摘要
痴呆病机为髓减脑消,神机失用,其病位在肝肾,以肾精不足为本,常母病及子,肝肾同病,致机体阴阳失调,气血逆乱。痴呆伴发精神行为异常表现多样,若肝肾阴血亏耗,疏泄失司,气机怫郁,扰乱神明,则表现为情志抑郁,或烦躁、夜不能寐等症状;若气结郁滞,肾水不行,湿聚痰凝,蒙蔽神窍,则表现为喃喃自语、闭门独居,或歌哭嗔笑、言语错乱等症状;若肾阴亏而不藏,肝气疏泄太过,肝胆气逆,邪火炎上,热扰神明,则表现为易怒躁动、狂言打骂、奔走游荡等症状;若肝肾阴液耗竭,相火妄动,扰乱神明,则表现为精神亢奋、谵语、视听幻觉等症状;若正气衰微,阴阳格拒,神气浮越,则表现为躁扰不宁、怵惕不安、循衣摸床等症状。
The pathogenesis of dementia is the reduction of the marrow and the elimination of the brain, and the dysfunction of the Mind.The disease is located in the Liver and Kidney and is cause by the insufficiency of the Kidney Essence.Often the illness of the mother Zang affects the child Zang, and the Liver and Kidney have the same disease, causing the imbalance of Yin and Yang of the body, and the inversion of Qi and Blood.The mental and behavioral symptoms of dementia are varied.If the patient′s Liver and Kidney Yin Blood insufficiency, failure of dispersion, Qi movement is stagnant and disturbs the Spirit, it will manifest as emotional depression, or irritability, insomnia, and other symptoms.If the patient′s Qi is stagnant, the Kidney water does not flow, the Dampness gathers Phlegm and Condenses, and the Mind orifices are obstructed, it will manifest as muttering, living alone, singing, crying, laughter, confusion, and other symptoms.If the patient′s Kidney Yin is deficient and not hidden, the liver Qi is dispersion too much, the Liver and Gallbladder Qi is reversed, the evil Fire is on, and the heat disturbs the Mind, it will manifest as irritability, agitation, beating and scolding, running and wandering and other symptoms.If the patient′s Liver and Kidney Yin fluids are depleted, ministerial fire moves rashly and disturbs the Mind, symptoms such as mental agitation, delirium, audio-visual hallucinations, etc.are manifested.If the patient′s righteousness Qi is weakened, the Yin and Yang are rejected each other, and the Spirit is overwhelmed, the symptoms will be restless, anxious, and carphology.
作者
徐鑫梓
邵卫
沈汉
XU Xinzi;SHAO Wei;SHEN Han(Hubei University of Chinese Medicine,Wuhan Hubei China 430065;Wuhan First Hospital,Wuhan Huebi China 430000)
出处
《中医学报》
CAS
2022年第4期718-722,共5页
Acta Chinese Medicine
关键词
肝肾同源
痴呆
精神行为症状
病因病机
Liver and Kidney homology
dementia
mental and behavioral symptoms
etiology and pathogenesis
