摘要
脑小血管病认知障碍(CSVCI)是血管性认知障碍的重要亚型,早期防治CSVCI对于防治其进展至痴呆具有重要意义。阐述中医络病理论及脑络与CSVCI的关系,从络病视角探讨中医对CSVCI病机的认识,认为CSVCI形成的基础是肾精亏少、络脉空虚,CSVCI久病不愈的病机关键是痰瘀闭阻、脑络不通。运用络病理论指导CSVCI中医药治疗,将“通络”法作为治疗CSVCI的基本法则,以补虚通络、祛邪通络探析CSVCI中医药治疗进展。
Cerebral small vascular cognitive impairment(CSVCI)is an important subtype of vascular cognitive impairment,and it is critical to treat and prevent CSVCI before it progresses to dementia.This research explores the understanding of traditional Chinese medicine(TCM)on the pathophysiology of CSVCI from the perspective of collateral disease by elaborating on the theory of collateral disease in TCM as well as the relationship between brain collaterals and CSVCI.It is thought that a lack of renal essence and the emptiness of collaterals are the causes of CSVCI collateral disease,and that phlegm and blood stasis,as well as blockage of the brain collaterals,are the keys to the pathophysiology of this difficult-to-cure condition.Using the theory of collateral disease to guide TCM treatment of CSVCI,treating CSVCI with“tongluo”as the basic rule,and analyzing the progress of TCM treatment of CSVCI with“buxu tongluo,quxie tongluo”.
作者
胡磊
赵峰
虞鹤鸣
Hu Lei;Zhao Feng;Yu Heming(Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Encephalopathy,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210001,China)
出处
《亚太传统医药》
2023年第9期239-243,共5页
Asia-Pacific Traditional Medicine
基金
江苏省中医药管理局科技发展计划项目(MS2021033)
南京医学科技发展计划项目(YKK20164)
南京市“十三五”名中医(虞鹤鸣)工作室建设项目(宁卫中医[2017]8号-20)。
关键词
脑小血管病
认知障碍
络病理论
病机
中医药治疗
Cerebral Small Vessel Disease
Cognitive Impairment
Collateral Disease Theory
Pathogenesis
Traditional Chinese Medicine Treatment
