摘要
对符合血管性痴呆（ＶＤ）诊断标准的１０５例患者进行了较为系统的证候调查及随访观察。研究发现，根据病情演变性质不同，ＶＤ可分三个期，即平台期、波动期和下滑期，各期证候特点及演变趋势各不相同。分析表明：肾精气虚、痰瘀阻络为ＶＤ发病的基础，痰瘀蕴积、生风化火、酿生毒邪、浊毒伤络、败坏脑髓形体为ＶＤ发生发展的关键。提出：ＶＤ临床辨证先分期、再分型，有助于从整体上定位、定性，把握疾病演变转归趋势。
cases of vascular dementia(VD) were chosen according to the diagnostic criteria. By systematically TCM syndrome investigation and followup observation, three phases were found with the development of VD. They were stable, fluctuating and aggravating phase respectively. Further analysis showed that Kidney Deficiency, Phlegm Obstruction and Blood Stasis in the collateral were the pathological basis. And the core TCM mechanism of VD could be further injury and destruction of collateral and brain marrow by turbid or toxic pathogenic factor. The study suggested that differentiation of phases and syndrome played important role in the TCM treatment of VD.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
1999年第2期37-39,共3页
Journal of Beijing University of Traditional Chinese Medicine
基金
"九五"国家科技攻关课题
关键词
血管性痴呆
证候学
分期
分型
Vascular Dementia
TCM syndrome
Phasing
Grouping
