基于“年长则求之于府”理论阐释老年性痴呆的防治思路  

Discussion on Senile Dementia Based on Theory of “Elderly Seeking to Spleen and Stomach”

作　　者：李斌[1] 张怡[1] 潘怡[1] 李若楠[2] LI Bin;ZHANG Yi;PAN Yi;LI Ruonan(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan,China;Shaanxi University of Chinese Medicine,Xianyang 712046,Shaanxi,China)

机构地区：[1]成都中医药大学,四川成都610075 [2]陕西中医药大学,陕西咸阳712046

出　　处：《辽宁中医杂志》2018年第11期2303-2305,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81704024);四川省科技创新苗子重点项目(2017RZ0043);四川省医学科研课题(Q16020);成都中医药大学附属医院科技发展基金(2016-D-YY-36)

摘　　要：老年性痴呆是常见的老年性疾病之一,以呆傻愚笨、智能低下、善忘等为主要临床表现。本病病位在脑,病机不外乎虚、痰、瘀、火四端,但究其根本,与脾胃虚弱密切相关,或生化乏源,或脾虚生痰,或统摄无权,或枢机不利。文章结合《内经》“年长则求之于府”理论,阐释脾胃虚弱是痴呆发生的重要病机,治疗以“求之于府”为切入点,为临床运用提供理论依据。Senile dementia is one of the most common diseases of the elderly.The main clinical manifestations are silly stupid,intelligent low,forgetfulness and so on.The disease is in the brain and the pathogenesis is nothing more than deficiency,phlegm,blood stasis and fire.But the fundamental cause is the spleen and stomach deficiency which can lead to production and transformation deficiency,or generating phlegm.This article explains that the spleen and stomach is an important pathogenesis of dementia based on“elderly seeking to the spleen and stomach”.The treatment is based on“seeking the spleen and stomach”as the starting point and providing the theoretical basis for clinical application.

关 键 词：年长则求之于府 老年性痴呆 脾胃 防治 

分 类 号：R749.16[医药卫生—神经病学与精神病学]