基于肝肺气机失调论治血管性痴呆

Treatment of Vascular Dementia Based on Disorder of Qi Movement in Liver and Lung

徐峰教授对血管性痴呆的治疗有着丰富的临床经验和独到的理论认识,认为血管性痴呆在肝肺气机失调的基础上蓄生瘀血、浊毒,并导致气血、肾精的亏损。病理性质为本虚标实,肾精不足、气血亏虚为本,瘀血阻络、浊毒上犯为标。精血亏虚、脑消髓减,瘀毒阻络、神机失用为血管性痴呆基本病机,提出血管性痴呆的治疗大法:补益肝肾、益气养血;疏肝活血、宣肺降浊。

Professor Xu Feng has rich clinical experience and unique theoretical understanding on the treatment of vascular dementia(VD),who believes that VD accumulates blood stasis and turbid poison based on the disorder of qi movement in liver and lung,leading to the depletion of qi,blood,and kidney essence.The pathological nature is the asthenia in origin and sthenia in superficiality,with kidney essence insufficiencyand qi and blood deficiency as the origin,and blood stasis blocking collaterals and turbid poison as the superficiality.The basic pathogenesis of VD is essence and blood deficiency,brain marrow consumption,blood stasis and toxin obstruction,and loss of vital activity.To treat VD,this paper proposed the methods oftonifying liver and kidney,supplementing qi and nourishing blood,soothing liver and activating blood circulation,and ventilating lung and descending turbidity.