首页|期刊导航|中医药临床杂志|新安医学"固本培元"理论论治卒中后认知障碍经验辑要

新安医学"固本培元"理论论治卒中后认知障碍经验辑要OA

A Compilation of Experience in Treating Post-Stroke Cognitive Impairment Based on the Xin'an Medicine Theory of"Consolidating the Root and Nourishing the Original"

中文摘要英文摘要

卒中后认知障碍(post-stroke cognitive impairment,PSCI)属中医学"痴呆""呆病"范畴,具有高复发率、高致残率的特点,给患者家庭及社会带来沉重负担,目前现代医学尚缺乏公认的特效干预药物.中医认为该病核心病机为肾精亏虚、脾胃虚弱,髓海失养,新安医学"固本培元"理论以培补脾肾、顾护元气、扶正祛邪为要,与 PSCI 病机特点高度契合,可为临床干预提供新思路.文章深入探讨新安医学"固本培元"理论的源流与核心内涵,系统分析PSCI"肾精亏虚、脾气不足、髓海失养"的病机特点,阐述该理论在 PSCI 防治中的应用思路与用药规律,结合"治未病"思想提出分期干预策略,为临床治疗 PSCI 提供理论依据,并附验案举隅,为临床诊疗提供参考.

Post-Stroke Cognitive Impairment(PSCI)belongs to the categories of"dementia"and"Dai Bing"(foolish disease)in traditional Chinese medicine.It is characterized by high recurrence and disability rates,imposing a heavy burden on patients'families and society.Currently,modern medicine lacks recognized specific therapeutic drugs.Traditional Chinese medicine holds that the core pathogenesis of this disease is Kidney Essence deficiency,Spleen-Stomach weakness,and insufficient nourishment of the Sea of Marrow.The Xin'an Medicine theory of"Consolidat-ing the Root and Nourishing the Original"emphasizes tonifying the spleen and kidney,protecting the Original Qi,and strengthening the Healthy Qi to eliminate pathogens,which highly aligns with the pathogenesis characteristics of PSCI and can provide new ideas for clinical intervention.This paper deeply explores the origin and core connotation of the Xin'an Medicine theory of"Consolidating the Root and Nourishing the Original,"systematically summarizes its clini-cal application in treating PSCI,and discusses the therapeutic mechanisms from multiple dimensions including tonify-ing Kidney Essence,strengthening Spleen Qi,and resolving blood stasis.It aims to provide theoretical basis and clini-cal references for the traditional Chinese medicine treatment of PSCI.

张自昊;班文明;张文慧

安徽中医药大学 安徽 合肥 230000||安徽中医药大学第七附属医院 安徽太和 236600安徽中医药大学 安徽 合肥 230000||安徽中医药大学第七附属医院 安徽太和 236600安徽中医药大学 安徽 合肥 230000||安徽中医药大学第七附属医院 安徽太和 236600

医药卫生

新安医学固本培元卒中后认知障碍医案

Post-Stroke Cognitive ImpairmentXin'an MedicineConsolidating the Root and Nourishing the Origi-nalSpleen-KidneyDementia

《中医药临床杂志》 2026 (9)

1747-1750,4

临床医学研究转化专项(FYZDYF2023LCYX028)2023年度阜阳市卫生健康科研项目一般项目(FY2023-038)

10.16448/j.cjtcm.2026.0904

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