从“心合小肠”理论探析阿尔茨海默病证治  

Analysis on the Treatment of Alzheimer Disease from the Theory of“Heart Associating with Small Intestine”

作　　者：邱华安 刘侃[1] 盛望[1] 王小菊 曾阳 李宇翔 何飘 朴美虹 胡国恒[1] QIU Huaan;LIU Kan;SHENG Wang;WANG Xiaoju;ZENG Yang;LI Yuxiang;HE Piao;PIAO Meihong;HU Guoheng(The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学,湖南长沙410208

出　　处：《中国中医药图书情报杂志》2024年第2期177-180,共4页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

基　　金：湖南省卫生计生委科研课题(20201617);湖南省教育厅科学研究项目(19A379);全国名老中医药专家传承工作室建设项目(2022年);湖南省教育厅科学研究项目(20C1420);湖南中医药大学研究生创新课题(2023CX36)。

摘　　要：本文从“心合小肠”理论出发,结合临床实践辨证论治,提出阿尔茨海默病病机为心与小肠功能失调,营卫郁滞于下,上气不足,同时痰瘀内生,阻塞脑络,髓海失养,神机失用;同时提出“调腑行气、养心安神、豁痰化瘀、多脏调燮”的辨治思路,以经验方安心助神饮为阿尔茨海默病的中医药临床治疗提供新思路。Based on the theory of“heart associating with small intestine”and combined with syndrome differentiation and treatment of clinical practice,this article proposed that the pathogenesis of Alzheimer disease is dysfunction of heart and small intestine,stagnation of nutritive qi and defensive qi in the lower part,deficiency of upper qi,endogenous phlegm and blood stasis,obstruction of brain collaterals,dystrophy of marrow sea,and dysfunction of spirit.Therefore,it put forward the treatment idea of“regulating fu organs and qi,nourishing heart and tranquilizing mind,eliminating phlegm and removing blood stasis,and regulating multiple organs”,and summarized the experienced Anxin Zhushen Decoction to provide new ideas for clinical treatment of Alzheimer’s disease.

关 键 词：阿尔茨海默病 心主神志 泌清别浊 受盛化物 

分 类 号：R271.11[医药卫生—中医妇科学]