基于“肾-督-脑”体系探讨针灸辨治阿尔茨海默病的理论研究  

A Theoretical Study on the Differentiation and Treatment of Alzheimer's Disease by Acupuncture and Moxibustion Based on“Kidney-Du-Brain”System

作　　者：吴国庆 汪子栋 姜婧[2] 田君健 高效铭 杨佳一 陶宜琳 姚星宇 李志刚[1] WU Guoqing;WANG Zidong;JIANG Jing;TIAN Junjian;GAO Xiaoming;YANG Jiayi;TAO Yilin;YAO Xingyu;LI Zhigang(College of Acupuncture and Massage,Beijing University of Chinese Medicine,Beijing 100029,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]北京中医药大学护理学院,北京100029

出　　处：《世界科学技术-中医药现代化》2024年第12期3053-3059,共7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：基于“肾-督-脑”体系探讨针灸辨治阿尔茨海默病的理论研究。根据阿尔茨海默病的病理、症状与转归,从发生学的角度辨其为“痴呆”,认为阿尔茨海默病的病位在肾与脑,并与督脉密切相关,核心病机是肾虚髓减、督脉不畅、脑神失用。属本虚标实之证。年老体衰,先天亏损导致肾精不足,髓无所化;气血亏虚、神无所依亦无所养;督脉不通、阳郁不布,导致毒损脑络、神机失用。遂以“肾-督-脑-神志”体系为理论依据,以益肾、通督、启神为治疗原则,指导针灸治疗阿尔茨海默病及其并发症。A theoretical study on the differentiation and treatment of Alzheimer's disease by acupuncture and moxibustion based on"kidney-du-brain"system.According to the pathology,symptoms and outcome of Alzheimer's disease,it is identified as"dementia"from the perspective of genesis,and it is believed that the disease location of Alzheimer's disease is in the kidney and brain,and it is closely related to the governor vein,and the core pathogenesis is the kidney deficiency and pulp reduction,the governor vein is not clear,and the brain spirit is not used.It is a sign of deficiency and deficiency.Due to old age and infirmity,congenital loss leads to lack of kidney essence and lack of marrow;Qi and blood deficiency,God has no support and no support;Obstruction of the Dao pulse,Yang stagnation does not cloth,resulting in toxic damage to the brain,god machine lost use.Therefore,based on the"kidney-Du-brainconsciousness"system as the theoretical basis,to benefit the kidney,Tongdu,inspiring God as the treatment principle,to guide the acupuncture treatment of Alzheimer's disease and its complications,the summary is hereby provided for your attention.

关 键 词：针灸 阿尔茨海默病 神志病 “肾-督-脑” 

分 类 号：R749.16[医药卫生—神经病学与精神病学]