Alzheimer’s disease
[Overview]
Alzheimer’s disease is an acquired damage to the cerebral cortex comprehensive advanced features, the performance of memory, sense, sensory and motor function, speech, activities of daily living, social functioning, interpersonal communication, the ability to control emotional reactions such as reduction or loss of the general . Daisha stupid, but there is no disturbance of consciousness, can be seen as a syndrome. The main clinical symptoms, the light can only forgetfulness, personality changes, such as silent and looked indifferent, irritability, etc.; severe disorders of consciousness, misconduct, worse life can not take care of themselves, all of the emotional events, such as shame,sense of responsibility and morality are different degrees of loss, the last until complete dementia, advanced multi-bedridden, until failure. According to their causes Alzheimer’s disease can be divided into three categories: one for primary degenerative dementia or Alzheimer’s disease; those for vascular dementia; last category on the grounds of various other brain diseases, less common. The early part of the disease, such as early diagnosis and treatment of patients with nursing, and can still get a good effect, if the development of consciousness, dementia, the treatment difficult. Poor prognosis of this disease. Alzheimer’s is a Chinese “crazy text”, “forgetful”, “Dementia,” “Melancholia” and other areas.
[Etiology and pathology]
Cause of senile dementia in the elderly man to, loss of blood and viscera of all, if more interest due to Shiyi, sexual intercourse is not festival, gas consumption and liver injury, loss of essence;
Or serious illness after a long illness, disease and stroke or consciousness of the late, long restrain evil heat, damage blood and body fluids; or for Concerned angry, or alcohol satiation, liver and spleen injury; Concerned stagnation or falling, cause Qi stagnation; or because of injury and poisoning, brain damage and the government.
Pathological changes of old age or chronic illness, organs virtual failure, lack of brain, yin and yang do not transfer, conversion between the essence of blood disorders, air-lift against the chaos, phlegm and blood stasis, which led to brain dysfunction and even God Clinical Zhu Zheng Feng up. Yin and yang organs virtual failure, not on the essence together in the head, marrow lack the gods dystrophy, functional disorders, not outside the body and facial features Jiuqiao Yu, getting to dementia. Positioning of the disease pathology in the brain (marrow), and heart, kidney, liver, spleen and other organs related.
[Diagnostic points
1 disease in old age, male age 65, women 55 years of age.
(2) can be expressed as clinical intelligence, mental changes, personality, emotional, behavioral, physical changes.
3 primary degenerative dementia without obvious signs of nerve location, vascular dementia focal neurological signs of stroke.
4 EEG rhythm disorders can diffuse and scattered slow wave, CT, MRI examination showed brain atrophy and ventricular expansion.
[Type] dialectical
1 essence deficiency symptoms: old look dull, slow, memory was impaired, speech retardation, speech reversed, childish behavior, like living alone, despair, suddenly cried suddenly laugh, or head shaking limbs trembling, dizziness with see flower head, hearing loss, waist and knees, shaking pleasure teeth, shortness of breath and weak. Dark tongue, thin white fur, weak pulse, weakness, particularly foot pulse.
Syndrome analysis: old and feeble, less bad kidney essence, precision loss is reduced marrow, marrow failure brain dirty sufficient to support, atheism does not in power, made the stupid Daisha Zhu Zheng. Owing kidney essence, marrow does not charge and see dizziness, backache, pleasure teeth shake; essence, then the deaf flower head, shortness of breath, weakness; feet, weak pulse, weakness, dark tongue, thin white fur for the lack of signs of kidney .
(2) Heart and deficiency symptoms: dull looking, worry less joy, silent, looking gaze intently white, tired body lying thinking, palpitations, shortness of breath, do not want to diet. Pale, thin white fur, thready and weak pulse.
Syndromes: thought-over, labor sad spleen, and Heart blood, spleen and living source of the blood, heart and spleen deficiency, blood does not raise heart, spirit in her, blood deficiency, not on instructions from the brain, so see dementia Zhu Zheng; blood less Qi, so tired body lying thinking, palpitations, shortness of breath, pale white gaze intently; spleen lost health movement, so do not want to diet;
Pale tongue, thin white, thin pulse of heart and spleen, two blood loss of the levy.
3 phlegm blocking Khieu symptoms: depression, blunt expression of stay, quiet and less words, or silent, or muttered soliloquy, alone behind closed doors, laughing and crying impermanence, who is not Yu Jian, head weight, such as wrap, not Sina Valley, the hospital distention, more than the mouth, hold the spit looking? s not white or pale Ze, shortness of breath.Tongue body fat, light quality, greasy fur, slippery pulse.
Symptom analysis: liver disease more than the first Yu, spleen and stomach qi Yu is committed grams, then the loss of weak spleen and stomach health movement, phlegm accumulation in the chest, blinded clear spirits awakened, so that the gods is unclear, so top-heavy, such as wrap, dementia Zhu Zhengclusters; white face shortness of breath, fatigue, we can see in the Qi exhausted; poor appetite, the hospital distention, mouth and more phlegm, is a weak spleen operation of waiting; fat mass pale tongue, greasy fur, slippery pulse, is filled with phlegmof the levy.
4 Qi stagnation symptoms: look indifferent, unresponsive, man of few words, forgetful of good anger, sleep, easily startled, or jump to thinking, insomnia, two eyes staring. Dark purple tongue, or see petechiae petechia, thin white fur, pulse astringent, or thin, or sink later.
Syndromes: The permit more than a history of trauma. Brain is the House, such as qi stagnation and blood stasis, so that blood does not fully support the brain, or due to blood stasis blocking context, blood can not be on the wing in the brain, the brain God dystrophy, dementia can be made ; dark purple tongue, pulse delay astringent, etc., are symptoms of blood stasis.
[Type] treatment
1 essence deficiency rule is: replenishing essence, keep the brain calm the nerves.
Recipe: even less Danga.
Rehmannia 12 grams, 12 grams medlar Chu real son dogwood 9 g 12 g 12 g Cistanche 12 Kedu Achyranthes Chung Ji-day 9 Keba Yizhiren 15 g 12 g 12 g Poria yam medicine Yun-chih, 6 g 15 g 12 g turmeric Shichangpu 12 g jujube 7 subtraction with the disease: fatigue, shortness of breath, disinclination to talk to less, plus 15 grams of astragalus, Codonopsis 9 grams to Qi and spleen; poor appetite deprivation, yellow greasy moss, the focus of a disease hot-Yun who temporarily Yiqing phlegm heat, eliminate phlegm and then make up to be law.
(2) Heart and deficiency rule is: spleen and blood, fill the heart puzzle.
Recipe: Decoction Dingzhi spleen Pill.
Astragalus Codonopsis 12 grams 15 grams 12 grams Atractylodes Fu Shen 9 g 12 g Semen Angelica 9 grams Polygala 6 g 6 g Shichangpu wood Yizhiren 15 grams 12 grams 6 grams of licorice jujube 7 subtraction with the disease: chest tightness, sodium those who stay, to speed up the shell 9 grams, 12 grams turmeric to qi Chest; sweating incessantly, plus keel 30 grams of oysters, 30 grams, 15 grams of wheat float to sweating.
3 phlegm blocking Khieu rule is: Phlegm Huazhuo, Orifices refreshing.
Recipe: Wash the heart Decoction.
Codonopsis 12 grams 12 grams Atractylodes Poria 12 grams of dried tangerine peel 9 g Pinellia Zaoren 6 g 12 g 12 g turmeric 12 g Shichangpu Polygala 6 grams 6 grams of licorice tuber 9 g Divine Comedy 9 g nutmeg 3 g subtraction with the disease: liver were evident, plus Bupleurum 9 grams, white peony root 12 g, the liver qi stagnation; disturbed sleep soundly at night, could increase Bozi 12 grams, Caulis 30 grams, 15 grams Albizia to uneasiness of mind.
4 Therapeutic Qi stagnation: qi and blood circulation, Tongqiao refreshing.
Recipe: Decoction Tongqiaohuoxue.
Peach kernel safflower 9 g 9 g Chuan Xiong Radix 12 g g 12 g turmeric 9 g Shichangpu old onion 6 g 12 g ginger 3 felled Long addition and subtraction with the disease: blood disease long enough, add Angelica 9 grams, 12 habitat grams of tiger Ref 12 grams, 15 grams of astragalus to Qi and blood; disease for a long stasis of heat, often caused by the fire against the liver and stomach, and see headache, Oue, one should Uncaria 15 grams, chrysanthemum 9 grams, Prunella 15 grams, 9 grams Jhuru to Liver and stomach;
If the liver qi stagnation, plus Bupleurum 9 grams, citrus aurantium 9 grams, Cyperus rotundus 12 grams, to liver Qi Blood Circulation.
[Chinese medicine]
1 piracetam every three, three times a day.
2 also fine fried oral each 10 ml, 3 times a day.
3 oral rejuvenation drink each 10 ml, 3 times a day.
[Simple] side
1 Ginseng 6 g, 12 grams Atractylodes, Fu Shen 9 g, dried tangerine peel 6 g, Shuijianbi, l, sub-2 service. For heart and spleen deficiency type dementia.
(2) 15 grams of Salvia, Chuanxiong 9 grams, Angelica 9 grams, Shuijianbi day 1, 2 service. For Qi stagnation type dementia.
[Other therapies]
Acupuncture: Take Ojo, Zusanli, Neiguan, alternate use, strong stimulation, 1 day, 10 days for treatment, rest and repeat 3 to 4 days after treatment, a total of seven courses.
Massage Therapy: The kidney and brain, through adjusting blood, stasis Phlegm as the main rule. Common points: Baihui, Yin-Tang, jade pillow, Vital, Guan Yuan, Sanyinjiao, Zusanli, a sea of blood and so on. Reinforcing-reducing techniques and facilities, with sparse row of the law.
Day 1, every 20 to 30 minutes, 6 times for a course.
Water treatment:
(1) fresh pigeon soup: a dove, the amount of water, a small amount of wine, soup. Soup meat and pigeon brain. Function Bunao.
(2) wolfberry stew hunting brain: Porcine 1, medlar 15 grams, add water, salt, wine, ginger and other spices stew before eating.Liver function Bunao.
[Note]
1 Alzheimer’s disease difficult to treat, so prevention is very important and timely treatment of various diseases can damage the brain, to minimize the impact of harmful factors on the brain.
(2) to enhance physical and mental exercise, maintain a good mood, attention to work and rest, insist on a certain amount of physical activity.
3 should be light and nutritious diet, eat more fruits and vegetables, avoid greasy, ban alcohol and tobacco.