基于脾肾亏虚、痰瘀互结病机论治老年性痴呆

Treatment of Senile Dementia According to the Pathogenesis of Spleen and Kidney Deficiency,Phlegm and Blood Stasis

老年性痴呆是最常见的一种痴呆类型,基于中医古籍及现代医家对该病的认识,认为其病机之本为脾肾亏虚,病机之标为痰瘀互结,且脾肾亏虚、痰瘀互结之间相互兼夹、相互影响,共同推动痴呆病情的发生和发展。基于此病机特点,临证以健脾益肾、化痰祛瘀为法,拟方加减薯蓣丸治疗痴呆并取得显著临床疗效。

Senile dementia is the most common type of dementia.Based on the knowledge of ancient books of traditional Chinese medicine and modem physicians,we believe that the pathogenesis cannot be separated from spleen and kidney deficiency and phlegm and blood stasis.Spleen and kidney deficiency and phlegm and blood stasis are mutually reinforcing and influencing each other to promote the occurrence and development of dementia.Based on the characteristics of this disease,we take strengthening spleen and benefiting kidney,eliminating phlegm and removing blood stasis as the method,using modified Shuyu pills to treat dementia and obtain significant clinical efficacy.