Clinical Application of Toxin Pathogen Causing Disease in Common Nervous System Diseases: A Review
10.13422/j.cnki.syfjx.202202327
- VernacularTitle:毒邪致病在常见神经系统疾病中的临床运用
- Author:
Hongxi LIU
1
;
Wei SHEN
2
;
Jingjing WEI
2
;
Yue LIU
2
;
Jingzi SHI
1
;
Guojing FU
2
;
Xiansu CHI
2
;
Xiao LIANG
2
;
Yunling ZHANG
2
Author Information
1. Beijing University of Chinese Medicine, Beijing 100029, China
2. Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
- Publication Type:Journal Article
- Keywords:
toxin pathogen causing disease;
nervous system;
encephalopathy in TCM;
clinical application
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2022;28(24):244-252
- CountryChina
- Language:Chinese
-
Abstract:
The diverse nervous system diseases (NSDs) are common complex refractory systemic diseases in clinical settings, which are manifested as trigeminal neuralgia, facial paralysis, neuromyelitis optica, multiple sclerosis, stroke, vascular dementia, encephalitis B, Parkinson's disease, epilepsy, Alzheimer's disease, amyotrophic lateral sclerosis, and diabetic peripheral neuropathy. Amid the accelerating population aging, the morbidity and prevalence of NSDs have been on the rise, posing a threat to quality of life of patients and bringing a heavy burden to society and individuals. This is also a challenge to the clinical prevention and treatment of the diseases. At the moment, NSDs are mainly treated with western medicine which is effective. However, in the long-term use and progression of the diseases, there are some potential risks such as adverse drug reactions, easy recurrence after withdrawal, drug dependence, and drug resistance. From the holistic view, traditional Chinese medicine (TCM) excels in treating diseases based on syndrome differentiation. According to the etiology, location, and pathogenesis of diseases in TCM, the overall therapy is applied, shows obvious advantages in alleviating disease symptoms, delaying disease progression, and improving the quality of life. TCM has a long history and categorizes NSDs into encephalopathy. According to clinical practice and theories, toxin is an important pathogen of NSDs in TCM. To be specific, the external toxins are insect and beast toxins, food toxin, toxin of six excesses, and epidemic toxin, and the internal toxins are phlegm toxin, dampness toxin, stasis toxin, fire toxin, and turbid toxin. Accumulation of all pathogens will lead to diseases with multiple syndromes. In the case of sudden attack of toxin, the disease is characterized by rapid onset. In the instance of fierce toxin, disease progresses rapidly. If the toxin is dependent, the disease symptoms are diverse. If the toxin is stubborn and frequently occurs, disease recurrence is common. In the case that toxin damages the collaterals, the healthy Qi is impaired. Controlling physiological function of the body, nervous system corresponds to the house of brain in TCM, which is the extraordinary organ, the house of intelligence, and the seat of mental activities that governs the whole body. In the case of toxin damaging the brain collaterals, cerebrospinal injury and orifice obstruction will occur, followed by disharmony of Qi and blood, Yin-yang imbalance, vital activity injury, disorder of primordial spirit, and dysfunction. The treatment principle should be detoxification and eliminating pathogen, and different diseases should be treated with the same method. At the moment, many doctors and scholars have focused on the prevention and treatment of NSDs based on the toxin pathogen. This paper summarizes the research on the clinical application of toxin pathogen causing disease in NSDs, including the peripheral nerve disease, demyelinating disease of the central nervous system, cerebrovascular disease, infectious disease of central nervous system, movement disorders, epilepsy, nervous system degenerative disease and nervous system complications of internal medicine disease, which is expected to provide some ideas and methods for the prevention and treatment of NSDs with TCM.