| 引用本文:谢金颖1,2，伍大华2，李映辰2.基于脑肾相济理论异病同治论治常见脑髓病[J].世界中医药,2023,(12):. |
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| 基于脑肾相济理论异病同治论治常见脑髓病 |
| Treatment of Common Cerebrospinal Diseases Based on the Theory of Brain-kidney Coordination |
| 投稿时间：2021-11-10 |
| DOI：10.3969/j.issn.1673-7202.2023.12.008 |
| 中文关键词: 脑髓病 脑肾相济 填精益髓 异病同治 阿尔茨海默病 血管性痴呆 帕金森病 |
| English Keywords:Cerebrospinal disease Brain-kidney coordination Supplementing essence and replenishing marrow Treating different diseases with the same therapy Alzheimer's disease Vascular dementia Parkinson's disease |
| 基金项目:国家自然科学基金项目（81904173）；湖南省教育厅优秀青年基金项目（19B427）；赣南医学院心脑血管疾病防治教育部重点实验室开放基金（XN202011）；中医药循证能力建设项目（2019） |
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| 中文摘要: |
| 脑髓病是一种常见的神经系统疾病，其对患者的生命质量、生命安全造成不可忽视的恶劣影响。本文通过对脑肾相济理论进行阐述，认为脑为髓海，肾主骨生髓，二者间关系密切，相互影响。故“肾精亏虚，脑髓失充”是脑髓病的重要病机，“填肾精，益脑髓”是治疗脑髓病的基本方法。阿尔茨海默病、血管性痴呆、帕金森病是临床常见的神经系统疾病，三者同属于脑髓病范畴，脑肾相济理论是临床论治脑髓病的常用理论基础，从脑与肾的生理功能与联系出发，认为脑肾相济是精神充沛、情感智能、行为活动的基础。从病理角度出发，认为补肾祛瘀是治疗脑髓病的基本治法。本文基于脑肾相济理论从脑与肾的生理功能，二者间紧密的联系出发，探析脑髓病的病理基础，通过阿尔茨海默病、血管性痴呆、帕金森病具有相同的病机角度，异病同治不同脑髓病，为临床治疗脑髓病提供具有基础、统一、一致的方法，并将典型医案进行分享。 |
| English Summary: |
| Cerebrospinal diseases，common nervous system diseases，seriously affect the life quality and safety of patients.This paper expounds the theory of brain-kidney coordination，and holds that the brain as the reservoir of marrow and the kidney governing the generation of marrow are closely related to each other.Therefore，deficiency of kidney essence and brain marrow is the major pathogenesis of cerebrospinal diseases，and thus supplementing essence and replenishing marrow is the basic method to treat such diseases.Alzheimer's disease，vascular dementia，and Parkinson's disease are clinically common diseases of the nervous system，and belong to the category of cerebrospinal diseases.Brain-kidney coordination is a theoretical basis for clinical differentiation of cerebrospinal diseases.Regarding the physiological functions and connection of brain and kidney，this theory suggests that brain-kidney coordination underpins the invigoration，emotion，intelligence，and behaviors.From the pathological point of view，it is considered that tonifying kidney and resolving stasis is the basic therapy for cerebrospinal diseases.According to the theory of brain-kidney coordination and the physiological functions and interactions of brain and kidney，we probed into the pathological basis of cerebrospinal diseases.With consideration to the common pathogenesis of Alzheimer's disease，vascular dementia，and Parkinson's disease，we proposed treating different diseases with the same therapy，aiming provide a well-grounded unified method for the clinical treatment of cerebrospinal diseases.Furthermore，we shared typical cases. |
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