作者：徐畅畅，杜雅薇，吴圣贤

单位：

1.100700北京市，北京中医药大学　2.100700北京市，北京中医药大学东直门医院脑病一科　3.100700北京市，北京中医药大学东直门医院脑病二科

Units：

1.Beijing University of Chinese Medicine, Beijing 100700, China2.The First Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700,China3.The Second Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700,China

关键词：

颈动脉狭窄；“脉生痰核”；辨证论治

Keywords：

Carotid stenosis; "Pulse generating phlegm nucleus" ; Syndrome differentiation and treatment

CLC：

R 543.4

DOI：

10.12114/j.issn.1008-5971.2023.00.216

Funds：

国家自然科学基金资助项目（82174340）

摘要：

根据传统“痰核”理论，动脉粥样硬化可视为“脉生痰核”，而“脉生痰核”又可进一步分为痰核始生、痰核已成、痰核坚化、痰核腐化、痰核破溃、痰核外伤六期。颈动脉狭窄是卒中的重要致病因素，属于“痰核已成”期，本文基于“脉生痰核”理论，认为颈动脉狭窄核心病机为宿痰失道，核心治法为化痰散结，并将颈动脉狭窄分为痰瘀互结证、气滞痰凝证、痰火郁毒证、气虚痰浊证、阳虚痰凝证5种证型来分证论治。

Abstract：

According to the traditional theory of "phlegm nucleus" , atherosclerosis can be regarded as "pulsegenerating phlegm nucleus" , which can be further divided into six stages: period of phlegm node formation, developed phlegmnode, phlegm node hardening period, phlegm node decay period, phlegm node rupture period, phlegm node trauma period. Carotidstenosis is an important pathogenic factor for stroke, and it belongs to the stage of "phlegm nucleus has formed" . This articlebased on the theory of "pulse generating phlegm nucleus" , believes that the core pathogenesis of carotid stenosis is the stage of"developed phlegm node" , the core treatment method is resolving phlegm and dispersing stasis. And carotid stenosis is dividedinto five syndrome types: phlegm and blood stasis accumulation syndrome, Qi stagnation and phlegm coagulation syndrome,phlegm fire stagnation and toxin syndrome, Qi deficiency and phlegm turbidity syndrome, and Yang deficiency and phlegmcoagulation syndrome.

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