World Alzheimer's Day｜What are the tricks of Chinese medicine in treating dementia?

Expert: Wang Jialin, Department of Rehabilitation, Dongfang Hospital, Beijing University of Traditional Chinese Medicine Dementia is recognized as a difficult disease to treat, except for a small number of dementia with a clear cause can be cured, most of the dementia is not yet available, but some Chinese medicines or non-pharmacological therapies have a certain degree of efficacy on the symptoms, to help slow down the progress of the disease.

(A) Chinese medicine

Mainly based on the identification of the prescription, individualized treatment, because the Chinese medicine believes that the basic mechanism of dementia is the medulla reduces the brain disappearance, Shenji failure, phlegm and blood stasis obscured the orifices, mainly in the form of deficiency, so the treatment of the main method is to replenish the kidneys and the medulla, strengthen the spleen and nourish the blood is the main, and the ShaoDan and the seven blessings of drink can be chosen, according to the standard and real components, with the Depending on the components of the symptoms, it can be combined with medicines to dissolve phlegm, invigorate blood, clear heat and detoxify toxins, which need to be used under the guidance of a TCM practitioner. Example: 30g of ripened earth, 12g of cornelian cherry, 6g of farzhi, 15g of ripe jujube nut, 15g of cypress seed kernel (oil removed), 9g of Poria cocos, 15g of radix et Rhizoma Ginseng, 10g of calamus, 30g of Yizi Ren to tonify the kidneys and promote wisdom; you can always take wisdom-promoting medicinal and food Chinese medicine: Chinese wolfberry, deer gelatin, tortoise jelly, lotus seed, Chinese yam, Astragalus membranaceus, Poria cocos, hu ma ren, walnuts, jujube, lily, mulberry seeds, red beans and other sexually flat products.

(B) non-pharmacological treatment

Mainly acupuncture, moxibustion, cupping, acupoints, ear acupuncture and other Chinese medicine special techniques

(1) brain exercise: ten fingers combing the head, press and knead the wind pool, push the Hall of Indies, buckle the small fishbowl, buckle the big fishbowl, buckle the fingertips, each action for two minutes, twice a day;

(2) (2) Acupuncture: generally choose to regulate the spirit of the class of points (four Shenchong, Baihui, Yintang, Shenting, Shenmen), with the strengthening of the spleen and tonifying the kidneys class of points (foot Sanli, Spleen Yu, Liver Yu, Kidney Yu), stay in the needle for 30 minutes, once a day, 20 times a course of treatment; can be connected to the electro-acupuncture, continuous wave of 80-100 times / min, the intensity and duration of the patient to the degree of tolerance;

(3) Moxibustion: Baihui, Shenmen, four Shenchong, Foot Sanli, Sanyinjiao, Taixi, Yongquan, Yu of the Heart, Yu of the Kidney, Yu of the Liver, Neiguan, Hegu, to reduce the production of β-amyloid protein; each time, choose 2-4 acupoints, each acupoint for 5-10 minutes, the local skin flushing to the extent of the local skin flushing, once a day, a course of 10 times;

(4) Open four passes to press the acupoints: Taichong acupoints, Hegu acupoints, each acupoint for 3 minutes, twice a day;

(5) Auricular points: Shenmen, sympathetic, heart, kidney, spleen, stomach, liver, pituitary, with auricular probe stick to find the positive points, sterilized with 75% alcohol, the Wang Buliuhang seeds pasted on the auricular points, pressurized, with soreness, numbness, distension and pain, or a feeling of heat, 2-3 times a day, a timed pressure for 3-5 minutes;

(6) Acupuncture Points Applied: the Chinese medicine nightshade, sour jujube nut, Acacia, Yichihua, Yuanzhi, each equal portion of the research and powdered to take 4g of the drug with a little honey to mix, placed in the acupoints on the sticker. Selection of points: take bilateral Sanyinjiao, Zhaohai, Yongquan, Neiguan. 24h to remove the plastered drugs, to the extent that the plastered skin itching, flushing. Each time to choose 2 or 3 points, the above points are used alternately. 7 days a course of treatment;

(7) bloodletting therapy: clip the fire-heat evidence of patients can be used, 75% alcohol disinfection with a three-pronged needle in the tip of the ear point puncture bloodletting 1 ml, 2 times a week

Because dementia is a refractory disease, generally use a variety of methods and techniques of joint intervention, at the same time, the above methods of treatment and technology must be in the guidance of a professional physician to select and use. and used under the guidance of a specialized physician.