摘要
白脉系统是结构与功能的复合体,有着分布广泛、结构复杂、功能多维等特点。白脉系统由脑脉及连接脏腑的内隐脉和连接四肢的外显脉共同组成,主司着人体的感觉、运动和信息传导等功能。藏族医认为白脉功能的发挥主要依赖运行于其中的“隆”,隆的性相为粗、轻、寒、微、硬、动等六性;白脉系统功能失常,表现为麻木、肿痛、僵硬、萎缩、拘挛、残废、多动等“隆”的特征,临床出现口眼歪斜、四肢麻木、偏废不用、拘挛僵直、疼痛、角弓反张、瘫痪、偏瘫、意识不清、头部震颤、失语蹇言等神情意识、肢体运动及触觉方面异常的症状,称为白脉病。白脉软膏为治疗白脉病的一种上市外用药,组成该方的药物主要有味辛苦,性温,效柔、重、润、稳等特性,以对治“隆”的粗、轻、寒、微、硬、动而达到治疗白脉病的目的。临床主要用于骨骼肌肉系统病变如骨关节炎、肩周炎、颈椎病、下腰痛、肌筋膜炎、腱鞘炎等;神经系统疾病如脑卒中引起的瘫痪、肩手综合征、肢体僵硬,痉挛性脑瘫、三叉神经痛、面神经炎等;外伤引起的肢体运动以及感觉功能障碍等。医生临证应用白脉软膏时应抓住“硬、僵直、拘挛、麻木、感觉障碍、疼痛”等主要特征,并以藏族医涂擦法和霍尔麦疗法为基础,结合理疗使用。
Baimai is a complex of structure and function with the characteristics of wide distribution,complex structure,and multi-dimensional functions.Baimai,consisting of the channels in brain,the internal hidden channels connecting the viscera,and the external channels linking the limbs,governs the sensory,motor,and information transmission functions of human.According to Tibetan medicine,Baimai functions via"Long"(Qi)which moves in Baimai."Long"is rough,light,cold,tiny,hard,and dynamic.The dysfunction of Baimai is manifested as numbness,swelling and pain,stiffness,atrophy,contracture,disability,hyperactivity,etc.The clinical manifestations of Baimai disease are facial paralysis,limb numbness,hemiplegia,contracture and rigidity,pain,opistho-tonos,paralysis,unconsciousness,head tremor,aphasia and tongue stiffness,and other abnormalities in facial consciousness,limb movement,and tactile sensation.Baimai Ointment for external use is used for the treatment of Baimai disease.It is mainly composed of medicinals which are spicy and bitter,warm,soft,mild,heavy,moist,and stable,and thus it is effective for the rough,light,cold,tiny,hard,and dynamic"Long"of Baimai disease.In clinical practice,it is mainly used for musculoskeletal diseases,such as osteoarthritis,scapulohumeral periarthritis,cervical spondylosis,low back pain,myofascitis,and tenosynovitis,nervous system diseases,such as paralysis and shoulder-hand syndrome,and limb stiffness caused by stroke,spastic cerebral palsy,trigeminal neuralgia,and facial neuritis,and limb motor and sensory dysfunction caused by trauma.According to the main symptoms of Baimai disease such as stiffness,rigidity,contraction,numbness,sensory disturbance and pain,clinicians should apply the Baimai Ointment via the inunction treatment of Tibetan medicine and in combination with Huo′ermai therapy and physiotherapy.
作者
范佳佳
李鑫
孙洪昊
李啟恩
武慧超
任小巧
FAN Jia-jia;LI Xin;SUN Hong-hao;LI Qi-en;WU Hui-chao;REN Xiao-qiao(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Tibetan Medical College of Qinghai University,Beijing 100029,China;Minority Institute of Medicine,Beijing University of Chinese Medicine,Xining 810016,China)
出处
《中国中药杂志》
CAS
CSCD
北大核心
2022年第5期1409-1414,共6页
China Journal of Chinese Materia Medica
基金
国家自然科学基金项目(81774448)
北京中医药大学基本科研业务费项目
中华中医药学会青年人才托举工程项目(2180072120047)。
关键词
白脉系统
白脉病
白脉软膏
组方分析
临床应用
Baimai
Baimai disease
Baimai Ointment
compatibility analysis
clinical application
