基于脑髓-脑气-脑神-脑窍论治多系统萎缩

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本文引用：．基于脑髓-脑气-脑神-脑窍论治多系统萎缩[J].湖南中医药大学学报，2025，45（5）： 921-926.

[中图分类号]R242 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2025.05.020

[Abstract]Thetreatmentof multiple systematrophy （MSA）is discussdfromthe perspectives ofbrain marrow-brainqi-brain spirit-brainorifice.ItisbelievedthatthedepletionofbrainmarowconstitutestherootofpathogeneticmechanismofMSA，the disorderofbrainqirepresentsitspathologicalmanifestation，thedysfunctionofbrainspiritservesasthedrivingforcebehind diseaseprogresionandthedisturbanceofbrainorfiepresentstheexcessmanifestation.Precisetreatmentstrategiesarealored accordingtotherelativeseverityofthefouraspectsofrainmarow-brainqi-brainspirit-brainorfice.Thefundamentaltherapeutic approach focusesontonifyingthekidneysandreplenishingessncetonourishthebrainmarow.Dependingonthediseasestage andthepredominantsymptoms，adjunctivetherapiesmaybeemployed，includingegulatingandtonifyingbrainqitosothqi movementcalmingandnourishingthemind torestorefunctionalactiviesofspirit，aswellasresolvingphlegmandeliiating bloodstasis toopentheblockedorfice.Thisapproachaimstoachieveacomprehensiveefectthataddresssboththerootcause andthemanifestationsofthedisease.Averifiedmedicalrecordisappendedbelowforthereferenceandbenefitoffelow practitioners.

[Keywords]multiple system atrophy；brain marrow;brain qi;brain spirit;brain orifice

多系统萎缩（multiple system atrophy，MSA）是一种慢性神经退行性疾病，可导致患者出现自主神经功能紊乱、左旋多巴反应不良的帕金森综合征、小脑性共济失调等症状。（剩余10691字）