基于详究镇肝熄风汤组方之思路与特点,分析其“升脾调胃肝自平”“实脾即为理肝”之观点,反思中风发生与脾胃之关系,探索张锡纯在中风治疗中重视脾胃之思想,强调其中风治疗以脾胃为本,气机升降为根,突出重镇降逆、引气血下行之见解,为临床治疗提供指导与经验。 Based on the ideas and characteristics of the detailed study of Zhengan Xifeng Decoction, the author analyzed the relationship between the occurrence of stroke and the spleen and stomach from the point of " Zhang Xichun attaches great importance to the thought of spleen and stomach in the treatment of stroke, emphasizing that the treatment of stroke takes the spleen and stomach as the basis and the ascending and descending of the air machine as the root, highlighting the anti-adversity of the major cities and inducing the descending of blood flow, providing guidance and experience for clinical treatment.