中医药治疗轻度认知障碍的研究进展

Research Progress on the Treatment of Mild Cognitive Impairment with Traditional Chinese Medicine

摘要: 轻度认知障碍(MCI)常见于老年人，由于我国老龄化趋势不断加剧，本病的发病率日益增加。目前西医治疗本病以阿尔兹海默症治疗药物为主，存在对本病的治疗针对性不强、有效性不足等问题。中医认为本病属于“健忘”“呆病”，其发生主要在于气血失衡，患者年老体弱，脏腑亏虚，气血不足以濡养髓海，发为本病。近年来中医在治疗MCI，延缓疾病进展、改善患者生活质量上表现出了明显优势。据此笔者总结了本病的病因病机，各种中医药内治及外治方法，为本病的临床治疗提供参考。

Abstract: Mild cognitive impairment (MCI) is common among the elderly. Due to the continuous intensification of the aging trend in China, the incidence of this disease is increasing. Currently, Western medicine mainly uses drugs for Alzheimer’s disease to treat MCI, which has problems such as insufficient specificity and effectiveness for this disease. Traditional Chinese medicine considers MCI as “forgetfulness” or “dementia”, and its occurrence mainly results from the imbalance of qi and blood. Elderly patients are physically weak, with deficiency of internal organs, and insufficient qi and blood to nourish the sea of marrow, leading to this disease. In recent years, traditional Chinese medicine has shown significant advantages in treating MCI, delaying disease progression, and improving the quality of life of patients. Based on this, the author summarizes the etiology and pathogenesis of this disease, as well as various internal and external treatment methods of traditional Chinese medicine, to provide a reference for the clinical treatment of this disease.