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中医药治疗痴呆。

Traditional Chinese medicine for dementia.

机构信息

Liaoning Provincial Center for Clinical Research on Neurological Diseases, the First Affiliated Hospital, Dalian Medical University, Dalian, P.R. China.

Shenzhen Institute of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, P.R. China.

出版信息

Alzheimers Dement. 2021 Jun;17(6):1066-1071. doi: 10.1002/alz.12258. Epub 2021 Mar 7.

Abstract

In Western medicine, dementia refers to a spectrum of diseases affecting cognition, mental health, and physical abilities. Ancient medical literatures of traditional Chinese medicine (TCM) also recorded dementia-like symptoms, but described the disease from a totally distinct theoretical point of view. The earliest records of memory loss in ancient China can be traced back 2000 years earlier. In TCM, dementia can be attributed mainly to the Brain dystrophy, Spleen-Kidney weakness, Blood stasis, and Phlegm stagnation. Of interest, ancient Chinese physicians have proposed that dementia manifests as not only cognitive but also noncognitive symptoms including psychiatric disorders and sleep disturbance, which have been investigated widely nowadays in Western medicine. Various TCM prescriptions, herbal medicines, and acupunctures have also been proposed for dementia prevention and therapy. Some of these strategies are still used in current clinical practice. Reviewing and highlighting the unique TCM recognition of treating dementia may shed light on future dementia research.

摘要

在西医学中,痴呆是指一系列影响认知、心理健康和身体能力的疾病。中医古籍也有记载类似痴呆的症状,但从完全不同的理论角度描述了这种疾病。中国古代对记忆力减退的最早记载可以追溯到 2000 年前。在中医中,痴呆主要归因于脑萎缩、脾肾虚弱、血瘀和痰凝。有趣的是,古代中国医生提出,痴呆不仅表现为认知症状,还表现为非认知症状,包括精神障碍和睡眠障碍,这些症状在当今西方医学中得到了广泛研究。中医还提出了各种方剂、草药和针灸治疗痴呆症。其中一些策略仍在当前的临床实践中使用。回顾和强调中医对痴呆症治疗的独特认识,可能为未来的痴呆症研究提供启示。

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