探析《诸病源候论》对痴呆病因病机的认识  

To explore the Understanding of the Etiology and Pathogenesis of Dementia in Zhu Bing Yuan Hou Lun

作　　者：赵小月 姜婧[2] 汪子栋 方洋 余如霞 吴国庆 王湫澄 王越 李志刚[1] ZHAO Xiaoyue;JIANG Jing;WANG Zidong;FANG Yang;YU Ruxia;WU Guoqing;WANG Qiucheng;WANG Yue;LI ZhiGang(School of Acupuncture-moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 102488,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京102488 [2]北京中医药大学护理学院,北京102488

出　　处：《世界科学技术-中医药现代化》2024年第12期3034-3039,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金面上项目(82274654):中性粒细胞黏附与内皮修复途径探讨“通督启神”针法干预AD的血脑屏障保护机制研究,负责人:李志刚;国家自然科学基金面上项目(82174515):从“肠道菌群-神经炎症”探讨“通腑升清”针法保护AD神经元的作用机制,负责人:姜婧;北京中医药大学2022年度揭榜挂帅项目(2022-JYB-JBZR-024):穴位敏化的物质基础与成像研究,负责人:李志刚。

摘　　要：本研究以元刊本《重刊巢氏诸病源候论总论》为底本,以丁光迪主编的《诸病源候论校注》为校本,以“忘”“善忘”“喜忘”为检索词,挖掘《诸病源候论》中与痴呆的核心症状-善忘相关的内容,分析其病因病机。经分析,《诸病源候论》认为善忘多由情志变化、瘀血内阻、脏腑功能损耗、精气血亏虚、脑髓失养、特殊疾病如脚气病、盲目地服用寒食散、麻风病病久不治、积聚病等所引起,说明经过一千多年的发展,《诸病源候论》的学术思想仍对当今临床防治痴呆具有一定的指导意义,进一步丰富与完善了中医学对痴呆的理论认识,为痴呆的防治提供了坚实的理论基础和新的思路。In this study,we used the Yuan publication Chao Shi Zhu Bing Yuan Hou Lun Zong Lun as the base text,used Zhu Bing Yuan Hou Lun Jiao Zhu edited by Ding Guangdi as the proofreading text,and used“forgetfulness”as the search words.We explored the contents of Zhu Bing Yuan Hou Lun related to the core symptom of dementia-forgetfulness,and analyzed the etiology and mechanism of the disease.After analyzing,Zhu Bing Yuan Hou Lun believes that forgetfulness is mostly caused by emotional changes,internal obstruction of blood stasis,loss of internal organs,deficiency of essence,qi and blood,loss of nourishment of the brain marrow,special diseases such as foot fungus disease,blindly taking cold food,leprosy that has not been treated for a long time,and cumulative disease,etc.This indicates that after more than a thousand years of development,the academic thinking of Zhu Bing Yuan Hou Lun is still of certain guiding significance for the prevention and treatment of dementia in today's clinic,and it further enriches and improves the theoretical understanding of Chinese medicine on dementia,and provides a solid theoretical foundation and new ideas for the prevention and treatment of dementia.

关 键 词：《诸病源候论》 善忘 痴呆 病因病机 

分 类 号：R749.16[医药卫生—神经病学与精神病学]