基于络病学说从血络气络论治血管性痴呆  

Treatment of Vascular Dementia from Blood Collaterals and Qi Collaterals Based on Collateral Disease Theory

作　　者：陈雨菲 曲淼 张婧[1,2] 刁华琼 王敏 李小黎[2] CHEN Yufei;QU Miao;ZHANG Jing;DIAO Huaqiong;WANG Min;LI Xiaoli(Beijing University of Chinese Medicine,Beijing 100029,China;Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100029

出　　处：《世界中医药》2024年第9期1276-1278,1285,共4页World Chinese Medicine

基　　金：国家自然科学基金面上项目(81673930);第五批全国中医临床优秀人才研修项目(国中医药办人教函[2022]1号)。

摘　　要：血管性痴呆(VD)是脑血管病变导致的认知功能障碍,发病率逐年上升。中医称为“呆病”“善忘”“痴呆”。现代医家对络病理论不断深入,广泛将其应用于临床。络脉-络病学说相关文献研究发现,络脉病变对VD发病的影响较大,其中气郁、痰浊、血瘀导致的血络瘀阻是VD的基本病机,病理产物蕴积生毒,毒邪滞络进而损害血络。气络中真气、宗气、卫气、营气受损则导致神经-内分泌-免疫(NEI)网络受损,致脑神失用。血络、气络共同作用于VD。Vascular dementia(VD) refers to cognitive impairment caused by cerebrovascular lesions,and its incidence is increasing year by year.In traditional Chinese medicine(TCM),it is referred to as “dementia”“ amnesia”or“imbecility”.Modern medical practitioners have delved deeper into the collateral disease theory and widely applied it in clinical practice.Studies related to the theory of collateral vessels and collateral diseases have found that collateral vessel lesions have a significant impact on the onset of VD.The basic pathogenesis of VD involves stagnation of qi,turbid phlegm,and blood stasis,leading to obstruction of the blood vessels.The pathological products accumulate and become toxic,which damages the blood vessels by blocking the flow of blood.Damage to the vital qi,pectoral qi,defensive qi,and nutrient qi in the collaterals leads to impairment of the neuroendocrine-immune(NEI) network,resulting in cognitive dysfunction.Both blood vessels and qi collaterals play a role in the development of VD.

关 键 词：血管性痴呆 络病 气络 血络 神机 脑神 理论探讨 治疗方法 

分 类 号：R277.7[医药卫生—中医学]