从痰瘀论治非痴呆型血管性认知功能障碍  

Vascular Cognitive Impairment with No Dementia Treated From Phlegm Stasis

作　　者：刘屹 史红星 李青丽 黄松 刘丽娜[3] 

机构地区：[1]衡水市中医医院,河北衡水053000 [2]饶阳县中医医院,河北饶阳053900 [3]哈励逊国际和平医院,河北衡水053000

出　　处：《河南中医》2015年第11期2589-2590,共2页Henan Traditional Chinese Medicine

基　　金：河北省中医药管理局科技研究与发展计划项目(编号:2014119)

摘　　要：老年非痴呆型血管性认知功能障碍之痰浊证以虚为本,以痰浊为标,属虚中挟实的病理特点,虽正气虚弱是痰浊内生之因,但不祛痰则正气难以得到补益,消痰即所以补正也。故治痰时消补结合,以消为主。严格掌握"健脾化痰、补肾化痰、温阳化痰、益气化痰、滋阴化痰"等补虚法的适应证,以防妄事补益而致气血壅滞。The phlegm turbidity syndrome of senile vaseular cognitive impairment with no dementia （VCIND） is defieient in root cause with phlegm turbidity as the superficial cause, which is characterized by deficiency intermingling with excess in pathology,. Even though deficient healthy qi is the cause for the endogenous phlegm turbidity, no elimination of phlegm will lead to failure of the supplement of healthy qi. In this sense, phlegm elimination enables healthy qi supplement. Therefore, when treating phlegm, reducing method （as the principal） and reinforcing method should be combined. Strictly master the indications of deficiency-toni- fying methods： strengthening the spleen to resolve phlegm, tonifying the kidney to resolve phlegm, warming yang to resolve phlegm; benefiting qi to resolve phlegm, nourishing yin to resolve phlegm, for fear that improper tonification may lead to qi and blood stagnation.

关 键 词：血管性认知障碍 非痴呆型血管性认知功能障碍 VCIND 活血化痰法 

分 类 号：R259.491[医药卫生—中西医结合]