基于中医“脑气”理论探析老年痴呆防治策略  

Prevention Strategy of Senile Dementia Based on“Brain Qi”Theory of Traditional Chinese Medicine

作　　者：徐小港[1] 张清源 吴千言 王钰 徐义峰 章德林[1] Xu Xiaogang;Zhang Qingyuan;Wu Qianyan;Wang Yu;Xu Yifeng;Zhang Delin(Jiangxi University of Chinese Medicine,Nanchang 330004,China)

机构地区：[1]江西中医药大学,江西南昌330004

出　　处：《亚太传统医药》2024年第11期193-195,共3页Asia-Pacific Traditional Medicine

基　　金：国家中医药管理局中医药古籍文献和特色技术传承专项(GZY-KJS-2021-034);江西省中医药管理局科技计划项目(2023A0336);江西中医药大学重点学科建设经费资助课题(2023jzzdxk012);江西中医药大学首批校级科技创新团队(CXTD22016)。

摘　　要：中医药治疗老年痴呆历史悠久,历代医家对该病提出了不同的辨治思路,取得了一定的临床疗效。然而,自《黄帝内经》以来,囿于以心代脑确立的“心主神明”思想,该病的治疗思路大多遵循“从脏治脑”的法则,老年痴呆局部病位中的“脑气”未引起足够重视。古典医籍中对“脑气”的记载较为丰富,历代医家对“脑气”有不同认识。对“脑气”的调理应贯穿老年痴呆诊治的全过程,主要体现在疾病早期宜清补、中期宜疏导、后期宜破结的防治策略。Traditional Chinese medicine has a long history of treating senile dementia.Doctors of all ages have put forward different ideas for treating this disease and achieved certain clinical efficacy.However,since the Huangdi Neijing,the heart governing the mind,was established by replacing the brain with the heart,the treatment of this disease mostly follows the rule of treating the brain from viscera,and the brain Qi in the local disease location of senile dementia has not attracted enough attention.There are abundant records of brain Qi in classical medical books,and doctors of all ages have different understandings of brain Qi.The regulation of brain Qi should run through the whole process of diagnosis and treatment of senile dementia,which is mainly reflected in the prevention and treatment strategies of clearing and tonifying in the early stage,dredging in the middle stage,and breaking the knot in the later stage.

关 键 词：老年痴呆 脑气 髓海 分期防治 精神情志 

分 类 号：R277.7[医药卫生—中医学]