基于“玄府气液”理论探讨血管性痴呆的病机治法  

Discussion on pathogenesis and treatment of vascular dementia based on theory of“Sweat pore and Qi-fluid”

作　　者：靳会会 李施新 段佳钰 王业飞 金香兰 JIN Huihui;LI Shixin;DUAN Jiayu(Second Clinical Medical College of Beijing University of Chinese Medicine/Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学第二临床医学院/北京中医药大学东方医院,北京100078

出　　处：《四川中医》2025年第2期45-48,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：中华中医药学会项目(编号:CACMRE2021-A-06)。

摘　　要：玄府是中医学对人体微观结构的深层认识,脑玄府与血脑屏障在生理和病理上具有共性内涵,血脑屏障结构或功能障碍参与血管性痴呆的发生发展。玄府作为气血津液运行的微观结构,其开阖状态关乎脑髓中气液流通、神机运转。从玄府气液理论角度出发探析血管性痴呆病机可知,玄府开阖失司,郁闭不通是本病病机关键。临床在治疗时应用辛味药开通玄府,配伍补益药、虫类药补虚通玄,重视形神同调,促使玄府开、气液行、瘀痹除、神机调,以期为血管性痴呆中医辨治提供新思路。Sweat pore is a deep understanding of human microstructure in traditional Chinese medicine.Brain sweat pore and blood-brain barrier have common connotations in physiology and pathology.The structure or function disorder of blood-brain barrier participates in the occurrence and development of vascular dementia.As the microstructure of qi,blood and body fluid circulation,the opening and closing state of sweat pore is related to the circulation of qi and fluid in the brain and the operation of spiritual machinery.The pathogenesis of vascular dementia is analyzed from the angle of sweat pore and qi-fluid theory.It is considered that the key of pathogenesis of vascular dementia is the opening and closing of sweat pore.In clinical treatment,pungent herbs are selected to open sweat pore,tonic herbs and insect herbs are used to tonify deficiency and clear sweat pore,and the harmony of body and spirit is emphasized to promote sweat pore opening,qi and liquid circulation,blood stasis elimination and spirit regulation.It is expected to provide new ideas for TCM differentiation and treatment of vascular dementia.

关 键 词：血管性痴呆 玄府 气液 血脑屏障 开通玄府 

分 类 号：R229[医药卫生—中医基础理论]