基于《黄帝内经》肉苛病探讨吉兰-巴雷综合征的诊治

打开文本图片集

[关键词]肉苛病；吉兰-巴雷综合征；营卫俱虚；黄芪桂枝五物汤；辩治经验 中图分类号]R277.7 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2026.01.019

[Abstract]Guillin-Bareésyndrome （GBS）isanimmune-mediated peripheralneuropathycharacterizedbyacuteflaccid paralysisofthelimbs.Isclinicalmanifestationsarehighlyconsistentwiththepaternsof"numbnesandmotorimpairment"nthe roukedisease（somaticstiffess disease）ofHuangDiNeiJing（Huangdi'sClassicofMedicine）.Basedontheancientphysicians discusionsonroukediseaseandcombinedwithclinicalpractice，thispapersystematicallyexploresTCMetiologicalfactors， pathogenesis，diferentiation，andtreatmentideasofGBS.ThefundamentalpathogenesisofGBSisthedeficiencyofbothYingnutrientqiandWei-defensiveqi，clinicallyoftenaccompaniedbypathogeniccoldandbloodstasis.Thetherapeuticprincipleis mainlytoregulateandtonifyYing-nutrientqiandWei-defensiveqi，supplementedbymethodsofwarmingmeridiansand disipatingcoldcirculatingbloodandtransformingstasis.HuangqiGuizhiWuwuDecoctioniseletedastheprimaryfoulaand canbecombinedwithDanguiSiniDecoction，auang XixinFuziDecoctionandTohongSiwuDecotionaccordingtoclinicales This studyaims toprovidetheoreticalbasisandpracticalreferencefortheclinical diagnosisandtreatmentofGBS inTCM.

[Keywords]rouke disease;Guillin-Bareésyndrome;deficiencyofboth Ying-nutrientqiandWei-defensiveqi; Huangq Guizhi Wuwu Decoction; differentiation and treatment experience

吉兰-巴雷综合征（Guillain-Barré syndrome，GBS）是一种自身免疫性周围神经系统疾病，以四肢急性弛缓性麻痹、感觉障碍及腱反射减弱或消失为主要表现，重者可累及呼吸与自主神经功能。（剩余6663字）