安红梅运用膏方治疗认知障碍经验  

AN Hongmei’s Experience in Treating Cognitive Impairment with Paste Formula

作　　者：张梦雪 丁敏芮 张彤[1] 曲彦洁 安红梅(指导) ZHANG Mengxue;DING Minrui;ZHANG Tong;QU Yanjie;AN Hongmei(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200001,China;不详)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海交通大学医学院附属瑞金医院,上海200001 [3]不详

出　　处：《山东中医杂志》2024年第10期1145-1149,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：上海市科学技术委员会医学创新研究项目(编号:21Y11920900);上海市医院中药制剂产业转化协同创新中心项目(编号:2093);龙华医院科技创新项目(编号:CX202052)。

摘　　要：认知障碍患者多为老年人,具有病程长、程度渐进性加重的特点,适于采用膏方调治。安红梅教授认为肾虚是导致认知障碍发病的始动因素,且贯穿于病程始终,因此,其以补肾填精益髓为治疗原则,自拟地黄益智方作为治疗认知障碍的底方。临证过程中,根据患者在主观认知下降期、轻度认知障碍期和老年性痴呆期的不同证候表现,分期论治,处方以地黄益智方为底加减化裁,取得良好疗效。附验案2则。Most of the patients with cognitive impairment are the elderly,with the characteristics of long course of disease and progressive aggravation,which are suitable for the treatment with paste formula.Professor AN Hongmei believes that kidney deficiency is the initial factor leading to the onset of cognitive impairment,and it runs through the course of the disease.Therefore,she takes tonifying kidney,replenishing essence,and filling marrow as the treatment principle,and creates Dihuang Yizhi Formula(地黄益智方)as the basic prescription for the treatment of cognitive impairment.In the process of clinical practice,according to different syndromes of the patients in the period of subjective cognitive decline,mild cognitive impairment and senile dementia,the treatment is carried out by stages,and the prescription is modified based on Dihuang Yizhi Formula,which has achieved good curative efficacy.Two proved cases are attached.

关 键 词：认知障碍 膏方 补肾填精益髓 地黄益智方 分期辨治 

分 类 号：R277.7[医药卫生—中医学] R249