首页|安红梅运用膏方治疗认知障碍经验

安红梅运用膏方治疗认知障碍经验

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认知障碍患者多为老年人，具有病程长、程度渐进性加重的特点，适于采用膏方调治。安红梅教授认为肾虚是导致认知障碍发病的始动因素，且贯穿于病程始终，因此，其以补肾填精益髓为治疗原则，自拟地黄益智方作为治疗认知障碍的底方。临证过程中，根据患者在主观认知下降期、轻度认知障碍期和老年性痴呆期的不同证候表现，分期论治，处方以地黄益智方为底加减化裁，取得良好疗效。附验案2则。
AN Hongmei's Experience in Treating Cognitive Impairment with Paste Formula
Most of the patients with cognitive impairment are the elderly,with the characteristics of long course of disease and progressive aggravation,which are suitable for the treatment with paste formula.Professor AN Hongmei believes that kidney deficiency is the initial factor leading to the onset of cognitive impairment,and it runs through the course of the disease.Therefore,she takes tonifying kidney,replenishing essence,and filling marrow as the treatment principle,and creates Dihuang Yizhi Formula(地 黄益智方)as the basic prescription for the treatment of cognitive impairment.In the process of clinical practice,according to different syndromes of the patients in the period of subjective cognitive decline,mild cognitive impairment and senile dementia,the treatment is carried out by stages,and the prescription is modified based on Dihuang Yizhi Formula,which has achieved good curative efficacy.Two proved cases are attached.

cognitive impairmentpaste formulatonifying kidney,replenishing essence,and filling marrowDihuang Yizhi Formulastage differentiation and treatment

张梦雪、丁敏芮、张彤、曲彦洁、安红梅

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上海中医药大学附属龙华医院,上海 200032

上海交通大学医学院附属瑞金医院,上海 200001

认知障碍 膏方 补肾填精益髓 地黄益智方 分期辨治

上海市科学技术委员会医学创新研究项目上海市医院中药制剂产业转化协同创新中心项目龙华医院科技创新项目

21Y119209002093CX202052

2024

10.16295/j.cnki.0257-358x.2024.10.016

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(10)