Exploration on Syndrome Differentiation and Treatment for Post-stroke Aphasia Under the Guidance of Five-Spirit Theory of Traditional Chinese Medicine
10.13359/j.cnki.gzxbtcm.2025.03.033
- VernacularTitle:基于中医五神理论探讨中风后失语的辨治
- Author:
Xingjian LIN
1
;
Beibei KONG
;
Cheng CHEN
;
Jian TANG
;
Wenjuan ZHOU
;
Bidan LOU
;
Ran WEI
Author Information
1. 湖南中医药大学第一中医临床学院,湖南长沙 410007
- Keywords:
post-stroke aphasia;
five-spirit theory of traditional Chinese medicine;
modern cognitive psychology;
language processing model;
Pingbu Zhenxin Pills;
Zhiyi Decoction;
Dingzhi Pills;
Dinghun Decoction;
combination of Chinese medicine and acupuncture
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(3):761-767
- CountryChina
- Language:Chinese
-
Abstract:
The theory of five spirits(mind,eternal soul,corporeal soul,consciousness and will)is an important part of traditional Chinese medicine(TCM)theory,which reveals the human mental and psychological activities.Five-spirit theory takes the shape of modern cognitive psychology.Language is an important part of cognitive activities.Under the guidance of the five-spirit theory of TCM,and by combining the research results of modern cognitive psychology,this paper initially constructs a language processing model,and proposes that heart-mind,spleen-consciousness,kidney-will,and liver-soul are all involved in the formation of language.Moreover,the pathogenesis of post-stroke aphasia(PSA)is explored from the perspective of the five spirits.It is proposed that PSA refers to the comorbidity of body and spirit,and its pathogenesis is related to the disorders of the five spirits.After analyzing the clinical manifestations of PSA,it is suggested that malnutrition of heart-mind and insufficient kidney-will contribute to the pathogenesis of auditory comprehension and reading obstacles in patients with PSA,and the deactivation of liver-soul is closely related to spontaneous speech and naming obstacles.The treatment of PSA should be focused on nourishing blood and tranquilizing mind,enhancing consciousness and strengthening will,and suppressing liver to tranquilize soul.And the prescriptions of Pingbu Zhenxin Pills,Zhiyi Decoction plus Dingzhi Pills,and Dinghun Decoction can be chosen for modified use.The acupuncture and moxibustion can also be used for PSA,by performance mainly on the acupoints of heart meridians,pericardial meridians,spleen meridians,kidney meridians and liver meridians.The syndrome differentiation and treatment system for PSA with the combination of Chinese medicine and acupuncture based on the five-spirit theory makes up for the shortcomings of stress on the physique while ignorance of the spirit in the conventional zang-fu organ syndrome differentiation,and expands the methods for early intervention of PSA with TCM and approaches to improve the prognosis of rehabilitation.
