基于脾脑相关理论探讨从脾论治老年性痴呆理论基础  

Discussion on the Theoretical Basis of Treating Senile Dementia from Spleen Based on the Correlation between Spleen and Brain

作　　者：武阳 于漫[1] 张耀尹 程越 武爽 王彩霞[1] WU Yang;YU Man;ZHANG Yaoyin;CHENG Yue;WU Shuang;WANG Caixia(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《辽宁中医药大学学报》2020年第10期134-137,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(“973”计划)(2013CB531701);辽宁省自然科学基金指导计划(2019-ZD-0945)。

摘　　要：中医学认为脾统四脏,百病由脾而生,脾与脑在生理病理上存在相关性。脾舍意主思,为五脏神之一,与其他四神共同参与调节人的精神、意识、思维活动。老年性痴呆的病因病机复杂,多为本虚标实之证。法随证立,方从法出。本病以"脾"立论,以心脾、肝脾、肺脾、脾肾亏虚为基本病机,"痰""瘀""毒"内阻为其发病的关键,以健脾养心、温补脾肾、培土生金、疏肝健脾为基本治则,来探讨从脾论治老年性痴呆的可行性,期望对本病的预防及治疗提供新思路。Traditional Chinese medicine holds that the spleen governs the other four Zang organs,and all diseases arise from the spleen. There is a correlation between the spleen and the brain in physiology and pathology. Spleen which is one of the five viscera gods governs thinking,and participates in the regulation of human spirit,consciousness and thinking activities together with other four gods. The etiology and pathogenesis of Alzheimer’s disease are complex,and most of them lies in the two aspects of deficiency in origin and enrichment in symptom. There must be some basis for the treatment. This disease originates from the disorder of spleen function,and the basic pathogenesis of this disease is the functional deficiency of heart and spleen,liver and spleen,lung and spleen,spleen and kidney. The internal obstruction of "phlegm" "stasis"and"poison"is the key to its pathogenes. The principle of treatment is to regulate the function of other four organs based on strengthening the spleen function. This paper discusses the feasibility of treating senile dementia from the perspective of the spleen,hoping to provide new ideas for the prevention and treatment of this disease.

关 键 词：老年性痴呆 脾脑相关 从脾论治 理论探讨 

分 类 号：R749.1[医药卫生—神经病学与精神病学]