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从本虚标实论治血管性痴呆临床研究进展 被引量:4

Clinical Research Progress in the Treatment of Vascular Dementia from the Perspective of Asthenia in Origin and Excess in Superficiality
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摘要 血管性痴呆(Vascular dementia,VD)是一种具有可逆性的痴呆类型,故早期干预具有一定的可预防性,其发病机制较为复杂,现代医学对其相关研究进展推进缓慢,也未有新的突破。中医认为VD是一种本虚标实的病变,临床应首遵本虚标实理论,即脏腑虚损、气血不足为其根本,痰、瘀、浊、毒为其标实,临床治疗应依从补虚泻实、标本兼顾的治疗原则辨证论治。基于标本虚实理论,结合经典文献、临床研究与笔者临证体会,对VD从病机、证候、论治方面进行了归纳、分析和思考。 Vascular dementia(VD)is one of the most common dementia after Alzheimer's disease, however,unlike Alzheimer's disease,it is a kind of dementia which can be prevented and even reversed, therefore,development of effective,safe and affordable prevention for VD is very important. Progress in the disease is slow because of the complex pathogenesis. The pathogenesis of vascular dementia is deficiency in origins and excess in superficiality according to the traditional Chinese medicine theory. The deficiency in Qi,blood and origins is the root,phlegm,blood-stasis,turbidity or toxicity is the superficiality. Therefore, the principle of the TCM treatment is tonifying the deficiency syndrome and purgative the excess syndrome, and treating both the manifestation and root cause of disease. This article is a review in pathogensis, syndrome and treatment.
作者 张会芹 李浩 韦云 张帅 ZHANG Huiqin;LI Hao;WEI Yun;ZHANG Shuai(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)
出处 《辽宁中医药大学学报》 CAS 2018年第12期177-180,共4页 Journal of Liaoning University of Traditional Chinese Medicine
基金 北京市科技计划项目(Z171100001017106).
关键词 血管性痴呆 中医 本虚标实 研究进展 vascular dementia traditional Chinese medicine asthenia in origin and excess insuperficiality research progress
作者简介 张会芹(1990-),女,河南滑县人,硕士研究生,研究方向:老年心脑血管疾病的防治;通讯作者:李浩(1965-),男,北京人,主任医师,博士研究生导师,博士,研究方向:老年心脑血管疾病的防治。E—mail:xyhplihao1965@126.com.
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