全国名中医毛德西治疗中风后认知障碍的经验总结  

Summary of national famous traditional Chinese medicine doctor MAO Dexi's experience in treating cognitive disorders after stroke

作　　者：秦合伟[1] 毛德西[1] QIN Hewei;MAO Dexi(Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China)

机构地区：[1]河南省中医院,450002

出　　处：《中国老年保健医学》2023年第6期126-128,共3页Chinese Journal of Geriatric Care

基　　金：河南省中医药拔尖人才培养项目,河南省中医学“双一流”创建科学研究专项课题(编号:HSRP-DFCTCM-2023-3-27);中原英才计划中原青年拔尖人才项目。

摘　　要：中风后认知障碍是中风病患者最常见的后遗症之一,也是临床治疗难度较大的一种中风后遗症,常导致患者执行力、记忆力、智能等下降,影响患者相关疾病康复的依从性和康复治疗效果,导致康复效果不佳,病情反复,迁延难愈,加重患者家庭经济负担。毛德西教授有多年的临床经验,认为痰瘀阻窍是中风后认知障碍的主要病机,主张临床治疗应以化痰祛瘀、醒神开窍为治则贯穿始终,临证需兼顾凉血清心、解郁安神,创制验方通脉开窍汤,灵活加减,常用以治疗中风后认知障碍和血管性痴呆,均获得较好临床疗效。笔者从病机要领、治法方药等方面阐述毛德西教授以通脉开窍汤加减治疗中风后认知障碍的学术思想和遣方用药经验,以供临床医生学习传承。Cognitive impairment after stroke is one of the most common sequelae of stroke patients and one of the most difficult to treat stroke sequelae in clinical practice.It often leads to a decrease in patients' executive ability,memory,intelligence,and other functions,affecting their compliance with related disease rehabilitation,and leading to poor rehabilitation outcomes,the condition is recurrent and difficult to recover.Professor MAO Dexi believes that phlegm and blood stasis obstructing the orifices are the key pathogenesis of cognitive impairment after stroke.He advocates that the treatment of the disease should be carried out through the process of resolving phlegm and blood stasis,awakening the mind and opening the orifices,and taking into account both cooling blood and clearing the heart,relieving depression and calming the mind in clinical practice.He is flexible in addition and subtraction,and has created a proven formula called Tongmai Kaiqiao Tang,which is commonly used to treat cognitive impairment and vascular dementia after stroke and has achieved good clinical efficacy.The author elaborates on Professor MAO Dexi's academic thinking and experience in using Tongmai Kaiqiao Tang to treat cognitive impairment after stroke from the aspects of pathogenesis,treatment methods,and prescriptions,in order to provide clinical doctors with learning and inheritance.

关 键 词：中风 认知障碍 通脉开窍汤 名医经验 毛德西 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]