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
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)