马成红 段忠玉

【摘 要】 癫痫是临床较常见的中枢神经系统疾病之一，近年来国内外癫痫发病率均呈不断上升趋势，该病具有突发性、反复性、难治性的特点，在疾病发作期严重影响患者的身心健康及生活质量，且长期癫痫发作会导致记忆障碍等认知损害，给患者及家属带来沉重的治疗负担。壮医药在癫痫的治疗上具有悠久的历史和丰富而独特的医疗实践，文章整理了壮医药关于癫痫治疗的相关书籍文献，以期为壮族医药中探寻癫痫的临床防治方法提供参考。

【关键词】 壮族医药; 癫痫; 研究概况

【中图分类号】R29 【文献标志码】 A 【文章编号】1007-8517（2020）19-0062-04

Abstract：Epilepsy is one of the most common diseases of the central nervous system. In recent years， the incidence rate of epilepsy both at home and abroad has been increasing. This disease is sudden， repetitive and refractory. It seriously affects the physical and mental health and quality of life of patients during the attack stage， and long-term seizures can cause cognitive impairment such as memory impairment， which brings heavy burden to patients and their families. Zhuang medicine in the treatment of epilepsy has a long history and rich and unique medical practice， this paper sorted out the relevant books and literature about the treatment of epilepsy in Zhuang medicine， in order to explore more clinical prevention and treatment methods of epilepsy from Zhuang medicine to provide reference.

Key words：Zhuang Medicine; Epilepsy; Overview

癲痫是一种常见的中枢神经系统疾病，临床表现以脑神经元过度放电导致的中枢神经系统短暂功能失常为主[1]，具有发作性、短暂性、重复性和刻板性等特点[2]，癫痫的发病机制目前尚不明确，有研究认为其发作与免疫反应[3]、离子通道[4]、神经递质[5]、能量代谢及神经胶质细胞异常密切。而癫痫史、颅脑外伤、颅内感染、脑水肿或颅内压增高、脑肿瘤、脑血管病等等均为诱发癫痫发作的高危因素[6]。现代医学对癫痫的治疗以药物干预为主，根据患者癫痫发作的类型或癫痫综合征选择合适的抗癫痫药物[7]。抗癫痫药物的正确使用可以有效控制癫痫发作，但该病治愈难度大，长期服用此类药物会导致不同程度的不良反应[8]。壮族医药在治疗癫痫上有着丰富经验及明显疗效，在壮医药理论的指导下采取内服方药及外治疗法结合，可有效缓解癫痫症状及降低复发率。……