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作 者:徐胤聪[1] 宋婷[2] XU Yincong;SONG Ting(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
机构地区:[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014
出 处:《山东中医药大学学报》2022年第1期25-28,78,共5页Journal of Shandong University of Traditional Chinese Medicine
基 金:山东省中医药科技项目(编号:2021M144);全国中医学术流派传承工作室第二轮建设项目(批文号:国中医药人教函〔2019〕62号);2018年山东省名老中医药专家学术传承工作室建设项目(批文号:鲁卫中发展字〔2018〕1号);济南市科技发展计划项目(编号:202019151);齐鲁医派中医学术流派建设项目(批文号:鲁卫函〔2021〕45号)。
摘 要:牙周病已被证实是慢性脑损伤的危险因素之一,从中医理论探讨牙周病与慢性脑损伤病机相关性,有望预防慢性脑损伤的发生及进展。脏腑与营卫是牙周病与慢性脑损伤相互影响的中间环节,脾肾在其中的作用尤为重要。肾精是牙齿和脑发育的基础,既可坚固牙齿,又可生髓充脑。而肾精的充实赖于营卫和调,脾胃是营卫化生与布散的基础。具体而言,饮食经齿咀嚼入胃,通过脾胃纳化化生营卫,营卫充养全身,从而肾精充盛,血脉和调,齿健脑强;反之,牙周疾病可影响脾胃纳运,脾虚或阳明胃热亦可导致齿龈病变,进而营卫失常,肾精亏虚,脉伤脑损。总之,牙周病对慢性脑损伤影响的关键在脾肾与营卫失常,在口腔疾病防治过程中关注肾精、脾胃与营卫的关系,可有效预防慢性脑损伤发生、复发、加重。Periodontal disease has been proven to be one of the risk factors of chronic brain injury.To explore the relationship between periodontal disease and chronic brain injury from the theory of traditional Chinese medicine can effectively prevent the occurrence and aggravation of chronic brain injury.Zang-fu organs and nutrient-defense are the intermediate links between periodontal disease and chronic brain injury,in which the role of spleen and kidney is particularly important.Kidney essence is the basis of teeth and brain development.It can not only strengthen teeth,but also generate marrow and fill the brain.The abundance of kidney essence depends on nutrient-defense harmony,and the spleen and stomach is the transformation and distribution basis of nutrient-defense.Specifically,food chewed by teeth enters the stomach,which is received and transformed into nutrient-defense by the spleen and stomach to nourish the whole body,so as to enrich kidney essence,regulate blood vessels,strengthen teeth and invigorate brain.On the contrary,periodontal disease can affect the reception and transportation of spleen and stomach.Spleen deficiency or stomach heat of Yangming can also lead to gingival lesions,which can lead to abnormal nutrient-defense,deficiency of kidney essence,pulse injury and brain damage.In short,the key to the effect of periodontal disease on chronic brain injury lies in the spleen,kidney and abnormal nutrient-defense.In the process of oral prevention and treatment,paying attention to the relationship between kidney essence,spleen and stomach and nutrient-defense can effectively prevent the occurrence,recurrence and aggravation of chronic brain injury.
关 键 词:牙周病 齿龈 慢性脑损伤 肾精 脾胃 营卫 阳明胃热
分 类 号:R276.814[医药卫生—中医五官科学]
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