中风先兆证从肝论治的理论分析(1)
摘要：中风先兆证是中风发病前的一组临床症候群，其主要以发作性偏身麻木、短暂性言语謇涩、阵发性眩晕等症状为主，症状复杂多样，并可出现健忘、头胀痛、筋惕肉瞤、手指麻等兼症。中风先兆证与中风发病有密切联系。当今社会工作压力增大，人们多易情志失调。情志失调多责之于肝，肝为风木之脏，主疏泄，具有调节情志和疏调人体气机、保持全身气机疏通调达的作用。若情志不遂，肝气郁结，肝气失畅，则可生痰、生瘀。肝气郁结，气行失畅，气滞则津停，凝聚生痰；肝郁久则化火，煎熬津液而为痰；肝气横逆犯于脾胃，脾运失健，水湿停聚而为痰。痰随肝经之气升降出入，无处不到。肝之痰，常为郁痰、痰火、痰瘀等顽、危、重之病候。肝乃瘀血形成之关键所在。肝失疏泄，气行失畅，则气血郁遏于内，或横溢于外，所至之处，皆可成瘀。肝郁化火，肝火炽盛，血被煎熬，也可凝结为瘀。鉴于中风先兆的症状，肝木之脏的特性，治疗中风先兆证时注重到调肝，对预防中风的发生，缓解中风先兆症的症状，都要有一定的意义。
关键词：中风先兆；肝主疏泄；瘀血
, 百拇医药
中图分类号：R277.7 文献标识码：A 文章编号：1006-1959(2017)20-0109-03
Abstract：Aurae of stroke before the onset of stroke is a clinical syndrome，which mainly attack hemianesthesia，transient paralalia，paroxysmal vertigo and other symptoms，symptoms complicated，and forgetfulness，head pain，muscular twitching and cramp fingers，such as hemp and disease.The risk of stroke is closely related to the onset of stroke.Today's social work pressure increases，people are more emotional misconduct.Emotional disorders are more responsibility for the liver，the liver is the wind and the wood，the main catharsis，with emotional and emotional regulation of the body，keep the body of gas transfer machine dredge effect.If the emotional failure，liver gas stagnation，liver gas unhappy，can be sputum，blood stasis.Liver gas stagnation，gas line lax，gas stagnation is Jin stop，coagulation phlegm；Liver depression for a long time the fire，fry fluid and for the sputum；liver gas traverse in the spleen and stomach，spleen dry health，water stop and stop for the sputum.Sputum with the liver through the gas movements，everywhere.Liver depression and phlegm phlegm，often，phlegm fire，phlegm and blood stasis and other stubborn，dangerous，heavy disease.Liver is the key to the formation of blood stasis.Liver failure catharsis，gas line unhappy，then the blood stagnation in the inside，or cross in the outside，where the place，can be stasis.Liver fire，fire flaming，blood is suffering，can also be condensed into stasis.In view of the symptoms of stroke aura，the characteristics of the liver，the treatment of stroke threatened to focus on the transfer of liver，the prevention of stroke，relieve the symptoms of stroke aura，have a certain significance.
, http://www.100md.com
Key words：Stroke aura；Liver main catharsis；Blood stasis
中風先兆是有一定症状之后所引发的连锁反应，且在临床中症状较多，且在病症高发人群中以中年人居多，患者会出现不同程度的昏厥、瘫软、四肢无力、行动不便、眩晕等症状。因此，对于患者存在的这些症状可以视其为中风病，而通过合理手段进行治疗则能改善中风病情况[1]。
1中风先兆证的历史源渊
国内中医对于中风先兆症进行过相关研究，如在《素问·调经论篇》中就曾经对中风先兆进行过阐述，认为：“形有余则腹胀，径搜不利。不足则四肢不用，血气未并，五脏安定。肌肉蠕动，命曰微风”[2]。《景岳全书·杂证漠·眩运篇》载有：“至于中年之外，多见眩仆卒倒等……即小中风也”[3]，提出了小中风的概念及其特点，将中风先兆证命名为“小中风”，并且认为与眩晕、麻木相关。《医学衷中参西录》提出“脑充血征朕兆”与“脑贫血朕兆”的概念。, http://www.100md.com(王月皎 陈学军 王长垠)
关键词：中风先兆；肝主疏泄；瘀血
, 百拇医药
中图分类号：R277.7 文献标识码：A 文章编号：1006-1959(2017)20-0109-03
Abstract：Aurae of stroke before the onset of stroke is a clinical syndrome，which mainly attack hemianesthesia，transient paralalia，paroxysmal vertigo and other symptoms，symptoms complicated，and forgetfulness，head pain，muscular twitching and cramp fingers，such as hemp and disease.The risk of stroke is closely related to the onset of stroke.Today's social work pressure increases，people are more emotional misconduct.Emotional disorders are more responsibility for the liver，the liver is the wind and the wood，the main catharsis，with emotional and emotional regulation of the body，keep the body of gas transfer machine dredge effect.If the emotional failure，liver gas stagnation，liver gas unhappy，can be sputum，blood stasis.Liver gas stagnation，gas line lax，gas stagnation is Jin stop，coagulation phlegm；Liver depression for a long time the fire，fry fluid and for the sputum；liver gas traverse in the spleen and stomach，spleen dry health，water stop and stop for the sputum.Sputum with the liver through the gas movements，everywhere.Liver depression and phlegm phlegm，often，phlegm fire，phlegm and blood stasis and other stubborn，dangerous，heavy disease.Liver is the key to the formation of blood stasis.Liver failure catharsis，gas line unhappy，then the blood stagnation in the inside，or cross in the outside，where the place，can be stasis.Liver fire，fire flaming，blood is suffering，can also be condensed into stasis.In view of the symptoms of stroke aura，the characteristics of the liver，the treatment of stroke threatened to focus on the transfer of liver，the prevention of stroke，relieve the symptoms of stroke aura，have a certain significance.
, http://www.100md.com
Key words：Stroke aura；Liver main catharsis；Blood stasis
中風先兆是有一定症状之后所引发的连锁反应，且在临床中症状较多，且在病症高发人群中以中年人居多，患者会出现不同程度的昏厥、瘫软、四肢无力、行动不便、眩晕等症状。因此，对于患者存在的这些症状可以视其为中风病，而通过合理手段进行治疗则能改善中风病情况[1]。
1中风先兆证的历史源渊
国内中医对于中风先兆症进行过相关研究，如在《素问·调经论篇》中就曾经对中风先兆进行过阐述，认为：“形有余则腹胀，径搜不利。不足则四肢不用，血气未并，五脏安定。肌肉蠕动，命曰微风”[2]。《景岳全书·杂证漠·眩运篇》载有：“至于中年之外，多见眩仆卒倒等……即小中风也”[3]，提出了小中风的概念及其特点，将中风先兆证命名为“小中风”，并且认为与眩晕、麻木相关。《医学衷中参西录》提出“脑充血征朕兆”与“脑贫血朕兆”的概念。, http://www.100md.com(王月皎 陈学军 王长垠)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 脑血管病 > 中风(脑卒中)