世界中医药

目的：探讨符为民教授对特发性痉挛性斜颈的诊治思路和临证经验。方法：通过跟随符为民教授临证抄方，收集相关医案，总结符为民教授运用中医疗法治疗特发性痉挛性斜颈临床诊疗思路及用药规律，并以典型医案加以分析。结果：符为民结合现代人生活习惯，认为现代人特发性痉挛性斜颈以肝肾阴虚为致病之本，风寒湿伤阳为发病之标。病机为风寒湿侵袭，阳气受损，筋失温煦；肝肾亏虚，阴液失充，血不养筋；水不涵木，虚风内动，经络受扰。病理性质虚实夹杂。本病非急症，采取“标本同治”原则。符教授从肺入手，以治肺调阳为主要治疗原则。以实肺气，温肺阳为主要治法，使筋得温煦而柔和。治疗全程均辅以滋补肝肾以养血，使筋得濡养而有力。后期调护更以滋补肝肾之阴，搜风剔络善后。此外，符教授还注重病后调养。充分体现中医“治未病”基本思想。其临床疗效斐然，所举案例效果确切。结论：符为民教授论治特发性痉挛性斜颈的临床经验值得学习和推广。

English Summary:

To explore the thought of diagnosis and treatment and clinical experience of Professor Fu Weimin in idiopathic spasmodic torticollis.Methods:Relevant medical records were collected by clinically following Professor Fu Weimin and transcribing prescriptions.Clinical diagnosis and treatment thought and medication rules of Professor Fu Weimin in treating idiopathic spasmodic torticollis by Chinese medical therapies were summarized.And typical medical records were analyzed.Results:According to living habits of modern people，Fu Weimin thinks that deficiency of liver and kidney yin is the cause of modern idiopathic spasmodic torticollis，and wind，cold and dampness impairing yang is the manifestation of it.The pathogenesis is wind，cold and dampness invasion，yang qi being damaged，and lack of warmth in tendons; deficiency of liver and kidney，deficiency of yin fluid，and blood failing to nourish tendons; water failing to cultivate wood，deficient wind stirring internally，and meridians and collaterals being disturbed.The pathological nature is intermingled deficiency and excess.This disease is not an emergency，so the principle of “treating both manifestation and root cause of disease” should be adopted.From the lung，Professor Fu takes treating lung and regulating yang as the main treatment principle，and takes replenishing lung qi and warming lung yang as the main treatment method，so that the tendons can be warmed and become soft.The whole course of treatment is supplemented by nourishing liver and kidney to nourish blood，so as to nourish and strengthen the tendons.Latter stage of regulation is to nourish liver-kidney yin，arrest wind and clean collaterals.In addition，Professor Fu also pays attention to recuperation after illness，which fully embodies the basic idea of “preventive treatment of disease” in traditional Chinese medicine.Its clinical efficacy is outstanding，and the effect of case that cited is accurate.Conclusion:Professor Fu Weimin's clinical experience in treating idiopathic spasmodic torticollis is worth learning and popularizing.

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