摘要
基于中医络病学说,根据慢性疲劳综合征疾病特征及发展进程,结合现有研究进展提出慢性疲劳综合征的核心病机是“正虚络阻”,“虚、郁、瘀”是慢性疲劳综合征病机演变过程中的关键,其中气血耗伤是慢性疲劳综合征的发病基础,络脉郁滞是发病的始动因素,络虚不荣贯穿疾病始终。疾病病机演变过程具体可表现为络虚不荣、络气郁滞、络脉瘀阻甚至向络脉绌急、络息成积转归,符合络病由气及血的发展规律。因此,基于慢性疲劳综合征“正虚络阻”的核心病机,“补虚通络”法在治疗上能够发挥巨大优势。现将慢性疲劳综合征的中医病机与治疗进展总结如下,以期为临床治疗本病提供新思路。
Based on the collateral disease theory of traditional Chinese medicine,according to the characteristics and development process of chronic fatigue syndrome,combined with existing research progress,it is proposed that the core pathogenesis of chronic fatigue syndrome is"deficiency and collateral obstruction"."Deficiency,constraint and blood stasis"are the key to the evolution of the pathogenesis of chronic fatigue syndrome.Among them,consumption of Qi and blood is the basic pathogenesis of chronic fatigue syndrome,constraint and stagnation of the collateral is the initial factor,and the deficiency of collateral runs through the process of the disease.The evolution of the pathogenesis of the disease can specifically manifest as deficiency of collateral,constraint and stagnation of collateral Qi,stasis of collateral blood,even transforming to collateral contracture,collateral pathogenic accumulate.The evolution of this disease is in accordance with the regularity of collateral disease which caused by Qi to blood.Therefore,based on the core pathogenesis of chronic fatigue syndrome"deficiency and collateral obstruction",the method of"tonifying deficiency and dredging collateral"can exert great advantages in treatment.The pathogenesis and treatment of chronic fatigue syndrome in traditional Chinese medicine are summarized as follows,in order to provide new ideas for clinical treatment of this disease.
作者
李彬彬
冯楚文
孙忠人
陈涛
屈媛媛
王玉琳
王庆勇
李超然
杨添淞
LI Binbin;FENG Chuwen;SUN Zhongren;CHEN Tao;QU Yuanyuan;WANG Yulin;WANG Qingyong;LI Chaoran;YANG Tiansong(Heilongjiang University of Chinese Medicine,Harbin 150040,China;First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang Key Laboratory of Clinical(Encephalopathy)Neurobiology of Acupuncture and Moxibusion,Harbin 150040,China;Second Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150001,China;Third Affiliated Hospital,Zhejiang University of Chinese Medicine,Hangzhou 310053,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2022年第7期1056-1059,1080,共5页
JOURNAL OF BASIC CHINESE MEDICINE
基金
国家自然科学基金资助项目(81704170)-基于TGF-β/Smad信号通路研究NF-κB在电针抗慢性疲劳综合征中的作用及机制
国家自然科学基金面上项目(82074539)-电针调控MDM2泛素化PSD-95水平重塑海马神经元突触结构改善CFS认知功能障碍的机制研究
黑龙江省自然科学基金(LH2020H092)-电针调整肠道菌群改善氧化炎症反应治疗慢性疲劳综合征的机制研究
全国中医药创新骨干人才项目。
关键词
慢性疲劳综合征
络病
正虚络阻
补虚通络
辛味通络
Chronic fatigue syndrome
Collateral disease
Deficiency and collateral obstruction
Tonifying deficiency and dredging collateral
Medicine of acrid flavors to dredge collateral
