Vascular dementia(VaD)is a syndrome with deficient root cause and excessive manifestation.The pathogenesis is that the brain sweat pores are blocked and the mind fails to function under the action of five pathological factors:deficiency,phlegm,blood sta-sis,wind and fire.Wind drugs are a kind of medicine with the attributes of wind and wood.It has a thin taste and light quality,and can float and diverge,which helps the drug tendency,evacuate stagnation of the brain sweat pores,and open sweat pores to relieve depres-sion.Specific treatment methods include opening sweat pores by removing wind,opening sweat pores by tonifying deficiency,opening sweat pores by removing blood stasis,and opening sweat pores by resolving phlegm.For wind disturbing the interior,opening sweat pores by treating wind can be adopted,so Seven Substances Wind-Removing Powder,and Minor Life-Saving Decoction can be used.For those who need to combine tonifying and activating circulation,the method of opening sweat pores by tonifying deficiency is available,so Qi-Replenishing Sharp and Bright Decoction can be selected.For qi and blood stasis,the method of opening sweat pores by removing blood stasis is available,so Orifice-Unblocking and Blood-Activating Decoction can be selected.For obvious phlegm syndrome,the method of opening sweat pores by resolving phlegm is available,so Supplemented Pinellia and White Atractylodes and Gastrodia Decoction plus Shichangpu(Rhizoma Acori Tatarinowii),Gegen(Radix Puerariae Lobatae),Chuanxiong(Rhizoma Chuanxiong)and other wind drugs can be selected.In clinical application,it is still necessary to pay attention to the classification of VaD,which varies from person to per-son,and should be treated with different formulas.
关键词
血管性痴呆/玄府/风药/风药开玄/治风开玄/补虚开玄/祛瘀开玄/化痰开玄
Key words
vascular dementia(VaD)/sweat pore/wind drug/opening sweat pores by using wind drugs/opening sweat pores by remo-ving wind/opening sweat pores by tonifying deficiency/opening sweat pores by removing blood stasis/opening sweat pores by resolving phlegm
维普
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