从肾脑相关探讨补肾(精)法治疗老年糖尿病认知障碍的思路  

Thinking on treatment of cognitive impairment of diabetes in the elderly with kidney-tonifying therapy from the correlation between brain and kidney

作　　者：温志歌 张珊 倪青[2] Wen Zhige;Zhang Shan;Ni Qing(Guang'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China;Department of Endocrinology,Guang'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]中国中医科学院广安门医院内分泌科,北京100053

出　　处：《国际中医中药杂志》2024年第6期686-691,共6页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82174354);中国中医科学院广安门医院临床医学研究中心建设专项经费项目(2022LYJSZX02)。

摘　　要：基于肾脑相关理论探讨补肾(精)法治疗老年糖尿病伴认知障碍的科学内涵。肾脑相关源于中医脏腑相关学说,脑为髓海,髓由精生,精源于五脏六腑之气血,其根本在肾。肾藏精,主骨、生髓,通于脑,“肾-精-髓-脑”组成一个系统,内在联系密切。肾精足则脑髓充,脑髓充则神智聪,从而发挥“头为精明之府”的生理功能。两者在生理上互相倚行,相互资生,病理上必相互影响。以肾脑相关理论为基础,从老年患者虚弱、老化、肾气衰弱的生理特点,加之“消渴日久,健忘怔忡”引发糖尿病相关脑病的发展趋势,引出补肾益精、生髓充脑是治疗老年糖尿病伴认知障碍的核心治法,再从现代肾脑相关微观研究角度为补肾(精)法治疗老年糖尿病伴认知障碍提供依据。Based on the correlation between brain and kidney,this article discussed the scientific connotation of tonifying kidney therapy in treating diabetes mellitus in the elderly complicated with cognitive impairment.Kidney-related theory originates from the viscera-related theory of TCM.The brain is the sea of marrow,and the marrow is born of essence,which originates from the qi and blood of the five internal organs,and its root lies in the kidney.Kidney stores essence,governs bone and marrow,and connects with brain,and"kidney-essence-marrow-brain"form a system,which is closely related with each other.The kidney is full of essence and the brain is full of marrow,and the brain is full of intelligence,thus exerting the physiological function of"the brain is the house of wisdom".Both of them depend on each other physiologically,give birth to each other,and affect each other pathologically.Based on the theory of kidney and brain,from the physiological characteristics of old patients'weakness,aging and kidney-qi weakness,and the development trend of diabetes-related encephalopathy caused by"thirst-quenching for a long time,forgetfulness and palpitation",the core therapeutic methods of tonifying kidney,replenishing marrow and brain to treat senile diabetes complicated with cognitive impairment were introduced,and then the basis for the treatment of diabetic cognitive impairment by tonifying kidney was provided from the modern microscopic study of brain and kidney.

关 键 词：糖尿病 老年人 认知障碍 肾脑相关 补肾(精)法 脏腑相关 

分 类 号：R259[医药卫生—中西医结合] R277.7[医药卫生—中医内科学]