[1]孙景波 华荣 符文彬 王立新 程骁 沈鸿婷.基于张学文国医大师清脑通络法分析老年性认知障碍[J].陕西中医药大学学报,2020,(02):031-35.[doi:10.13424/j.cnki.jsctcm.2020.02.008]
 Sun Jingbo,Hua Rong,Fu Wenbin,et al.TCM Master Zhang Xuewen’ s Experience of Treating Senile Cognitive Impairment by Brain Refreshing and Collaterals Unblocking Method[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(02):031-35.[doi:10.13424/j.cnki.jsctcm.2020.02.008]
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基于张学文国医大师清脑通络法分析老年性认知障碍()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年02期
页码:
031-35
栏目:
出版日期:
2020-04-24

文章信息/Info

Title:
TCM Master Zhang Xuewen’ s Experience of Treating Senile Cognitive Impairment by Brain Refreshing and Collaterals Unblocking Method
文章编号:
2096-1340(2020)02-0031-05
作者:
孙景波 华荣 符文彬 王立新 程骁 沈鸿婷
广东省中医院张学文学术经验传承工作室,广东广州510120
Author(s):
Sun Jingbo Hua Rong Fu Wenbin Wang Lixin Cheng Xiao Shen Hongting
Zhang Xuewen’s Academic Experience Inheritance Studio of Guangdong TCM Hospital, Guangzhou China, 510120
关键词:
张学文脑当为脏论老年性认知障碍清脑通络汤
Keywords:
Zhang Xuewen theory of “ brain is the zang of vitality” senile cognitive impairment Qingnao Tongluo Decoction
分类号:
R221
DOI:
10.13424/j.cnki.jsctcm.2020.02.008
文献标志码:
A
摘要:
老年性认知障碍是指发生在老年期的认知功能障碍,属于中医学健忘?痴呆?呆病范畴,张学文国医大师突破传统理论,提出“脑当为脏论”,基于脑脏理论和脑髓生理病理特点的认识,总结出老年性认知障碍的形成路径是肾虚不能生髓充脑是根本原因;脏腑失调?气血亏虚?脑髓失养是必要条件;脑髓空虚?痰瘀阻滞脑髓是关键环节;脑髓失充失养?神明失用是最终病理结果?张学文国医大师提出清肝和血?化瘀通络的治疗大法,自拟清脑通络汤,治疗老年性认知障碍患者取得了较好临床疗效,希望这些研究对指导老年性认知障碍患者的临床治疗有一定的借鉴意义?
Abstract:
Senile cognitive impairment refers to cognitive dysfunction that occurs in old age, and belongs to the categories of forgetfulness and dementia in traditional Chinese medicine. Zhang Xuewen, a master of Chinese medicine, broke through the traditional theory and put forward the theory of “ brain as viscera” . Based on the theory of “ brain is the zang of vitality” and the understanding of the physiological and pathological characteristics of brain marrow, the author concludes that the formation of senile cognitive impairment is that kidney deficiency can not generate marrow and fill the brain; The essential conditions are the disorder of zang fu organs, deficiency of qi and blood, and the loss of nourishment of brain and marrow; the key lies in the deficiency of brain and marrow and the stagnation of phlegm and blood stasis; the final pathological results are the loss of nourishment of brain and marrow and mental abnormality. TCM Master Zhang Xuewen put forward the treatment of clearing liver - fire, nourishing blood and promoting blood circulation, dispersing blood stasis and dredging collateral, and made Qingnao Tongluo Decoction. It is hoped that these studies will have certain reference significance in guiding the clinical treatment of patients with senile cognitive impairment.

参考文献/References:

[1]李军,史嵩海,张学文.中医脑脏理论体系的构建及其临床应用[J].陕西中医学院学报,2013,36(3):5-8.
[2]张学文.中风先兆证及清脑通络片的理论?临床?实验研究[C].全国急症学术大会论文专辑.1996:5.
[3]梁建议,王亚丽,齐娜.清脑通络汤加味治疗血管性头痛35例[J].陕西中医学院学报,2012,35(2):47-48.
[4]王燕,李军.李军教授运用清脑通络汤化裁治疗高血压病验案2则[J].四川中医,2013,31(11):103-104.
[5]华荣,孙景波,齐绒芳,等.清脑通络方治疗短暂性脑缺血发作(肝热血瘀型)163例疗效观察[J].新中医,2006,24(7):33-34.
[6]孙景波,华荣,何莉娜,等.短暂性脑缺血发作患者清脑通络方治疗前后血浆CD41/CD42b表达的临床意义[J].时珍国医国药,2009,20(12):2998-2999.
[7]孙景波,华荣,何莉娜.清脑通络方对老年痴呆模型大鼠学习记忆功能的改善作用[J].陕西中医,2009,30(8):1095-1097.
[8]程骁,邓敏贞,侯紫君,等.清脑通络方对老年性阿尔茨海默病大鼠海马突触结构的重建作用[J].新中医,2018,50(7):26-29.
[9] Jun Cai, Ruihuan Pan, XiangJia, et al. The combination of Astragalus membranaceus and Ligustrazine ameliorates micro - haemorrhage by maintaining blood - brain barrier integrity in cerebrally ischaemic rats. J Ethnopharmacol,158 ( 2014) :301 -309
[10]侯紫君,华荣,孙景波,等.清脑通络方对AS小鼠血清SOD?MDA?LPO含量及脑组织栓子外渗的影响[J].时珍国医国药,2016,27(3):572-574.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81173256) 作者简介:孙景波(1962-),男,医学博士,研究员,研究方向:中医脑病?E-mail:gdszyysjb@163.com
更新日期/Last Update: 1900-01-01