陈伟从"肾藏精,肾藏治"论治痴呆经验OA

Dementia is a neurodegenerative disease characterized by progressive cognitive decline and behavioral disorders,severely impacting patients'quality of life and imposing a heavy burden on families and society.Traditional Chinese medicine(TCM)has unique advantages in treating this disease.Professor CHEN Wei,a TCM expert,based on the unified theory of"form and organ"and"spirit and organ,"believes that the kidney is the foundation of innate es-sence.Its physical function is to store essence,while its spiritual function is manifested in the generation of marrow to nourish the brain and the storage of will to govern the spirit.Under physiological conditions,abundant kidney essence leads to a full marrow sea,and stable kidney will ensures a clear and orderly spirit.The two coordinate and unify to maintain clear brain function and normal cognition.Under pathological conditions,the kidney's essence and will are imbalanced,with essence deficiency as the root cause and phlegm stasis as the manifestation.Kidney essence defi-ciency leads to malnourishment of the marrow sea,and restlessness of the kidney will leads to impaired spirit function.The failure of essence to transform into Qi results in the internal generation of phlegm and blood stasis,obstructing the brain orifices and causing disease.In treatment,Professor Chen advocates"replenishing kidney essence,nourishing marrow and brain"to strengthen the body's foundation,"calming the mind and regulating the spirit,"and"resolving phlegm and removing blood stasis,opening the orifices and awakening the mind"to address the symptoms of mental and physical dementia.He is also skilled in using modified versions of the classic formula Rehmannia Decoction,which nourishes kidney Yin,tonifies kidney yang,and opens the orifices to resolve phlegm,addressing both kidney essence deficiency and phlegm-blood stasis obstructing the orifices,achieving excellent results.This article aims to summarize Professor Chen's experience in treating dementia based on the principles of"the kidney storing essence and the kid-ney storing will,"hoping to broaden the scope of traditional Chinese medicine treatment for dementia.