从窠囊理论探讨痴呆的发生机制及治疗策略

Discussion on the mechanism and treatment strategy of dementia from the theory of ‘Kenang’

痰、瘀是衰老过程中的病理产物,亦是痴呆发生发展进程中的重要病因。窠囊理论和痴呆的发生机制有着密切的联系,肝脾(胃)功能失调以致气血津液不和,最终导致痰瘀互结蒙蔽神明,窠囊即成,盘踞中焦,日久气虚血亏,脑窍失养。文章从窠囊的角度探讨了痴呆的发生及治疗思路,以期丰富窠囊理论内涵,为痴呆的临床治疗提供新的思路。

Phlegm and stasis are the pathological product during the aging possession, also is the major etiology in the process of the dementia. The ‘Kenang’ theory is closely related to the pathogenesis of dementia. The dysfunction of the liver and spleen(stomach) results in the disharmony of qi-blood-body fluid, which eventually leads to the mutual entanglement of phlegm and stasis to deceive the spirit activity. After the ‘Kenang’ is formed, it is settled in the middle energizer, and after a long time, it will lead to qiblood vacuity and brain orifice dystrophy. The mechanism and ideas of treatment of dementia are discussed from ‘Kenang’ perspective in this article, to enrich the theoretical connotation of ‘Kenang’, providing the new ideas for the clinical treatment of dementia.