The application of TCM constitution in the prevention and treatment of dementia in the background of comprehensive healthcare

WANG Jiemei; QIN Jingbo; XIE Zhiyan; QIAO Mengyuan; LUO Yuxi; XIA Bo; LIANG Yuqing; YANG Yan; WU Wenbin

doi:10.3969/j.issn.1006-2157.2023.02.002

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The application of TCM constitution in the prevention and treatment of dementia in the background of comprehensive healthcare

TCM Constitution | 更新时间：2023-03-07

- The application of TCM constitution in the prevention and treatment of dementia in the background of comprehensive healthcare
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 2, Pages: 154-158(2023)
- 作者机构：
  
  成都中医药大学附属医院　成都　610072
- 作者简介：
  
  Prof. WU Wenbin, Ph.D., Chief Physician, Doctoral Supervisor. Hospital of Chengdu University of Traditional Chinese Medicine, No.39, Twelve Bridge Road, Jinniu District, Chengdu 610072. E-mail: wwb1201@vip.sina.com
- 基金信息：
  
  National Key R&D Program of China(2020YFC2003100;2020YFC2003104);Technology Application Demonstration Projects in Chengdu(2019-YF09-00096-SN)
- DOI：10.3969/j.issn.1006-2157.2023.02.002
  CLC： R246.6
- Received：12 February 2022，
  
  Published：28 February 2023
- 稿件说明：
移动端阅览
WANG Jiemei, QIN Jingbo, XIE Zhiyan, et al. The application of TCM constitution in the prevention and treatment of dementia in the background of comprehensive healthcare[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(2): 154-158.
DOI：

WANG Jiemei, QIN Jingbo, XIE Zhiyan, et al. The application of TCM constitution in the prevention and treatment of dementia in the background of comprehensive healthcare[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(2): 154-158. DOI： 10.3969/j.issn.1006-2157.2023.02.002.

摘要

痴呆是老年人慢性疾病防治和管理的重点与难点。体质是疾病发生的基础，较平和体质而言，偏颇体质者更容易罹患痴呆。在大健康背景下，结合中医体质辨识，将辨体－辨病－辨证诊疗模式灵活运用于疾病的不同阶段，制定个体化的中医体质干预方案，健康人群辨体以养生，主观认知下降患者调体以防病，轻度认知功能障碍患者调体以防渐，进展为痴呆后调体、辨证施治以防变，纠正偏颇体质以防治痴呆，降低本病发病率和死亡率。在痴呆阶段可根据体质、疾病、证候之间的主次关系调整方案，体质虚弱者以调体为先，辨病辨证次之；病情迅速进展时以辨病为主，辅以辨体、辨证；病情稳定时辨病、辨证论治相结合，兼以调体。以中医体质学作为痴呆防控的重要理论基础，为国家卫生健康事业做出贡献。

Abstract

Dementia is the focus and difficulty of chronic disease prevention and management among the elderly. Constitution is the basis of disease development. People with the biased constitution are more likely to suffer from dementia than those with the normal constitution. In the context of China’s national policy of comprehensive healthcare

combined with physical identification based on traditional Chinese medicine (TCM) theory

a diagnosis and treatment model for constitution-disease-syndrome differentiation should be applied flexibly in the prevention and treatment of different stages of the disease

and personalized TCM constitution intervention programs are formulated to correct the biased constitution to prevent and treat dementia

in order to reduce morbidity and mortality. For healthy people

health maintenance is based on constitution differentiation. Patients with subject cognitive decline should adjust their constitution to prevent occurrence of the disease. For patients with mild cognitive impairment

it is recommended to adjust their constitution to prevent further development of the disease. When the disease develops to dementia

it is necessary to combine constitution adjustment and syndrome differentiation to prevent the disease from getting worse. In the dementia stage

treatment can be based on the primary and secondary relationships between constitution

disease

and syndrome. For those people with a weak constitution

constitution adjustment should be preceded by disease and syndrome differentiation; when the disease progresses rapidly

disease differentiation should be the main focus

supplemented with constitution and syndrome differentiation; when the disease is stable

the focus is on the combination of disease differentiation and syndrome differentiation

supplemented with constitution adjustment. This can serve as a theoretical basis to the prevention and treatment of dementia. TCM constitution will make contributions to national healthcare.

关键词

Keywords

references

中国痴呆与认知障碍指南写作组，中国医师协会神经内科医师分会认知障碍疾病专业委员会 . 2018中国痴呆与认知障碍诊治指南(一)：痴呆及其分类诊断标准 [J]. 中华医学杂志， 2018 ， 98 ( 13 )： 965 － 970 .

DUBOIS B , FELDMAN HH , JACOVA C , et al . Revising the definition of Alzheimer’s disease: a new lexicon [J]. Lancet Neurol , 2010 ， 9 ( 11 )： 1118 － 1127 .

GAUTHIER S , ROSA-NETO P , MORAIS JA , et al . World Alzheimer Report 2021: Journey through the diagnosis of dementia [R]. London : Alzheimer’s Disease International , 2021 .

中共中央，国务院． “健康中国2030”规划纲要 [R/OL].( 2016－10－25 )[ 2022－01－01 ]. http://www.gov.cn/zhengce/2016－10/25/cntent_S124174.htm http://www.gov.cn/zhengce/2016－10/25/cntent_S124174.htm .

王琦．中医体质学在大健康问题中的应对与优势 [J]. 北京中医药大学学报， 2021 ， 44 ( 3 )： 197 － 202 .

王琦．构建人类健康领域新的科学认知体系 [N]. 中国城市报， 2020－12－28 (15).

王琦．中医体质三论 [J]. 北京中医药大学学报， 2008 ， 31 ( 10 ): 653 － 655 .

朱燕波，虞晓含，史会梅．中医体质三个关键科学问题的实证研究概述 [J]. 中医杂志， 2018 ， 59 ( 13 )： 1081 － 1085 .

王琦．中国式的精准医学：九体医学健康计划 [J]. 中华中医药杂志， 2015 ， 30 ( 10 )： 3407 － 3411 .

李英帅，王济，李玲孺，等．体质辨识参与社区健康管理的成效分析 [J]. 世界中西医结合杂志， 2015 ， 10 ( 2 )： 247 － 249，258 .

薛武更，叶财德，段锦绣，等 . 143例社区老年期痴呆患者中医体质分析 [J]. 吉林中医药， 2014 ， 34 ( 11 )： 1123 － 1126 .

陈婉珉 . 118例老年期痴呆患者中医体质特点调查研究 [J]. 中医临床研究， 2018 ， 10 ( 11 )： 11 － 13 .

高超．老年期痴呆患者体质特点的临床研究 [D]. 南京：南京中医药大学， 2014 .

谭展飞．基于1640例认知障碍分析血管性痴呆的认知、中医体质特点及影响因素 [D]. 北京：北京中医药大学， 2019 .

靳琦．王琦“辨体－辨病－辨证诊疗模式”的理论要素与临床应用 [J]. 北京中医药大学学报， 2006 ， 29 ( 1 )： 41 － 45 .

陈悦琦，吴焕淦，尹平，等． “通督调神”组穴针刺治疗轻度认知功能障碍：随机对照研究 [J]. 中国针灸， 2019 ， 39 ( 11 )： 1141 － 1145 .

王济，王一，王琦．从中医体质角度探寻个体化老年健康养生服务新途径 [J]. 天津中医药， 2021 ， 38 ( 1 )： 7 － 10 .

张小芳，莫辛欣，李志月，等．老年人中医体质养生的SWOT分析 [J]. 全科护理， 2016 ， 14 ( 22 )： 2308 － 2310 .

王冰飞，张瑞丽，刘宇，等．主观认知下降的概念及评估工具研究进展 [J]. 中国老年学杂志， 2018 , 38 ( 22 )： 5626 － 5629 .

曾利川，王林，廖华强，等．结构与功能磁共振成像在轻度认知障碍及阿尔茨海默病中的应用 [J]. 中国老年学杂志， 2021 ， 41 ( 13 )： 2902 － 2907 .

DIAZ-MARDOMINGO MDC , GARCIA－HERRANZ S , RODRIGUEZ－FERNANDEZ R , et al . Problems in classifying mild cognitive impairment (MCI): One or multiple syndromes？ [J/OL]. Brain Sci ， 2017 ， 7 ( 9 )： 111 [ 2022－01－06 ]. https：//doi.org/10.3390/brainsci7090111 https：//doi.org/10.3390/brainsci7090111 .

韩红娟，秦瑶，陈杜荣，等．轻度认知障碍患者的双向转归研究 [J]. 中国全科医学， 2022 ， 25 ( 9 )： 1070 － 1076 .

林秋．八段锦健身运动在老年轻度认知功能障碍患者中的应用效果及认知功能改善情况 [J]. 中国老年学杂志， 2017 ， 37 ( 14 )： 3558 － 3560 .

柳奇奇，陈尚杰，申国明，等．电子灸对遗忘型轻度认知障碍患者记忆功能的影响 [J]. 中国针灸， 2020 ， 40 ( 4 )： 352 － 356 .

贾新燕，谭婷婷，王单，等．调神益智艾灸法对轻度认知障碍患者认知功能及睡眠质量疗效观察 [J]. 康复学报， 2017 ， 27 ( 6 )： 5 － 8 .

葛玉霞．清脑复神液治疗轻度认知障碍(肾虚痰瘀证)的临床观察 [D]. 成都：成都中医药大学， 2012 .

严春梅，李燕．急性脑梗死后认知功能障碍的临床研究 [J]. 中华物理医学与康复杂志， 2011 ， 33 ( 5 )： 350 － 353 .

吕天虎，李燕萍，郝应禄，等．急性心肌梗死老年患者认知功能障碍的临床分析 [J]. 中国实用医药， 2011 ， 6 ( 14 )： 218 － 219 .

张力，张守字，李方玲，等．中西医结合治疗血管性痴呆的疗效及对患者预后生存质量的影响 [J]. 中国老年学杂志， 2019 ， 39 ( 1 )： 29 － 31 .

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