血管性认知功能障碍中医诊疗思路  

Thoughts of Diagnosis and Treatment of Vascular Cognitive Impairment According to Traditional Chinese Medical Theory

作　　者：梁文慧 郭娜 

机构地区：[1]聊城市中医医院神经内科,山东聊城252000

出　　处：《新中医》2008年第9期12-13,共2页New Chinese Medicine

摘　　要：对血管性认知功能障碍的病因病机作了分析,认为肾虚髓空,脑府失养;脾虚失运,痰浊上扰清窍;肝气郁结,痰蔽神明;思虑过度,劳伤心脾,神志不宁及瘀血阻滞清窍是本病发生的主要病理机制,并由此提出补肾填精法、健脾化痰法、解郁化痰通窍法、健脾养心安神法、活血通窍法等治疗大法。The etiology and pathogenesis of vascular cognitive impairment (VCI) were analyzed.It is indicated that the pathogenesis of VCI is related with brain failing in nourishing due to deficiency of kidney and brain-mar- row, phlegm-turbidity disturbing the upper orifices due to spleen failing in transportation, phlegm blocking the mental activity due to the stagnation of liv- er- Qi, mental derangement due to over-thought and overstrain impairing the spleen and the heart, and blood- stasis blocking the upper orifices.Thus it is suggested that the therapeutic principles of VCI should be tonifying kidney and essence,strengthening spleen to remove phlegm,removing stagnation and phlegm to dredge the orifices, strengthening the spleen and nourishing heart to calm the mind, activating blood to dredge the orifices.

关 键 词：血管性认知功能障碍 中医病因和病机 中医疗法 

分 类 号：R749.13[医药卫生—神经病学与精神病学]