首页|期刊导航|中医康复|基于"肾-督-脑"轴理论探讨针刺治疗轻度认知障碍

基于"肾-督-脑"轴理论探讨针刺治疗轻度认知障碍OA

Acupuncture for Mild Cognitive Impairment Based on the"Kidney-Governing Vessel-Brain"Axis:A Theoretical Exploration

中文摘要英文摘要

轻度认知障碍是介于正常老化与痴呆间的老年认知病理状态,虽不影响日常生活,但痴呆转化风险较高,因此早期干预轻度认知障碍对阻断痴呆进展意义重大.祖国医学认为轻度认知障碍属于"健忘"范畴,以肾精亏虚、髓海不足为核心病机.本文便基于"肾-督-脑"轴理论进行针刺选穴,以肾为根、以督为轴、以脑髓为池,补肾填精、通督益髓,以达到脑髓充盈、神窍得开的效果,相较于其他针法流派,具有"补、通、调"兼顾之优势.该理论源于《黄帝内经》,经现代医家总结创新,为临床针刺治疗轻度认知障碍提供新的选穴思路及方案.

Mild cognitive impairment(MCI)is an age-related pathological cognitive state between normal aging and dementia.Although daily living activities are not impaired,patients with MCI carry a high risk of progression to dementia.Therefore,early intervention for MCI is critical to preventing the development of dementia.In traditional Chinese medicine(TCM),MCI is categorized as"forgetfulness"(jianwang),with kidney essence deficiency and marrow sea insufficiency as its core pathogenesis.Based on the"Kidney-Governing Vessel-Brain Axis"theory,this paper proposes an acupuncture prescription strategy that takes the kidney as the root,the Governing Vessel as the axis,and the brain marrow as the source.The strategy aims to tonify the kidney and replenish essence,unblock the Governing Vessel and benefit the marrow sea,thereby filling the brain marrow and opening the mental orifices.Derived from Huangdi Neijing(The Yellow Emperor's Internal Classic)and further summarized and innovated by modern practitioners,this theory provides new ideas and regimens for clinical acupuncture in the treatment of MCI.

孙佳玲;龚婧仪;王娇;吴青青;夏文广

湖北中医药大学,湖北 武汉 430065||湖北省直属机关医院/湖北省康复医院,湖北 武汉 430015||神经调控技术湖北省工程研究中心,湖北 武汉 430015||湖北省中西医结合医院/湖北省职业病医院,湖北 武汉 430015湖北省直属机关医院/湖北省康复医院,湖北 武汉 430015湖北省直属机关医院/湖北省康复医院,湖北 武汉 430015||神经调控技术湖北省工程研究中心,湖北 武汉 430015湖北中医药大学,湖北 武汉 430065||湖北省直属机关医院/湖北省康复医院,湖北 武汉 430015||神经调控技术湖北省工程研究中心,湖北 武汉 430015||湖北省中西医结合医院/湖北省职业病医院,湖北 武汉 430015湖北中医药大学,湖北 武汉 430065||湖北省直属机关医院/湖北省康复医院,湖北 武汉 430015||神经调控技术湖北省工程研究中心,湖北 武汉 430015||湖北省脑卒中后中西医结合康复临床医学研究中心,湖北 武汉 430015

医药卫生

轻度认知障碍针刺治疗"肾-督-脑"轴通督补肾益髓调神开窍

mild cognitive impairmentacupuncture therapy"Kidney-Governing Vessel-Brain Axis"unblocking the Governing Vessel and tonifying the kidney to benefit marrowopening orifices to regulate the mind

《中医康复》 2026 (4)

18-23,6

国家中医药管理局科技专项课题(GZY-KJS-2025-001)湖北省科技厅揭榜制科技项目(2023BEB005)湖北省自然科学基金指导性计划项目(2025AFC125)

10.19787/j.issn.2097-3128.2026.04.003

评论