从肝探讨绝经前后遗忘型轻度认知障碍论治思路  

Exploring Therapeutic Approach for Perimenopausal Amnestic Mild Cognitive Impairment from Perspective of the Liver

作　　者：陈思儒 丛超 徐莲薇[1] CHEN Siru;CONG Chao;XU Lianwei(Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《新中医》2024年第24期179-183,共5页New Chinese Medicine

基　　金：上海申康医院发展中心促进市级医院临床技能与临床创新三年行动计划-疑难疾病精准诊治攻关项目(SHDC2020CR2050B);上海市老龄化和妇儿健康研究专项(2020YJZX0217);国家自然科学基金项目(8217151753)。

摘　　要：从中医理论溯源、现代中医学研究、中医经典方以方测证3个方面探讨肝与绝经前后遗忘型轻度认知障碍(aMCI)的关系,提出肝藏血、主疏泄是维持女性正常认知功能的基础;肝与心、脾、肾功能协调是维持女性正常认知功能的保障。并从中医体质学、中医证候要素研究及中医情志研究进一步分析肝与认知功能的关系,提倡疏肝气以调畅全身气机、补肝血以滋肾阴养心神,以期为绝经前后aMCI辨证论治提供参考。This article explores the relationship between the liver and prerimenopausal amnestic mild cognitive impairment(aMCI)from three aspects:Chinese medicine theories,modern research in Chinese medicine,and verification of Chinese medicine formulas.It proposes that the liver's abilities to store the blood and govern the free flow of qi are the foundation for maintaining normal cognitive function in women,and the functional coordination of the liver with the heart,spleen,and kidney is the guarantee.The relationship between the liver and cognitive function is further analyzed from the perspectives of Chinese medicine constitution,traditional Chinese medicine syndrome elements,and Chinese medicine emotions.It is advocated to soothe the liver qi to regulate the whole body's qi movement,supplement liver blood to nourish kidney yin and heart spirit,in order to provide reference for the traditional Chinese medicine syndrome differentiation and treatment of prerimenopausal aMCI.

关 键 词：绝经前后诸症 遗忘型轻度认知障碍 肝 论治思路 

分 类 号：R271.9[医药卫生—中西医结合]