曹子成从《黄帝内经》探析血管性痴呆的病因病机

Cao Zicheng's Analysis of Etiology and Pathogenesis of Vascular Dementia from Huangdi's Canon of Medicine

曹子成主任医师对于"和谐"思想与血管性痴呆的关系,有深入的研究和重要的发挥,提出"阴阳失和,脏腑失调,痴呆由生"的观点。阴阳不和,髓海空虚为血管性痴呆的主要病机之一。曹子成主任医师认为,阴阳和谐,脑髓充盈,则脑的生理功能才能正常发挥,反之,阴阳失和,髓海空虚,神明失司,痴呆由生。血管性痴呆的病因病机有:肾脏失和,肾精不足,无以化髓,髓海空虚;肾脏失和,无以化髓,髓海空虚;心脏失和,心脏不能主神志;脾脏失和,气血亏虚或痰浊、瘀血蒙蔽脑窍;脾脏失和,脾虚生痰,瘀血阻窍。

In terms of the relationship between " harmony" thought and vascular dementia,Chief physician Cao Zi-cheng has made an in-depth study and important exertion. He has put forward the viewpoint that " if yin and yang are out of harmony,viscera are out of order,dementia will occur" . Yin-yang disharmony,and marrow sea emptiness is one of the main pathogenesis of vascular dementia. He thinks that the physiological functions of the brain can be brought into play if the yin and yang are harmonious and the brain marrow is full. On the contrary,yin-yang disharmony,marrow sea emptiness can lead to dementia. The etiology and pathogenesis of vascular dementia are as follows: Disharmony of kidney leads to insufficient kidney essence failing to transform into marrow; Disharmony of heart leads to heart failing to control mind; Disharmony of spleen leads to deficient qi and blood or phlegm,and blood stasis disturbing the mind; Disharmony of spleen leads to deficient spleen and phlegm,and blood stasis obstructing orifices.