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基于中医整体观念探析阿尔茨海默病病因病机
廖冬颖1,2, 孔凡铭1, 姚杨1,2, 邓仁芬1,2
1.天津中医药大学第一附属医院肿瘤科, 天津 300193;2.天津中医药大学研究生院, 天津 300617
摘要:
阿尔茨海默病发现至今超过1个世纪,患病人数逐年增加,然而在临床尚无明确有效的治愈药物,西医对其发病机制和原因的认识仍停留在假说阶段。中医认为阿尔茨海默病属于“痴呆”“呆病”范畴,历代医家对其发病及治疗均有论述。整体观念是中医理论体系的指导思想,用于分析疾病有其独特的优势。文章将基于中医整体观念,从“先天之本”-肾、“后天之本”-脾胃及气、血的角度分析阿尔茨海默病的中医病因病机,为指导临床的预防和治疗提供新思路。
关键词:  阿尔茨海默病  中医  整体观念  病因病机  脾肾
DOI:10.11656/j.issn.1672-1519.2022.08.12
分类号:R741.02
基金项目:天津市卫生和计划生育委员会中医药重点领域科研课题(2017003);天津市科委慢性病防治科技重大专项(17ZXMFSY00190);天津市卫生计生行业高层次人才选拔培养工程。
Exploration on the aetiology and pathogenesis of Alzheimer's disease based on holistic concept of traditional Chinese medicine
LIAO Dongying1,2, KONG Fanming1, YAO Yang1,2, DENG Renfen1,2
1.Oncology Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 300167, China
Abstract:
Alzheimer's disease has been identified for more than a century,and the number of patients has increased gradually. Nevertheless,there is no clear and effective medication which can cure the disease in clinical practice. Modern medicine's understanding of its pathogenesis and causes is still at the hypothesis stage. Traditional Chinese medicine (TCM) thinks Alzheimer's disease belongs to the range of "dementia,amnesia" and many Chinese doctors in different dynasties have discussed its pathogenesis and treatment. Holistic concept is the guiding ideology of TCM theory,which has unique advantages to analyse diseases. Based on holistic concept of TCM,this paper will explore and analyze the aetiology and pathogenesis of Alzheimer's disease from the viewpoint of "the congenital foundation-spleen" "the acquired foundation-kidney" "qi" and "blood",in order to guide clinical treatment.
Key words:  Alzheimer's disease  traditional Chinese medicine  holistic concept  pathogeny  spleen and kidney
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