摘要
目的:探讨中医肾脏理论在脑卒中后抑郁病机演变中的地位和作用。资料来源:手工检索历代文献中关于中医肾脏肾的生理功能、诊断及部分症状辨证的相关内容。同时应用计算机检索国内医学类杂志1994/2004期间与中医肾脏、脑卒中、抑郁等相关的文章,限定文章语言种类为中文,检索词为“中风后抑郁症、脑卒中后抑郁症、脑血管病后抑郁症”。资料选择:对资料进行初审,结合脑卒中后抑郁症的临床症状选取传统中医文献中的相关辨证思路进行综合分析。资料提炼:共收集了11部古典文献中30余篇文献的引文,在现代文献中选用了10篇关于脑卒中后抑郁症的文章。资料综合:综合文献认为肾为先天之本,内藏元真,是脏腑功能活动的原动力,肾虚是脑卒中的病理基础,肾虚精亏是脑卒中后抑郁的基本病机。导师唐启盛教授认为脑卒中后抑郁的病机为卒中后脏腑虚衰,肾虚精亏,血行不畅,致使气机不调,痰瘀胶结,痹阻脑络,元神失养,其病位在脑,病理基础在肾。结论:脑卒中后抑郁症的发生、发展及证候演变与中医肾脏的生理病理功能密切相关,因此在治疗中要重视培肾固本,填精补气,增髓益智。
OBJECTIVE:To investigate the status and role of kidney theory in traditional C hinese medicine(TCM) in the evolvement of pathogenesis of the post stoke depres sion(PSD). DATA SOURCES:Articles about the physiological function, diagnosis and the diff erentiation of a part of syndromes in the past dynasties were searched manually. Meanwhile articles related to kidney,stroke and depression in TCM published in d omestic medical journals from 1994 to 2004 were identified by computer,and the k eywords were “post apoplexy depression,post stroke depression,post cerebrova scular disease depression' with language limited to Chinese. STUDY SELECTION:After the above search, synthetic analysis was carried out wit h relevant ideas on the differentiation of syndromes in TCM literatures combinin g the clinical syndromes of PSD. DATA EXTRACTION:Thirty articles were collected from 11 classical literatures w ere collected,and 10 papers about PSD were selected from present literatures. DATA SYNTHESIS:It was considered that kidney was the congenital foundation an d the essence of internal organs, and it was the motivity of activities of zang and fu.The deficiency of kidney was the basis of stroke in pathology,and deficie ncy of kidney essence was the basic pathogenesis of PSD.Professor Tang thought t hat the pathogenesis of PSD was rooted from the deficiency of zang and fu,defici ency of kidney essence and retarded blood circulation,which resulted in the diso rders of qi activity,stagnation of phlegm and blood stasis, blockage in the vess els of brain and malnutrition of primary spirit.The disease was localized in the brain and its pathological basis was in kidney. CONCLUSION:The occurrence, development and the evolvement of PSD are closely c orrelated with the physiological and pathological function of kidney in TCM.In t he treatment, much more attention should be paid to reinforcing kidney and conso lidating the root,replenishing essence and invigorating qi,increasing marrow and promoting intellignece.
出处
《中国临床康复》
CSCD
北大核心
2005年第12期166-168,共3页
Chinese Journal of Clinical Rehabilitation
基金
2002年高等学校博士学科点专项科研基金资助课题(20010026007)~~
