中风后失语自古作为中风病的兼证,各代医家对其病因病机认识不同,唐宋以前的医家发挥了外风理论,重视"内虚邪中"学说,金元以后,则以内因立论,突出了风、火、痰、虚、气、血的作用,然而"内虚邪中"学说也开启了中风后失语从肾论治之先河。历代文献记载均贯穿中风病的病本在肾、从肾论治,基于《黄帝内经》、《难经》中理论,从肾—髓—脑的关系来阐述肾脑相关,把髓作为肾脑关系的中间环节。现代生物学基础研究亦证实了脑肾相关性,为中风后失语从肾论治提供了客观依据,文章将对其理论渊源和现代生物学基础进行系统阐述。
Apoplectic aphasia was known as an accompanied symptom in ancient time.Ancient medical practitioners have different opinions on etiology and pathogenesis of stroke in different periods,before Tang and Song Dynasties medical practitioners give scope to outside wind theory and the viewpoint pathogen attack in deficiency condition.After Jing and Yuan Dynasties medical practitioners make a point of internal cause,emphasized on the effect of Feng,Huo,Tan,Xu,Qi,Xue,and set a precedent for the treatment of apoplectic aphasia from kidneys.There is record of stroke related to kidney and treated from the standpoint of kidney in the previous research.Based on the theory in Huangdi Neijing and Nanjing.From the relation of kidney-marrow-brain,elaborate brain related to kidney,regard marrow as an intermediate link between kidney and brain.Besides,basic research of modern biology has proved the relationship between the brain and the kidney,and it provides the objective basis for treatment of apoplectic aphasia from kidneys.This paper made a systematic exposition of the theoretical origin and the modern biological basis.