基于《灵枢·本神》探讨从“心-脾-肾”轴论治血管性痴呆  

Discussion on treatment of vascular dementia from"heart-spleen-kidney"axis based on Lingshu Benshen

作　　者：赵捷 赵明 裴卉[2] 李浩[2,3] ZHAO Jie;ZHAO Ming;PEI Hui;LI Hao(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Geriatrics,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Department of General Internal Medicine,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院西苑医院老年医学科,北京100091 [3]中国中医科学院望京医院综合内科,北京100102

出　　处：《上海中医药杂志》2024年第5期41-46,共6页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81603616);中国中医科学院科技创新工程资助项目(CI2021A01403)。

摘　　要：血管性痴呆的发生发展,可责之于心、脾、肾三脏功能失调并相互干扰所诱发的神失所养、气血瘀滞、痰蒙清窍、阳亢风动等一系列病理变化;通过古方分析,探究调气活血、补益养神、祛痰开窍、平熄肝风等从“心-脾-肾”轴论治血管性痴呆的思路。The occurrence and development of vascular dementia(VD)can be blamed for a series of pathological changes induced by the dysfunction and mutual interference of the heart,spleen and kidney,such as lack of preservation of spirits,pattern of qi stagnation and blood stasis,syndrome of orifices confused by phlegm,and hyperactive yang causing wind.Through the analysis of ancient prescriptions,the treatment ideas of VD from the"heart-spleen-kidney"axis are explored,such as regulating qi and activating blood,nourishing the spirit,eliminating phlegm for resuscitation,and calming the liver to inhibit the wind evil.

关 键 词：血管性痴呆 《黄帝内经》 “心-脾-肾”轴 病因病机 中医药疗法 

分 类 号：R277.7[医药卫生—中医学]