血管性痴呆的中医药临床诊治进展

Progress in Clinical Diagnosis and Treatment of Vascular Dementia

血管性痴呆是由于脑血管疾病引起的脑组织缺血、缺氧等病变所导致的认知功能障碍,发病率日益增高。中医药对VD的病因病机及治疗方面做出了重要贡献。VD病机总属本虚标实,肾精不足,气血阴阳亏虚,痰瘀浊毒滋生。治疗方面,有以辩证分型论治,有以分期论治,有专法专药、自拟方等论治,均展现出了中医药治疗VD的优势。但亦存在不足,有效药物及方法的筛选还需要设计更为严谨的临床试验进一步探索研究。

vascular dementia is a result of cerebral vascular disease caused by brain tissue ischemia, hypoxia and other diseases caused by the cognitive dysfunction, the incidence rate is increasing. Traditional Chinese medicine has made an important contribution to the pathogenesis and treatment of VD. VD pathogenesis is a total of the deficiency of the kidney essence, deficiency of kidney essence, Qi and yin deficiency of yin and Yang, phlegm and blood stasis turbid toxin. The treatment, in the dialectical type of treatment, in the stage of treatment, specifically with the special medicine, Decoction on treatment, exhibited the advantages of Chinese medicine treatment of VD. But there are also shortcomings, effective drugs and methods of screening also need to design a more rigorous clinical trials to further explore the study.