基于“脾不及则九窍不通”诠释益气开窍法防治痴呆的科学内涵

Interpreting the Scientific Connotation of Preventing and Treating Dementia by Benfiting Qi for Resuscitation Based on “Spleen Insufficiency is Characterized by Obstruction of the Nine Orifices”

'脾不及则九窍不通'源自于《黄帝内经》,历代医家对其认识不断丰富,各有发挥。脑窍化生神机,为藏神之窍,主导神识、精神和情志等,其功能正常行使与脾脏关系密切。脾为后天之本,主运化和升清,'脾不及'则运化无力、升降无权,致使津聚为痰,痰蒙清窍而发为痴呆。结合'脾不及则九窍不通'理论,阐释'脾不及'是痴呆发病的重要病机,以燮理'脾不及'为切入点,为益气开窍法防治痴呆的临床运用提供理论依据。