School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, 40402, Taiwan.
Department of Neurology, China Medical University Hospital, Taichung, 40402, Taiwan.
J Tradit Complement Med. 2012 Apr;2(2):123-8. doi: 10.1016/s2225-4110(16)30085-2.
A stroke often results in post-stroke dementia, a rapid decline in memory and intelligence causing dysfunctions in daily life. The Chinese medicine doctor uses 4 examinations of inspection, listening, smelling, and feeling to determine the Chinese medicine pattern (CMP). Therefore, the purpose of the present study was to investigate the CMP in patients with post-stroke dementia. A total of 101 stroke patients were examined, consistent with the DSM IV diagnostic criteria of the American Psychiatric Association, as well as the National Institute of Neurological Disorders and Stroke-Association International pour Ia Recherche et I'Enseignement en Neurosciences vascular dementia diagnostic criteria of post-stroke dementia.
100 patients (99.0%) were KEDP (kidney essence deficiency pattern, shèn jīng kuī xū zhèng, ), 83 patients were AHLYP (ascendant hyperactivity of liver yang pattern, gān yáng shàng kàng zhèng, ), 83 patients were QBDP (qi-blood deficiency pattern, qì xuè kuī xū zhèng, ), 81 patients were SBOCP (static blood obstructing the collaterals pattern, yū xuè zǔ luò zhèng, ), 72 patients were BSTRP (bowels stagnation turbidity retention pattern, fǔ zhì zhuó liú zhèng, ), 50 patients were FHIEP (fire heat interior excess pattern, huǒ rè nèi sheng zhèng, ), and 39 participants (38.6%) were PTOOP (phlegm turbidity obstructing the orifices pattern, tán zhuó zǔ qiào zhèng, ); one to 31 patients have at least 2 CMPs simultaneously. In conclusion, the most CMP is KEDP CMP in the post-stroke dementia patients, and one patient may have one or at least 2 CMPs simultaneously.
中风常导致中风后痴呆，记忆力和智力迅速下降，导致日常生活功能障碍。中医医生使用望、闻、问、切四种检查方法来确定中医证候（CMP）。因此，本研究旨在探讨中风后痴呆患者的 CMP。共检查了 101 例中风患者，符合美国精神病学会 DSM IV 诊断标准以及美国国立神经病学和中风协会-国际血管性痴呆研究与教育协会的中风后痴呆诊断标准。
100 例患者（99.0%）为 KEDP（肾虚证，shèn jīng kuī xū zhèng），83 例为 AHLYP（肝阳上亢证，gān yáng shàng kàng zhèng），83 例为 QBDP（气血亏虚证，qì xuè kuī xū zhèng），81 例为 SBOCP（血瘀证，yū xuè zǔ luò zhèng），72 例为 BSTRP（腑实浊留证，fǔ zhì zhuó liú zhèng），50 例为 FHIEP（火热内盛证，huǒ rè nèi sheng zhèng），39 例患者（38.6%）为 PTOOP（痰浊阻窍证，tán zhuó zǔ qiào zhèng）；1 至 31 例患者同时存在至少 2 种 CMP。总之，中风后痴呆患者最常见的 CMP 是 KEDP CMP，1 例患者可能同时存在 1 种或至少 2 种 CMP。
