[1]初怡宇,李峰,杨舒涵,等.基于“脏腑-经络-脑髓”病机转化探讨健忘的中医诊疗[J].陕西中医,2025,46(11):1520-1525.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.014]
　CHU Yiyu,LI Feng,YANG Shuhan,et al.Exploring diagnosis and treatment of pathogenesis transformation of forgetfulness between organs and brain marrow based on combination of disease and syndrome[J].,2025,46(11):1520-1525.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.014]
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基于“脏腑-经络-脑髓”病机转化探讨健忘的中医诊疗
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年11期
页码:
1520-1525
栏目:
学术探讨
出版日期:
2025-11-05

文章信息/Info

Title:
Exploring diagnosis and treatment of pathogenesis transformation of forgetfulness between organs and brain marrow based on combination of disease and syndrome
作者:
初怡宇1 ; 李峰1; 杨舒涵1; 肖卓阳1; 王丽晔2; 陈红馨1（越南）; 毛萌1
（1.北京中医药大学中医学院，北京102401；2.北京中医药大学东方医院，北京 100078）
Author(s):
CHU Yiyu1; LI Feng1; YANG Shuhan1; XIAO Zhuoyang1; WANG Liye2 ; CHEN Hongxin1(Vietnam); MAO Meng1
（1.School of Chinese Medicine,Beijing University of Chinese Medicine，Beijing 102401，China；2.Dongfang Hospital Beijing University of Chinese Medicine，Beijing 100078，China）
关键词:
健忘; 病因病机; 病证结合; 脏腑-经络-脑髓
Keywords:
Forgetfulness; Etiology and pathogenesis; Combination of disease and syndrome; Organs-meridians-brain marrow
分类号:
R 25
DOI:
DOI:10.3969/j.issn.1000-7369.2025.11.014
文献标志码:
A
摘要:
健忘既是临床常见的独立病症，是多种神志疾病的前驱症状和临床表现。目前，现代医学对其发病机制尚未完全阐明，临床治疗手段仍较局限。中医学对健忘的病机认识较为系统，并积累了丰富的治疗经验。因此本文系统梳理中医古籍中关于健忘的论述，揭示其病机理论，从单一因素发展到“脏腑-经络-脑髓”协同调控的演进过程。并在此基础上以病证结合思想为指导，结合现代临床中常见的阿尔茨海默病健忘期、脑小血管病认知障碍、失眠及中枢疲劳等神志疾病，进一步探讨健忘在不同疾病中的病机差异及治疗策略，为中西医结合防治健忘及相关疾病提供新思路。
Abstract:
Amnesia is not only a clinically common independent disorder but also a prodromal symptom and clinical manifestation of various mental disorders.Currently,modern medicine has yet to fully elucidate its pathogenesis,and clinical treatment options remain relatively limited.Traditional Chinese medicine (TCM),however,has developed a relatively systematic understanding of the pathogenic mechanisms of amnesia and has accumulated extensive therapeutic experience.This study review ancient TCM literature on amnesia,revealing evolution of its pathogenic theories from a single-factor perspective to a coordinated regulatory model involving the viscera,meridians,and brain marrow.Building on this foundation and guided by integrative approach of disease-syndrome correlation,the study further explores differences in pathogenic mechanisms and treatment strategies of amnesia across various mental disorders,including the amnestic phase of Alzheimer’s disease,cognitive impairment associated with cerebral small vessel disease,insomnia,and central fatigue-conditions commonly encountered in modern clinical practice.Providing new insights for integrated Chinese and Western medicine approach to prevention and treatment of amnesia and related diseases.

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备注/Memo

备注/Memo:
国家自然科学基金资助面上项目（81874427）；北京市自然科学基金资助面上项目（7242235）；北京中医药大学揭榜挂帅项目（2024-JYB-JBZD-017）
更新日期/Last Update: 2025-11-04