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中医辨证论治糖尿病认知功能障碍研究进展

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糖尿病认知功能障碍(diabetic cognitive impairment,DCI)是糖尿病的慢性并发症,随着患者认知功能逐渐减退,将最终发展为痴呆,极大影响患者生活质量。现代医家认为其在中医属"消渴健忘""消渴痴呆"等,病机多属本虚标实,与心、肝、脾、肾功能失调,痰浊、瘀血、毒、湿热等为患有关。在临床实践中,医师们依据疾病的成因和病理机制,通过脏腑辨证、气血津液辨证以及病因论治等方法,运用传统经典方剂,或结合个人临床经验创制的经验方剂,均取得了显著的治疗效果。现对临床中医辨证论治糖尿病认知功能障碍的经验进行综述,以期为临床及后续的研究提供指导借鉴。
Research Progress on TCM Syndrome Differentiation for Diabetic Cognitive Impairment
Diabetic cognitive impairment (DCI) is a chronic complication of diabetes. With the gradual decline of cognitive function of patients,it may eventually develop into dementia,affect life quality of patients greatly. Modern medical practitioners believe that it belongs to categories of "thirst quenching forgetfulness" and "thirst quenching dementia" in traditional Chinese medicine,and the pathogenesis is mostly based on deficiency of the root and excess of the target,and is related to dysfunction of the heart,liver,spleen,and kidneys,as well as phlegm turbidity,blood stasis,toxicity,dampness and heat. During clinical practice,doctors have achieved good curative effect by using classic formulas or empirical formulas developed in clinical process based on etiology and pathogenesis through organ differentiation,qi blood body fluid differentiation,and etiological treatment. The paper summarizes the experience of clinical TCM treatment of diabetic cognitive impairment based on syndrome differentiation,to provide guidance and referrence for clinical and follow-up research.

TCM syndrome differentiationDiabetesCognitive impairment

郑巧、章清华

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天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津 300381

中医辨证 糖尿病 认知功能障碍

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)