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[1]贾戌生,刘敬霞.中医对痴呆症的文献研究和理论认知[J].宁夏医科大学学报,2019,(06):629-633.[doi:10.16050/j.cnki.issn1674-6309.2019.06.020]
 JIA Xusheng,LIU Jingxia.Literature Research and Theoretical Cognition of Dementia in Traditional Chinese Medicine[J].Ningxia Medical University,2019,(06):629-633.[doi:10.16050/j.cnki.issn1674-6309.2019.06.020]
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中医对痴呆症的文献研究和理论认知(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年06期
页码:
629-633
栏目:
民族医药
出版日期:
2019-06-30

文章信息/Info

Title:
Literature Research and Theoretical Cognition of Dementia in Traditional Chinese Medicine
文章编号:
1674-6309(2019)06-0629-05
作者:
贾戌生1 刘敬霞23
(1. 宁夏医科大学,银川 750004; 2. 宁夏医科大学中医学院,银川 750004; 3. 宁夏医科大学回医药现代化教育部重点实验室,银川 750004)
Author(s):
JIA Xusheng1 LIU Jingxia23
(1. Ningxia Medical University,Yinchuan 750004,China; 2. Traditional Chinese Medicine of Ningxia Medical University,Yinchuan 750004,China; 3. Key Laboratory of Hui Medicine Modernization,Ministry of Education,Ningxia Medical University,Yinchuan 750004,China)
关键词:
痴呆中医文献认知
Keywords:
dementia Chinese medicine literature cognition
分类号:
R246
DOI:
10.16050/j.cnki.issn1674-6309.2019.06.020
文献标志码:
A
摘要:
为归纳整理中医文献对痴呆的认知。按照历史脉络,从病名、病位、病因病机、论治之要,论治方药的顺序对痴呆进行梳理。认为痴呆隶属于中医学 “善忘”、“健忘”、“呆病”、“中风后善忘”、“中风后神呆”等病证之范畴;其病位虽在脑,但辨治涉及心、肾、脾胃、肝和肺等多脏腑;痴呆的病理要素,以气、火、痰、瘀、虚为主,临床可根据患者的体质、感邪种类等差异,既可单独为患,亦可兼挟发病。临证辨识当以具体表现为依据,以四诊辨证为准绳。治疗以虚则补之、实则泻之为原则,以脑为首,从五脏分治,以心肾为主,兼及他脏。通过按历史脉络对历代医家论治痴呆名方进行归纳整理,结合现代中医文献研究分析后,中医认知、防治痴呆的思路进一步明朗清晰,即以滋肾益髓、补心健脾为主,兼安心神,疏肝气,祛痰浊、活血瘀,交心肾、清心火。且此辨治经验承上启下、澄源彻流,对后世及当今论治痴呆病证的影响甚大,其借鉴意义极强。
Abstract:
To inductively sort out the knowledge of dementia in TCM literature. According to the historical context, from the disease name, disease location, pathogenesis and the treatment of the disease, the order of prescription drugs was used to sort out the dementia. Dementia belongs to the category of syndromes such as “forgiveness”, “forgetfulness”. Although the disease was in the brain, the diagnosis involves multiple organs such as heart, kidney, spleen and stomach, liver and lung. The pathological elements of dementia were mainly qi, fire, and phlegm. The clinical condition could be based on the patient's physical condition and the type of sensation and evil. Proof identification was based on specific performance, taking the four diagnoses as the criterion. Treatment was based on the principle of brain, divided from the five internal organs, heart and kidney are main, as well as other internal organs. By summarized and arranged the famous doctors in the past, according to the historical context, combined with the analysis of modern Chinese medical literature, the thinking of Chinese medicine cognition and prevention of dementia was clear. We should nourish the kidney and marrow, calm the heart, soothe the liver, eliminate phlegm, blood stasis, and clear heart fire. This experience of treatment had a great influence on future.

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备注/Memo

备注/Memo:
收稿日期:2018-12-27
基金项目:宁夏高等学校一流学科建设项目(中医学)资助项目(NXYLXK2017A06);国家自然科学基金(81560815)
作者简介:贾戌生(1994-),男,陕西咸阳人,在读硕士研究生,研究方向:中医药防治老年病。E-mail:327732291@qq.com
通信作者:刘敬霞(1970-),女,教授,主任医师,博士后,博士研究生导师。研究方向:中医药防治老年病。E-mail:ljx199566@163.com
更新日期/Last Update: 2019-06-30