老年轻度认知功能障碍的中医研究现状

Current study situation of traditional Chinese medicine in elderly people with mild cognitive impairment

老年轻度认知功能障碍是介于正常老化和痴呆之间的过渡阶段,是与年龄及教育程度不相符的认知功能损害。中医多归属于"健忘"范畴,为本虚标实之证,脾肾亏虚为本,痰、瘀、毒为标,但往往兼夹共存,交互为患。故药物治疗多以补益脾肾、化浊解毒为主,针灸推拿及调畅情志等非药物治疗也可取得一定疗效。早期干预危险因素可减少MCI的发生率,辨病与辨证相结合、中医与西医相结合、药物治疗与非药物康复相结合可能是今后MCI防治的研究方向。

Mild cognitive mpairment （MCI） of the elderly is a transitional stage between normal aging and dementia, a process that does not match with age and educational level. In Traditional Chinese Medicine （TCM）, MCI belongs to amnesia category, a syndrome of deficiency in root cause and excess in manifestation, specifically, deficiency of spleen and kidney is the root cause while phlegm, static blood and toxicity are the manifestations, moreover, deficiency and excess often coexist and interact closely with each other, Thus, tonifying the spleen and kidney, disperse stasis and detoxication are the main methods for treatment, and non-drug treatments such as acupuncture, tuina and emotional regulation may also be effective. Early intervention for risk factors can reduce the incidence of MCI, the combination of disease and syndrome differentiation, combination of TCM and Western medicine, medicine therapy and non-medicine therapy will be other aspects for prevention and treatment of MCI in the future.