孙西庆从六经辨治血管性痴呆经验

Professor Sun Xiqing′s Experience in Treating Vascular Dementia Through Six-Meridian Differentiation

孙西庆教授认为,血管性痴呆可从六经辨治,太阳表气不利,营卫失和者,治宜温经通脉,调和营卫,方用桂枝汤加炒麦芽、白茯苓、川芎、天麻;瘀热相搏,血蓄阳明者,治宜活血化瘀,通腑醒脑,方用抵当汤加炒麦芽、白茯苓;少阳不和,枢机不利者,治宜和解少阳,斡旋气机,镇惊安神,方用柴胡加龙骨牡蛎汤去铅丹加菖蒲、远志、川芎;邪入太阴,清阳不升者,治宜健脾升清,方用四君子汤合开心散、桂枝茯苓丸;少阴失司,水火失交者,治宜清上温下,交通心肾,方用栀子豉汤合附子汤、黄连阿胶汤、猪苓汤;厥阴不利,阴阳失交者,治宜清上温下,燮理阴阳,方用乌梅丸加川芎。

Professor Sun Xiqing believes that vascular dementia(VaD) can be treated through the differentiation of the six meridians.For obstruction of the greater yang meridian exterior qi leading to disharmony between the nutrient and defense qi,the treatment focuses on warming the meridians to unblock the vessels and harmonizing the nutrient and defense qi,using Cinnamon Twig Decoction with added stir-fried Maiya(Fructus Hordei Germinatus),white Fuling(Poria),Chuanxiong(Rhizoma Chuanxiong) and Tianma(Rhizoma Gastrodiae).For interaction between blood stasis and heat,with blood accumulating in the yang brightness meridian,the treatment focuses on activating blood circulation to resolve stasis,and unblocking the viscera to awaken the brain,so Resistance Decoction Decoction is used,stir-fried Maiya(Fructus Hordei Germinatus),and white Fuling(Poria) are added.For disharmony in the lesser yang meridian causing dysfunction in the pivot,the treatment focuses on harmonizing the lesser yang meridian,regulating the qi movement,calming the mind,so Bupleurum Decoction Plus Os Draconis and Concha Ostreae without Qiandan(Minium) is used,and Changpu(Rhizoma Acori Tatarinowii),Yuanzhi(Radix Polygalae) and Chuanxiong(Rhizoma Chuanxiong) are added.For pathogen invasion in the greater yin meridian preventing lucid yang from ascending,the treatment focuses on invigorating the spleen to elevate lucid yang,so Four Gentlemen Decoction combined with Happy Powder and Cinnamon Twig and Poria Pill is used.For failure of the lesser yin meridian resulting in the disharmony between water and fire,the treatment focuses on clearing the upper while warming the lower,and harmonizing the heart and kidney,so Gardenia and Semen Sojae Praeparatum Decoction combined with Aconite Decoction is used.For the reverting yin meridian being obstructed,leading to a disconnection between yin and yang,the treatment focuses on clearing the upper while nourishing the lower and harmonizing yin and yang,so Rhizoma Coptidis and Colla Corii Asini Decoction,and Polyporus Decoction can be used.For disharmony between yin and yang,the treatment focuses on clearing the upper body while warming the lower and regulating yin and yang,so Mume Pill plus Chuanxiong(Rhizoma Chuanxiong) can be used.