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基于心主血脉和血管新生理论探讨血管性痴呆针刺干预机制
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Abstract:
血管性痴呆(VaD)的发生以血管疾病为基础，以慢性进行性认知能力下降为特征，是临床上常见导致痴呆病的主要病因之一。本文基于心主血脉和血管新生理论，将血管性痴呆的病机归纳为“心血不足、淤血阻络、脑窍失养，诱发痴呆”。在治疗上，针刺作为一种传统中医疗法，近年来被发现可改善和延缓VaD的发病进展，但对于针刺作用机制的阐述仍不够详尽。因此，基于心主血脉和血管新生理论指导下，本文试将针刺疗法与血管性痴呆加以联系，阐述针刺干预血管性痴呆的作用机制，以期为针刺治疗VaD提供新思路。
The occurrence of vascular dementia (VaD) is based on vascular disease and characterized by chronic progressive cognitive decline. It is one of the main causes of dementia in clinical practice. Based on the theory that the heart governs blood vessels and angiogenesis, this paper summarizes the pathogenesis of vascular dementia as “insufficient blood, congestion of collaterals, and loss of nourishment of brain orifices, inducing dementia”. In terms of treatment, acupuncture, as a traditional Chinese medicine treatment, has been found in recent years to improve and delay the progression of VaD. However, the explanation of the mechanism of acupuncture is still not detailed enough. Therefore, guided by the theory that the heart governs blood vessels and angiogenesis, this paper attempts to connect acupuncture therapy with vascular dementia and expounds the mechanism of acupuncture intervention in vascular dementia, in order to provide new ideas for acupuncture treatment of VaD.
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