摘要
血管性痴呆是一种因脑卒中后血供减少而引起脑细胞缺血缺氧,从而出现神经认知功能障碍的疾病。本病病位在脑,与心脾肝肾相关,生理功能上与“督脉-脑-肾”轴联系密切,肾精虚衰、脑瘀痹阻、督神不启是发病的核心病机。针刺对于血管性痴呆诊治有独特优势,疗效颇佳。笔者团队在“督脉-脑-肾”轴理论指导下,以补肾益精、清脑益髓、调督启神为核心治法,结合现代医学模式提出的“清脑益髓调督针法”,在临床诊治血管性痴呆颇获良效。本文梳理督脉、脑、肾与血管性痴呆的生理关系,阐述“督脉-脑-肾”之间的密切联系,探讨“清脑益髓调督针法”在血管性痴呆治疗中的重要作用,为血管性痴呆的诊治提供理论参考。
Vascular dementia is a disease characterized by neurocognitive dysfunction caused by ischemia and hypoxia of brain cells due to reduced blood supply following a stroke.The disease primarily affects the brain and is associated with the heart,spleen,liver,and kidney.Physiologically,it is closely linked to the"Governor Vessel(Du Mai)-brain-kidney"axis.The core pathogenesis of this disease involves the decline of kidney essence,obstruction of brain blood stasis(i.e.,stagnation leading to impairment),and the failure of the Governor Vessel spirit(or vital energy)to activate.Acupuncture boasts unique advantages and demonstrates remarkable efficacy in the diagnosis and treatment of vascular dementia.Guided by the theory of the"Governor Vessel(Du Mai)-brain-kidney"axis,the author's team has developed the"Qingnao Yisui Tiaodu Acupuncture Therapy"(a therapy focusing on brain-clarifying,marrow-nourishing,and Governor Vessel-regulating through acupuncture),which centers on the treatment principles of nourishing the kidney to replenish essence,clearing the brain to enhance marrow,and regulating the Governor Vessel to invigorate the spirit,while integrating insights from modern medical models.This therapy has yielded favorable clinical outcomes in the management of vascular dementia.This article systematically reviewed the physiological relationships among the Governor Vessel(Du Mai),brain,and kidney in relation to vascular dementia,elucidates the intricate connections between the"Governor Vessel-brain-kidney"axis,and discussed the pivotal role of the"Qingnao Yisui Tiaodu Acupuncture Therapy"in the treatment of vascular dementia.It aims to provide theoretical references for the diagnosis and management of this condition.
作者
王阿贞
吴远华
蔡静
朱蓉
田茂平
郑沂佳
李月丽
赵江湖
WANG Azhen;WU Yuanhua;CAI Jing;ZHU Rong;TIAN Maoping;ZHENG Yijia;LI Yueli;ZHAO Jianghu(Guizhou University of Traditional Chinese Medicine,Guiyang 550025,Guizhou,China;The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,Guizhou,China)
出处
《贵州中医药大学学报》
2025年第3期19-24,共6页
Journal of Guizhou University of Traditional Chinese Medicine
基金
国家自然科学基金项目(82260970)
贵州省科技厅项目(黔科合人才团队[2019]5602)
贵州省中医脑病特色治疗研究科技创新人才团队项目(黔科合人才团队[2013]4034)。
关键词
血管性痴呆
“督脉-脑-肾”轴
清脑益髓调督针法
肾精虚衰
脑瘀痹阻
督神不启
vascular dementia
the"governor vessel-brain-kidney"axis
the Qingnao Yisui Tiaodu acu-puncture therapy
kidney essence deficiency
cerebral stasis obstruction
disfunction of Du Meridian
