【摘要】 脊髓延髓性肌萎缩是一种遗传性位于脑干和脊髓的运动神经元神经退行性疾病,为临床罕见疑难病症,需要依靠基因检测确诊,西医目前缺乏特异性治疗方法。刘小斌教授认为本病归属于中医学"痿证"范畴,病机为"禀赋残缺,胎元不足""脾胃虚损,肝肾亏虚"。刘教授临床治疗本病多以黄芪、五指毛桃、鹿角霜、紫河车及其他补益之药"调理脾胃,培补肝肾,充盈气血",注重药食同调,灸药结合,中西医并用;将其中医证型分为脾胃气虚证和脾肾亏虚证,疾病早期以补中益气汤为基础方加减治疗,病至后期,以补中益气汤合地黄饮子加减。更多还原

【Abstract】 Spinal and bulbar muscular atrophy is a hereditary motor neuron neurodegenerative disease located in the brainstem and spinal cord, which is a rare and intractable diseases who depending on genetic testing to diagnose, western medicine lacks specific treatment method at present. Professor Liu Xiaobin thinks that the disease belongs to the category of "flaccidity syndrome” in traditional Chinese medicine(TCM), the pathogenesis of which is “abnormal of innate, insufficient in endowment”, “deficiency of spleen and stomach, liver and kidney weakened”. Professor Liu are good at using Huangqi(Astragali Radix), Wuzhimaotao(Radix Fici Simplicissimae), Lujiaoshuang(Cervi Cornu Degelatinatum), Ziheche(Placenta Hominis) and nourishing herbs to “regulating the spleen and stomach, invigorating the liver and kidney, nourishing Qi and blood”, emphasizing on co-ordination of medicine and food, combination of moxibustion and medicine, and combination of Chinese and western medicine. TCM syndrome differentiation of this disease are divided into spleen and stomach Qi deficiency syndrome and spleen and kidney deficiency syndrome. Buzhong Yiqi Decoction is applied to treating this type disease in the early stage, in the later stage, using the Buzhong Yiqi Decoction combined with Dihuang Yinzi.更多还原