索(2024ZYD0090). （2024ZYD0090）
