从阳论治老年性痴呆的中医康复思想

Rehabilitation Thought of Traditional Chinese Medicine in the Treatment of Senile Dementia from Yangqi

通过分析古代文献,总结阳气对老年性痴呆的影响以及从阳论治原则在老年性痴呆康复治疗中的应用。从阳气功能的角度探讨老年性痴呆病机,认为阳虚温煦不足,精血不充,神明失养;阳虚推动无力,痰瘀丛生,阻滞脑窍,均可导致老年性痴呆的发生。从阳论治老年性痴呆的中医康复思想,具体包括以调理督脉、激发阳气为核心的针灸康复法,以补益心气、振奋心阳为核心的药物康复法,以动而生阳、平衡阴阳为核心的运动康复法。

Through the analysis of ancient literature,this paper summarized the effects of Yangqi on senile dementia and the rehabilitation treatment of senile dementia form the aspect of Yangqi. The pathogenesis of senile dementia is discussed from the perspective of Yangqi. It is believed that yang deficiency will not only lead to insufficiency of warmth,lack of essence and blood,and loss of spiritual and mental nourishment;but also lead to inability to activate qi,further leading to accumulation of phlegm and blood stasis which will eventually be formed in brain and cause senile dementia. The rehabilitation thought of traditional Chinese medicine in treating senile dementia from Yangqi includes acupuncture rehabilitation method mainly to regulate the Governor Vessel and stimulate Yangqi,drug rehabilitation method mainly to tonify heart qi and stimulate heart yang,and exercise rehabilitation method mainly to activate yang to achieve the balance of yin and yang.