从五神脏理论探讨老年期痴呆的关键病机  

Discussion on the key pathogenesis of dementia from the theory of wu-shen zang

作　　者：侯小兵[1] 金香兰[1] 高芳[1] 陈宝鑫[1] 张允岭[1] 

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《北京中医药大学学报》2009年第1期12-14,24,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：首都医学发展科研基金联合攻关项目(No.SF-2005-3);北京市新医药学科群建设项目(No.XK100270569);211工程重点学科建设项目;公益性行业科研专项(No.200807011)

摘　　要：老年期痴呆,指器质性病变所致老年人记忆力和智能障碍,以及在智能障碍的基础上出现工作能力和生活能力的部分丧失或完全丧失的临床综合征。五脏藏五神主五志的五神脏理论,是对中医脑病与神关系的高度概括,充分反映了中医学以五脏为中心,认识整体生命活动和神志活动的基本特点。脑统五神脏,由脑所主的元神来调节和控制五脏,经五神之协同合作来完成神志的一切活动。老年期痴呆可以表现为五神脏病变。这种独特的五神脏理论体系体现了整体观与形神合一的思想,指导着中医对老年期痴呆病机的认识。Dementia is characterized by a group of syndromes including bad memory and intellectual impairment, lost ability of social activities and activities of daily living, which is considered to be caused by aging and deterioration of the brain. The wu-shen zang theory is bases on the fact of five-zang organs related to emotions of the TCM theory, which recapitulates the core theory of TCM on encephalopathy. The metabolism and intellectual activities of human being are the fundamental functions of the five-zang organs in TCM theory, the brain controls the five-zang organs. Dementia is related to the disorder of the functions of wu-shen zang. This unique theory demonstrates the epistemology of wholism and the spiritbody unification, also a new conception of the TCM pathogenesis of dementia.

关 键 词：神 五神脏 老年期痴呆 

分 类 号：R228[医药卫生—中医基础理论]