血管性痴呆毒损脑髓病机浅析

Brief Analysis on the Pathogenesis of Vascular Dementia Poisonously Damaging Encephalon

目的:探讨血管性痴呆(vascular dementia,VD)毒损脑髓的病机。方法:通过查阅文献,总结、分析并归纳传统医学和现代医学对血管性痴呆的认识。结果:肾气虚衰为VD病因,五脏失调、痰瘀互阻为VD发病关键,痰瘀互阻、蕴结成毒是VD核心病机,补肾祛瘀为治疗VD的精髓。结论:痰瘀互阻脑络、蕴裹致毒、毒邪侵蚀脑络、败坏脑髓是VD的核心病机,补肾逐瘀攻邪为其基本治法。

Objective：To discuss the pathogenesis of vascular dementia （VD） poisonously damaging encephalon. Methods：Understand ings of traditional medicine and modern medicine on VD were summarized and analyzed through reviewing literatures. Results：Deficien cy of kidney was the original factor of VD ; maladjustment of five viscera, mutual stagnation of phlegm and blood stasis were the key fac tors for the occurrence of VD ; mutual stagnation of phlegm and blood stasis and accumulation of poisons were the central pathogenesis of VD ;tonifying kidney and removing stasis were the core of treatment. Conclusion：Mutual resistance of phlegm and blood stasis in brain system, accumulation of poison eroding brain system and corruption of encephalon are the core pathogenesis of VD, therefore, nourishing kidney and dispelling evil should be its basic therapy.