基于肾-脑相关理论谈血管性痴呆从肾论治

Based on kidney-brain correlation to discuss the treatment of vascular dementia from the kidney

血管性痴呆(VD)病因病机复杂,但总以肾虚精亏、髓海不足为主。肾为先天之本,主藏精生髓而充于脑,脑为髓之海,肾与脑紧密关联。因此,VD的治疗当以补肾填精而益髓。肾-脑相关理论根于二者阴阳、经络、精髓及神志方面存在相关性,从中医及现代医学角度分析肾、脑的生理、病理,不仅为从肾论治VD提供了精确的辨治思路,同时也为肾-脑相关理论的实际运用提供了一定的科学依据。

Vascular dementia(VD)has complicated etiology and pathogenesis,but in general,it is mainly due to kidney deficiency and lack of marrow.The kidney is the congenital foundation.It contains the essence and the marrow to fill the brain,and the brain is the sea of marrow,so the kidney and the brain are closely related.Therefore,the treatment of VD should enrich the kidney and fill the essence.The theory of kidney-brain correlation is rooted in the correlation between their yin and yang,meridians,essence and mind.Analyzing the physiology and pathology of the kidney and brain from the perspective of traditional Chinese medicine and modern medicine,not only provides an accurate diagnosis and treatment idea for treating VD from the kidney,but also provides a certain scientific basis for the practical application of kidney-brain related theories.