摘要
根据Alzheimer病（AD）的发病过程及其临床特征.回顾历代中医药文献的有关论述，对林水淼论治AD的学术思想予以总结。认为AD宜归属中医“神病”范畴，与传统中医的“痴呆”、“呆病”主要表现为精神障碍迥异。AD可分为后天识神失常和先天元神不足两类;心气不足，肾精虚衰.脑失所养，神不归舍是AD发病的内在原因;痰滞瘀阻，蒙蔽神窍，神机失灵是老化过程中促发AD的重要因素，属本虚标实之证。治疗上可分为“阴静”症状为主的心气不足型和“阳动”症状为主的肾精虚衰两型，分别予以调心、补肾之法论治。
In summery of LIN Shui-miao's academic thoughts in the treatment of Alzheimer disease (AD) in accordance with its pathogenic process and clinical features and by review of the related explanation in the classic literature on Chinese medicine and pharmacy , this article believes that AD should be classified into the category of 'Mental diseases' in Chinese medicine,because of its difference with psychological disorders mainly manifested in ' dementia ' and 'dull disease' in traditional Chinese medicine. AD can be divided into two types of postnatal dysfunction in recognition of the spirit and prenatal insufficiency of Yuan-Primarry Spirit.Insufficiency of the heart qi, deficiency and decline in the kidney essence, lack of nourishment in the brain and mental derangement are the internal factors in AD.Acctumulation of phlegm, blockage of the spiritual aperture and dysfunction in the spiritual ability are the important factors in the aging process, belonging to the pattern of deficiency in the constitution and excess in the symptoms.Therapeutically, it can be divided into the pattern of heart qi insufficiency manifested mainly by 'yin tranquility 'and the pattern of the kidney essence deficiency manifested mainly by 'yang motion, which can be treated respectively by the methods to regualte the heart and to tonify the kidney.
出处
《上海中医药大学学报》
CAS
1999年第4期17-19,共3页
Academic Journal of Shanghai University of Traditional Chinese Medicine
关键词
论治
ALZHEIMER病
痴呆
心气不足
肾精
治疗
学术思想
调心
重要因素
失常
LIN Shui-miao
academic thoughts
mental disease
dementia
Alzheimer disease
heart qi insufficiency
kidney essence deficiency
regulate the heart
tonify the kidney
