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李梦茹, 张钰, 刘佳, 刘同岩, 王顺, 张鑫浩宁, 林春盛, 王玉琳, 孙申田.国医大师孙申田从“神-气-髓海”角度运用针刺辨治脑小血管病认知障碍[J].湖南中医药大学学报,2026,46(3):433-439[点击复制] |
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| 国医大师孙申田从“神-气-髓海”角度运用针刺辨治脑小血管病认知障碍 |
| 李梦茹,张钰,刘佳,刘同岩,王顺,张鑫浩宁,林春盛,王玉琳,孙申田 |
| (黑龙江中医药大学, 黑龙江 哈尔滨 150040;黑龙江中医药大学附属第二医院哈南分院, 黑龙江 哈尔滨 150060;黑龙江中医药大学附属第二医院, 黑龙江 哈尔滨 150001) |
| 摘要: |
| 脑小血管病认知障碍是临床中常见的一种认知障碍。国医大师孙申田从“神-气-髓海”角度探析脑小血管病认知障碍的病机，认为神主司认知功能，神机失用是本病的核心病机，髓海不足是本病的发病基础，并强调气是连接髓海与神的枢纽，气机失调是本病发生的关键。在治疗方面，孙申田教授提出“治病必先调神”的观点，以针刺调神为治疗本病的首选，同时兼顾充髓调气。附验案一则加以阐明，以期为脑小血管病认知障碍的针刺治疗提供理论支持和临床指导。 |
| 关键词: 脑小血管病认知障碍 神 气 髓海 治病调神 国医大师 孙申田 |
| DOI：10.3969/j.issn.1674-070X.2026.03.001 |
| 投稿时间：2025-10-02 |
| 基金项目:国家中医药管理局第四届国医大师传承工作室建设项目（国中医药办人教函〔2022〕245号）；第七批全国老中医药专家学术经验继承工作实施方案（国中医药办人教函〔2021〕272号）；黑龙江省中医药管理局国医大师学术思想传承科研课题项目（GY2022-14）。 |
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| National TCM Master SUN Shentian's acupuncture differentiating and treating cerebral small vessel disease-related cognitive impairment from the "spirit-qi-marrow" perspective |
| LI Mengru, ZHANG Yu, LIU Jia, LIU Tongyan, WANG Shun, ZHANG Xinhaoning, LIN Chunsheng, WANG Yulin, SUN Shentian |
| (Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;Ha'nan Branch of the Second Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150060, China;The Second Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150001, China) |
| Abstract: |
| Cerebral small vessel disease-related cognitive impairment (CSVD-CI) is a common clinical condition of cognitive dysfunction. National TCM Master SUN Shentian analyzes the pathogenesis of CSVD-CI from the perspective of "spirit-qi-marrow sea". He proposes that the spirit governs cognitive function, and the core pathogenesis of the disease lies in the dysfunction of the spirit's activity. Insufficiency of the marrow constitutes the fundamental pathogenesis of this disease. He emphasizes that qi serves as the pivotal connection between the marrow and the spirit, and that dysregulation of qi movement is the key factor in the development of the condition. Regarding treatment, Professor SUN Shentian advocates the principle that "Regulating the spirit prior to treating disease", He identifies acupuncture for regulating the spirit as the primary treatment choice for this condition, while also addressing the replenishment of the marrow and regulation of qi. A verified medical record is attached to illustrate this approach, aiming to provide theoretical support and clinical guidance for acupuncture treatment of CSVD-CI. |
| Key words: cerebral small vessel disease-related cognitive impairment spirit qi marrow treating disease by regulating the spirit National TCM Master SUN Shentian |
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