曹子成从《黄帝内经》探析血管性痴呆的病因病机
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摘要
曹子成主任医师对于"和谐"思想与血管性痴呆的关系,有深入的研究和重要的发挥,提出"阴阳失和,脏腑失调,痴呆由生"的观点。阴阳不和,髓海空虚为血管性痴呆的主要病机之一。曹子成主任医师认为,阴阳和谐,脑髓充盈,则脑的生理功能才能正常发挥,反之,阴阳失和,髓海空虚,神明失司,痴呆由生。血管性痴呆的病因病机有:肾脏失和,肾精不足,无以化髓,髓海空虚;肾脏失和,无以化髓,髓海空虚;心脏失和,心脏不能主神志;脾脏失和,气血亏虚或痰浊、瘀血蒙蔽脑窍;脾脏失和,脾虚生痰,瘀血阻窍。
In terms of the relationship between "harmony" thought and vascular dementia,Chief physician Cao Zi-cheng has made an in-depth study and important exertion. He has put forward the viewpoint that " if yin and yang are out of harmony,viscera are out of order,dementia will occur". Yin-yang disharmony,and marrow sea emptiness is one of the main pathogenesis of vascular dementia. He thinks that the physiological functions of the brain can be brought into play if the yin and yang are harmonious and the brain marrow is full. On the contrary,yin-yang disharmony,marrow sea emptiness can lead to dementia. The etiology and pathogenesis of vascular dementia are as follows: Disharmony of kidney leads to insufficient kidney essence failing to transform into marrow; Disharmony of heart leads to heart failing to control mind; Disharmony of spleen leads to deficient qi and blood or phlegm,and blood stasis disturbing the mind; Disharmony of spleen leads to deficient spleen and phlegm,and blood stasis obstructing orifices.
In terms of the relationship between "harmony" thought and vascular dementia,Chief physician Cao Zi-cheng has made an in-depth study and important exertion. He has put forward the viewpoint that " if yin and yang are out of harmony,viscera are out of order,dementia will occur". Yin-yang disharmony,and marrow sea emptiness is one of the main pathogenesis of vascular dementia. He thinks that the physiological functions of the brain can be brought into play if the yin and yang are harmonious and the brain marrow is full. On the contrary,yin-yang disharmony,marrow sea emptiness can lead to dementia. The etiology and pathogenesis of vascular dementia are as follows: Disharmony of kidney leads to insufficient kidney essence failing to transform into marrow; Disharmony of heart leads to heart failing to control mind; Disharmony of spleen leads to deficient qi and blood or phlegm,and blood stasis disturbing the mind; Disharmony of spleen leads to deficient spleen and phlegm,and blood stasis obstructing orifices.
引文
[1]马莉,姜欢,刘征.中医药治疗血管性痴呆研究进展[J].针灸临床杂志,2015,31(1):85.
[2]张淑芳,吕广耀.中医药治疗血管性痴呆的研究进展[J].新疆中医药,2017,35(5):116.
[3]温艳辉,黄元鹏.浅述血管性痴呆的中医诊治[J].云南中医中药杂志,2015,26(3):83.
[4]李忠辉,胡玉英.中医药治疗血管性痴呆研究进展[J].亚太传统医药,2016,12(4):58.
[5]林田.中医药治疗血管性痴呆研究进展[J].内蒙古中医药,2013,32(4):115.
[6]吴琼,刘芳,刘剑刚,等.参麻益智方对轻中度血管性痴呆病人认知功能和血液流变性的影响[J].中西医结合心脑血管病杂志,2017,15(9):2381-2384.
[7]张光霁,董一帆.从医学模式看中西医学健康和谐思维的融通[J].浙江临床医学,2013,15(8):1229-1231.
[8]李成华,孙慧明,张庄祥.基于阴阳隐喻认识的《内经》脏腑藏泻理论诠释[J].长春中医药大学学报,2016,32(6):1102.
[9]师会,赵悦.补肾活血法治疗血管性痴呆的理论探讨[J].辽宁中医杂志,2015,42(2):266-267.
[10]陈立,王小琴.肾藏精理论源流探析[J].中国中西医结合肾病杂志,2016,17(9):839-841.
[11]郝军生,丁现琴.补脾益心汤治疗老年血管性痴呆心脾两虚证患者临床疗效评估[J].亚太传统医药,2014,10(24):95-96.
[12]籍明智,马晓丽,侯兆辉.血管性痴呆病因病机探讨[J].中国社区医生,2014,30(4):7.
[13]沈作鹏,吴红彦.血管性痴呆中医病因病机理论浅识[J].医学信息,2014,27(3):373.
[14]詹秀菊,刘丽蓉,刘秀峰.基于数据挖掘的针灸治疗血管性痴呆的选穴规律分析[J].广州中医药大学学报,2017,34(6):863-866.
[15]李虹.浅析健脾活血化痰法治疗血管性痴呆的临床应用[J].中国实用医药,2015,10(3):182-183.
[16]聂秋华,丁淑芳,孙喜庆.从脾虚痰瘀谈血管性痴呆的发病机制[J].中国中医药现代远程教育,2014,19(9):11-12.
[17]惠振亮,阮绍萍,曹瑾,等.血管性痴呆中医证型临床研究[J].陕西中医,2014,31(4):465-467.
[2]张淑芳,吕广耀.中医药治疗血管性痴呆的研究进展[J].新疆中医药,2017,35(5):116.
[3]温艳辉,黄元鹏.浅述血管性痴呆的中医诊治[J].云南中医中药杂志,2015,26(3):83.
[4]李忠辉,胡玉英.中医药治疗血管性痴呆研究进展[J].亚太传统医药,2016,12(4):58.
[5]林田.中医药治疗血管性痴呆研究进展[J].内蒙古中医药,2013,32(4):115.
[6]吴琼,刘芳,刘剑刚,等.参麻益智方对轻中度血管性痴呆病人认知功能和血液流变性的影响[J].中西医结合心脑血管病杂志,2017,15(9):2381-2384.
[7]张光霁,董一帆.从医学模式看中西医学健康和谐思维的融通[J].浙江临床医学,2013,15(8):1229-1231.
[8]李成华,孙慧明,张庄祥.基于阴阳隐喻认识的《内经》脏腑藏泻理论诠释[J].长春中医药大学学报,2016,32(6):1102.
[9]师会,赵悦.补肾活血法治疗血管性痴呆的理论探讨[J].辽宁中医杂志,2015,42(2):266-267.
[10]陈立,王小琴.肾藏精理论源流探析[J].中国中西医结合肾病杂志,2016,17(9):839-841.
[11]郝军生,丁现琴.补脾益心汤治疗老年血管性痴呆心脾两虚证患者临床疗效评估[J].亚太传统医药,2014,10(24):95-96.
[12]籍明智,马晓丽,侯兆辉.血管性痴呆病因病机探讨[J].中国社区医生,2014,30(4):7.
[13]沈作鹏,吴红彦.血管性痴呆中医病因病机理论浅识[J].医学信息,2014,27(3):373.
[14]詹秀菊,刘丽蓉,刘秀峰.基于数据挖掘的针灸治疗血管性痴呆的选穴规律分析[J].广州中医药大学学报,2017,34(6):863-866.
[15]李虹.浅析健脾活血化痰法治疗血管性痴呆的临床应用[J].中国实用医药,2015,10(3):182-183.
[16]聂秋华,丁淑芳,孙喜庆.从脾虚痰瘀谈血管性痴呆的发病机制[J].中国中医药现代远程教育,2014,19(9):11-12.
[17]惠振亮,阮绍萍,曹瑾,等.血管性痴呆中医证型临床研究[J].陕西中医,2014,31(4):465-467.