基于中医理论探讨老年衰弱综合征

Discussion on Senile Frailty Syndrome Based on Chinese Medicine Theory

老年衰弱综合征是一组由机体退行性改变、多种慢性疾病引起的机体易损性增加及抗应激能力减退的临床综合征,属于中医虚损类疾病。基于历代中医文献研究,老年衰弱的病机特点为五脏俱虚,脾肾尤甚;气液亏损,阴阳失衡;虚实夹杂,动态变化。病理变化特点为虚实夹杂、动态变化。治疗时需遵循扶正补虚,兼以祛邪;合理辨治,全面管理的治则,贯以治未病思想。

Senile frailty syndrome is a group of clinical syndromes caused by degenerative changes of the body,and a variety of chronic diseases,and characterized by increased body vulnerability and decreased anti-stress capability.It belongs to the category of deficiency disease in Chinese medicine.Based on the literature study of Chinese medicine,the pathogenesis of senile frailty is characterized by deficiency of five viscera,especially the deficiency of the spleen and kidney,qi-fluid deficiency,yin-yang imbalance,deficiency-excess complex,and dynamic changes.The features of pathological changes are deficiency-excess complex and dynamic changes.The treatment of frailty syndrome should follow the principle of reinforcing the healthy qi and supplementing deficiency,eliminating the pathogenic factors,appropriate syndrome differentiation,and comprehensive management.The idea of treating disease before it arises should run through the treatment.