运用中医辨证量表轻度认知障碍的中医证候规律

1． 成都市中西医结合医院，四川 成都 610016 Chengdu Hospital of Integration of Traditional Chinese and Western Medicine，Chengdu，Sichuan，China 610016
2． 成都中医药大学，四川 成都 610075 Chengdu University of Traditional Chinese Medicine，Chengdu，Sichuan，China 610075
3． 四川省人民医院，四川 成都 610072 People＇s Hospital of 源自文库ichuan，Chengdu，Sichuan，China 610072
摘要：目的： 探讨轻度认知功能障碍（ MCI） 患者的中医证候特点，为中医干预治疗提供辨证依据。方法： 参照目前国际公认的 MCI 诊断标准，筛选出 252 例 MCI 患者，运用辨证量表确立五种证型，并根据量表评分进行辨证分析。结果： 证候分布上肾精 亏虚证 143 例，气血不足证 107 例，痰浊阻络证 65 例，瘀血阻络证 37 例，肝阳上亢证 36 例。其中单纯虚证 120 例，单纯实证 52 例，虚实夹杂证 80 例。结论： MCI 病属本虚标实，以肾精亏虚为主，其次为气血不足，兼痰湿血瘀等，治疗以健脾补肾益气 为本，祛痰活血通络治标。 Abstract： Objective： To investigate the TCM characteristics of mild cognitive impairment （ MCI） ，and to provide evidences of syndromes differentiation for traditional Chinese medical intervention and treatment． Methods： Referring to current international acknowledged diagnostic standard of MCI，252 patients with MCI were screened． Five syndrome － types were distinguished through the use of syndrome differentiation scale and analyzed according to the scale scoring． Results： The distribution of TCM syndromes showed tha there were 143 cases of kidney essence deficiency，107 cases of qi and blood deficiency，65 cases of phlegm and tumor obstructing the collaterals，37 cases of blood stagnation obstructing the collaterals，36 cases of hyperactivity of liver － yang． Among them，there were 120 cases of simple deficiency syndrome，52 cases of simple excess syndrome and 80 cases of deficiency － excess complex syndrome． Conclusion ： MCI is originally asthenia and manifested as sthenia with the deficiency of kidney essence as the main aspect，qi and blood deficiency as the secondary aspect and phlegm and blood stagnation as the combined syndrome． The treatment is to strengthen our foundation by activating the spleen and supplementing the kidney and qi and to alleviate the symptoms by eliminating the phlegm and promoting blood circulation to remove obstructions in meridians 关键词：轻度认知障碍； 中医证候特点； 健脾补肾益气； 祛痰活血通络 Key words： mild cognitive impairment； TCM syndrome characteristics； activating the spleen and supplementing the kidney and qi； eliminating the phlegm and promoting blood circulation to remove obstructions in meridians 中图分类号 CLC number：R2 － 05 文献标识码 Document code：A 文章编号 Article ID：1674 － 8999（ 2011） 08 － 0941 － 02
2011 年 8 月 1 日 第 8 期 No． 8 1 Aug． 2011
中医学报
CHINA JOURNAL OF CHINESE MEDICINE
·标准与规范 Standard and Specification·
第 26 卷 总第 159 期 Vol． 26 Serial No． 159
运用中医辨证量表探索轻度认知障碍的中医证候规律*
Exploration on the TCM Syndrome Characteristics in Mild Cognitive Impairment Patients
彭晓红 Peng Xiao-hong1，张虹 Zhang Hong2，李应昆 Li Ying-hun2，赵凌 Zhao Ling2，杨玉龙 Yang Yu-long3，朱蔓佳 Zhu Man-jia2， 陈志刚 Chen Zhi-gang2