摘要
近5年,中医药在血管性痴呆病因病机、治疗方面取得了显著进展。对病因病机的认识集中在瘀、痰、虚三端;辨证方面主要涉及瘀血阻络、肾精亏损、痰浊阻窍等证型,另创新性提出了三元络脑、分期论治等辨证方法;治疗上中药主要涉及补益药、开窍药、活血药等,选穴主要有百会、神庭、中脘、太溪、三阴交等;实验研究主要集中在提高神经递质的含量、促进新血管生成以及改善血液黏稠度等方面。中医药治疗血管性痴呆虽优势明显,但尚处于初始阶段,统一的诊断、治疗标准等均有待制定。参考文献30篇。
In the last 5 years,traditional Chinese medicine(TCM)made significant progress in understanding the etiology and pathogenesis of vascular dementia and in clinical treatment.The understanding of the etiology and pathogenesis focused on three aspects:stasis,phlegm,and deficiency.Syndrome differentiation mainly involved blood stasis blocking collaterals,deficiency of kidney essence,and phlegm turbidity obstructing orifices.Besides innovative methods for syndrome differentiation like triple origins connecting brain and treatment based on different stages were proposed.On the treatment,activating blood circulation and unblocking the collaterals,removing phlegm and opening orifices were the major principle.Chinese medicinals like Renshen(Ginseng Radix Et Rhizoma),Chuanxiong(Chuanxiong Rhizoma),Danshen(Salviae Miltiorrhizae Radix Et Rhizoma)were usually used,and acupoints like Zhongwan(RN 12),Taixi(KI 3),Sanyinjiao(SP 6)were usually applied.Experimental research mainly focused on increasing the content of neurotransmitters,promoting neovascularization,and improving blood viscosity.Although TCM has obvious advantages in treating vascular dementia,it is still in the initial stage,and unified diagnostic and treatment standards should be formulated.There are 30 references.
作者
陈永真
麻春杰
CHEN Yongzheng;MA Chunjie(Inner Mongolia Medical University,Hohhot 010110,China)
出处
《山东中医杂志》
2020年第1期83-86,共4页
Shandong Journal of Traditional Chinese Medicine
基金
中蒙医临床基础创新团队（编号：02047008）
关键词
血管性痴呆
脑血管疾病
病因病机
辨证分型
实验研究
三元络脑
分期论治
vascular dementia
cerebrovascular disease
etiology and pathogenesis
syndrome differentiation and types
experimental research
three origins connecting brain
treatment based on different stages
