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从"肾虚痰瘀"论治脑白质变性

胡天时 岳利峰 马培 龚洲 付宏宇 贾岳津 刘鑫雨 吴柔燕 刘金瑛 李志更

吉林中医药2024,Vol.44Issue(5):501-504,4.
吉林中医药2024,Vol.44Issue(5):501-504,4.DOI:10.13463/j.cnki.jlzyy.2024.05.002

从"肾虚痰瘀"论治脑白质变性

Differentiating and treating cerebral white matter lesions from the perspective of kidney deficiency and phlegm stasis

胡天时 1岳利峰 1马培 2龚洲 1付宏宇 1贾岳津 1刘鑫雨 1吴柔燕 1刘金瑛 1李志更3

作者信息

  • 1. 北京中医药大学东直门医院,北京 100700
  • 2. 中国医学科学院药用植物研究所,北京 100193
  • 3. 中国中医科学院中医基础理论研究所,北京 100700
  • 折叠

摘要

Abstract

Cerebral white matter lesions(WML),a common type of cerebral small vessel disease,is in clinic primarily manifested as decreased information processing speed,slow motor function,and urination and defecation abnormalities,which has a significant potential for clinical progression to dementia,causing a considerable inconvenience to patients,their families,and the society.This article examines the mechanisms and treatment of cerebral white matter lesions from the perspective of"kidney deficiency and phlegm stasis",concluding that it is of nature of deficiency in its root cause and excess in its manifestations,among which kidney deficiency acts as its root cause,inducing the malnutrition of marrow sea,the inadequate transformation of essence and blood,leading to insufficient cerebral nourishment and impaired cognitive function.On the other hand,phlegm stasis blocking collaterals is perceived as its manifestation,which mostly arises from deficient kidney essence and insufficient qi and blood transformation,leading to a weak propulsion,intermingled phlegm and blood stasis,obstructing vessels and meridians,resulting in a malnutrition in them and a decline in a person's physical and mental aspects.The clinical treatment of the disease should underscore its key pathogenesis,cultivating and reinforcing kidney essence to consolidate body resistance,resolving phlegm and unblocking collaterals to eliminate its manifestations,improving its clinical efficacy.

关键词

肾虚/痰瘀/脑白质变性

Key words

kidney deficiency/phlegm and blood stasis/cerebral white matter lesions

分类

医药卫生

引用本文复制引用

胡天时,岳利峰,马培,龚洲,付宏宇,贾岳津,刘鑫雨,吴柔燕,刘金瑛,李志更..从"肾虚痰瘀"论治脑白质变性[J].吉林中医药,2024,44(5):501-504,4.

基金项目

国家自然科学基金面上项目(82174046) (82174046)

中国医学科学院医学与健康科技创新工程(2021-I2M-1-031) (2021-I2M-1-031)

吉林中医药

OACSTPCD

1003-5699

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