Awake brain intelligence to treat vascular dementia

Yu Wentao NieJinTao College of traditional Chinese medicine, hebei medical university

Yang Muxiang TCM studio

China's traditional Chinese medicine to

        Etiology and pathogenesis

        Vascular dementia is refers to the various cerebrovascular diseases caused by brain dysfunction caused by acquired intelligence damage syndrome, clinical manifestation for the progressive decline in intelligence, memory, judgment and calculation cognitive dysfunction, and may be accompanied by emotional disorders, abnormal behavior and personality. Vascular dementia in the elderly, or prone to stroke disease. The disease belongs to Chinese medicine "amnesia" and "stay", "chi", "epilepsy disease and other diseases.

        About the pathogenesis of the disease, in past dynasties literature have the following views: one is kidney empty, said the pivot, the theory of "said:" brain for medullary sea "; Say again "myeloid sea, strength, more lighter since its degree, insufficient myeloid sea, turn the brain tinnitus, shin acid being dizzy, overstepping can see, the inactive repose". Dementia in the brain, and brain marrow sea, kidney advocate bone marrow, so kidney essence deficiency is vascular dementia in inner physical factors. Ye Tianshi said two is phlegm obstruction, qing dynasty in the clinical guidelines basis, yue: "the wind Yang, phlegm fire resistance qiao, god is not clear". Three is blood stasis, said sun simiao proposed "hardness in cold damage, stomach blood stasis, a forgetful". Wang Qingren in medical subjects Lin also mentioned "there is blood stasis, forgetful". Said four is liver depression, Ming zhang jingyue's "JingYue encyclopedia" said: "I with ease, or to, or in contemplation, or in a frightened and gradually to the dementia."

        Yang Muxiang professor think kidney advocate bone marrow and marrow in the brain, kidney essence is born marrow function strong, abundant, pulp in the medulla of enrichment, man CongLing. Elderly people, Yin qi from half, or because of long illness injury, kidney benefit loss, kidney failure and, medullary sea empty, and viscera function recession, gasification, stagnation of blood stasis, phlegm endogenous, alternating knot, phlegm and blood stasis on MengQing know-how, obsessed with the brain alongwith, disuse, gods and see DaiSha, indifferent to mind, and forgetful, etc. After stroke, and points out that the disease good hair with stroke is the common pathologic basis of liver and kidney deficiency, JingXie deficiency, kidney deficiency, Yin deficiency not Yang, liver Yang wind hair as stroke, stroke after alternating knot, phlegm and blood stasis and blood stasis resistance brain collaterals, patrons disuse for dementia. If the disease disease is in the brain, but the etiology and pathogenesis is closely related to liver and kidney, cases and so on dirty function disorder, liver and kidney deficiency for the disease, the knot disease, phlegm and blood stasis is the certificate of standard this virtual to real.

        Sent the clinical

        Chen Shiduo treatment for the disease, the qing dynasty in the Chambers and the secret record had "put to stay and white method, cure phlegm is put to stay", points out the importance of cure phlegm, on this basis, the Yang Muxiang further stressed that the kidney blood stasis blocking collaterals that nots allow to ignore, specimens must be taken into account, if only treats the symptoms in spite of the difficult to play its effect, so the legislation to benefit kidney and phlegm and dispelling stasis, developed into a refreshing open party. The party by the medlar 15 grams, acorus gramineus 10 grams, 15 grams of rhizoma ligustici wallichii, tangerine pith 10 grams, such as medicine, party in medlar have nourishing liver kidney, fill essence of educational function, modern pharmacological research shows that the medlar has adjust the body's immune function and anti-aging; Acorus gramineus phlegm switched on, wake up brain, hearing ear puzzle, modern pharmacology study shows that acorus gramineus volatile oil has the effect of inhibiting apoptosis of rats, can reduce brain excitatory amino acid levels in mice, significantly improve function of learning and memory of dementia rats; Rhizoma ligustici wallichii for qi drugs in blood, invigorate the circulation of qi, the modern pharmacological studies have shown that ligustrazine can increase cerebral ischemia-reperfusion induced the Bcl - 2 protein expression, cut Fas - L protein expression, inhibition of apoptosis; Tangerine pith work good at activating blood know luo, phlegm and qi. The medicine wu, administer thoroughly, altogether plays benefit hepatorenal t2dm, remove stasis, eliminating phlegm to begin to understand the effect of.

        The severity of clinical benefit and remove stasis, when according to the illness in order to contingency. If see the numbness, hemiplegia, dark purple tongue, blood stasis resistance network is relatively worse, ZhuoJia raw leech (at the end of the research into the capsule swallow) 3 g, dilong 10 grams, 30 grams of caulis spatholobi, with qi and remove stasis, relaxes the muscles t2dm; If look dull, god is darkened, qing qiao resistance is more worse, closed ZhuoJia turmeric 10 grams, invigorate the circulation of phlegm and begin to understand wake up; If tired lazy words, since the sweat, the deficiency of obvious ZhuoJia broiled astragalus membranaceus 30 grams, 15 grams of radix pseudostellariae, atractylodes 15 grams, with spleen yiqi, solid table stop sweat; If unstable blood pressure, dizziness, constantly shaking, and autumn zephyrlily interference on ZhuoJia gastrodia 10 grams, 15 grams of uncaria, tribulus terrestris 15 grams, with flat dive liver Yang, the town of liver extinguish wind; If lumbar debility, ringing in the ears, such as cicada, kidney empty is relatively worse, ZhuoJia cooked rehmannia 15 grams, 15 grams of mulberry, huang jing 15 grams, with increased kidney essence. In cutting, each a fine effect.

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