中医药治疗阿尔兹海默病的概况及展望

Overview and prospect of traditional Chinese medicine in the treatment of Alzheimer’s disease

阿尔兹海默病(Alzheimer’s disease,AD)是最常见的痴呆类型。截止2019年,我国已成为AD患者最多的国家,为我国看护及保健系统带来沉重负担。中医药治疗AD存在一定优势。本文系统综述了历代医家对AD的认识及治则,通过系统归纳AD分期、分型论治、单味中药、中药复方、经络针灸、情志疗法等多种中医手段对AD防治进行总结,强调从患者易感因素入手,分析AD病程、预后,在辨证论治基础上熟练运用中医疗法,为老年人打造“个性化”AD防治方案,既符合中医整体观,又体现了同病异治的个体化辩证思想,以期优化中医治疗AD方案。

Alzheimer’s disease(AD)is the most common type of dementia.As of 2019,China has become the country with the largest number of AD patients,which has brought a heavy burden to China’s nursing and healthcare system.Traditional Chinese medicine has certain advantages in the treatment of AD.This paper systematically summarizes the understanding and treatment principles of AD by physicians of past dynasties.It summarizes the prevention and treatment of AD through a variety of traditional Chinese medicine means such as AD staging,classification and treatment,single traditional Chinese medicine,traditional Chinese medicine compound,meridian acupuncture,and emotional therapy.It also emphasizes starting from the patient’s susceptibility factors,analyzing the course and prognosis of AD,and hopes to skillfully use traditional Chinese medicine therapy on the basis of syndrome differentiation and treatment,so as to create a"personalized"AD prevention and treatment plan for the elderly,so that it not only conforms to the overall view of traditional Chinese medicine,but also reflects the individualized dialectical thinking of the same disease with different treatments,in order to optimize the treatment of AD by traditional Chinese medicine.