从中医五脏论血管性痴呆的病机

The Discussion on the Pathogenesis of Vascular Dementia from Five Zang-Organs

血管性痴呆虽然是现代医学病名,但是早在中医学论治"呆病""善忘"等疾病时就有对血管性痴呆相关症状的描述,且中医藏象理论认为,脑为元神之府,脑的功能分属于五脏并通过五脏来完成[1],五脏各有所藏之神并形成五神脏理论,五脏对神各有所主,五脏虚衰则神失所养、神机失用发为痴呆,由此可见血管性痴呆的病位虽在脑,但与心肝脾肺肾五脏的关系非常密切,笔者在宫师的指导下,结合临床实践和查阅古籍文献,现以五脏为纲对血管性痴呆的病机进行探讨,以期为临床辨证及治疗提供思路。

Vascular dementia is the name of modern m edicine. However, the description of the vascular dementia associated symptoms was recorded as early as when traditional Chinese medicine treated ＂ dementia＂ and ＂ amnesia＂. Furthermore, the doctrine of visceral manifestations thinks that brain is the spirit of the house. Brain function belongs to the five zang-organs and it to be done through five zang-organs. The Wu Shen Zang theory is based on the fact of five zang-organs related to emotions of the traditional Chinese medicine, and five zang-organs leads emotions. The deficiency of five zang-organs will result in vascular dementia.Therefore, the site of vascular dementia is brain, and related closely with five zang-organs. The author discussed the pathogenesis of vascular dementia from five zang-organs under the guidance of Gong Hongtao tutor by combining clinical practice and ancient literature in order to provide ideas for clinical syndrome differentiation and treatment.