基于玄府理论探讨面肌痉挛的辨治思路

doi:10.3969/j.issn.1674-490X.2026.05.005

医学研究与教育 ›› 2026, Vol. 43 ›› Issue (5): 40-46.DOI: 10.3969/j.issn.1674-490X.2026.05.005

• 河间学派研究 • 上一篇

基于玄府理论探讨面肌痉挛的辨治思路

何春梅¹,付媛¹,蒲玉婷²,张宇婕¹,李双阳²,白雪²

1.西南医科大学中西医结合学院, 四川泸州 646000;
2.西南医科大学附属中医医院神经内科, 四川泸州 646000

收稿日期:2026-06-21 发布日期:2026-10-21
通讯作者: 白雪(1972—), 女, 重庆江津人,教授,主任中医师,硕士, 硕士生导师, 主要从事中西医结合防治脑病研究。E-mail: baixue@swmu.edu.cn
作者简介:何春梅(2000—), 女, 四川广元人,在读硕士,主要从事中西医结合防治脑病研究。 E-mail: 2576975920@qq.com
基金资助:
四川省科技计划项目(2022YFS0613);泸州市科技计划项目(2024SYF151);西南医科大学附属中医医院岐黄薪火传承计划“岐黄优秀人才”项目;西南医科大学附属中医医院创新团队项目(2022-CXTD-05)

Syndrome differentiation and treatment of hemifacial spasm based on Xuanfu theory

He Chunmei¹, Fu Yuan¹, Pu Yuting², Zhang Yujie¹, Li Shuangyang², Bai Xue²

1.School of Integrated Traditional Chinese and Western Medicine, Southwest Medical University, Luzhou 646000, China; 2.Department of Neurology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China

Received:2026-06-21 Published:2026-10-21

摘要/Abstract

摘要： 目前临床上中医论治面肌痉挛多从风出发,分为内风和外风,以祛风止痉、平肝潜阳、滋阴养血、活血通络、镇肝息风等为主。基于玄府理论,系统阐释了面肌痉挛核心病机为面部玄府闭塞导致气血津液及神机运行受阻,动态结合玄府“郁闭—壅塞—萎闭”的病理状态,构建“三期四证”的辨治体系,创立“宣、通、荣”三法,始终将风药作为核心药物贯穿全程,以达到开玄止痉的目的。

关键词: 面肌痉挛, 玄府理论, 风药, 开玄止痉, 辨证论治

Abstract: At present, clinical treatment of hemifacial spasm by traditional Chinese medicine mostly starts from wind, which is divided into internal wind and external wind. The therapeutic methods mainly include dispelling wind and relieving spasm, calming the liver and subduing yang, nourishing yin and blood, activating blood and dredging collaterals, and calming the liver and extinguishing wind. Based on the Xuanfu theory, the core pathogenesis of hemifacial spasm is systematically elucidated as obstruction of facial Xuanfu leading to impaired circulation of qi, blood, body fluids, and mental activities. Dynamically integrating the pathological states of Xuanfu, namely “stagnation-obstruction-atrophy,” a syndrome differentiation and treatment system of “three stages and four syndromes” is constructed, and the three therapeutic methods of “diffusing, dredging, and nourishing” are established. Wind medicinals are consistently used as the core drugs throughout the entire treatment process to achieve the goal of opening Xuanfu and relieving spasm.

Key words: hemifacial spasm, Xuanfu theory, wind medicinals, opening the Xuanfu and relieving spasm, syndrome differentiation and treatment

中图分类号:

何春梅,付媛,蒲玉婷,张宇婕,李双阳,白雪. 基于玄府理论探讨面肌痉挛的辨治思路[J]. 医学研究与教育, 2026, 43(5): 40-46.

He Chunmei, Fu Yuan, Pu Yuting, Zhang Yujie, Li Shuangyang, Bai Xue. Syndrome differentiation and treatment of hemifacial spasm based on Xuanfu theory[J]. Journal of Hebei Medical College for Continuing Education, 2026, 43(5): 40-46.

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基于玄府理论探讨面肌痉挛的辨治思路

Syndrome differentiation and treatment of hemifacial spasm based on Xuanfu theory

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