【摘要】 老年性痴呆是一种常见的神经系统退行性疾病，以认知功能障碍为主要表现，早诊断早治疗可减缓发病进程。中医认为其病机以肾虚为本，而脾胃为后天之本，亦为痴呆发病关键，脾胃虚弱精微难升，或脾胃虚内生痰瘀以阻滞脑窍都可发为痴呆。“治未病”思想源于《黄帝内经》，可通过病前养身、病时防变两方面防治老年性痴呆。基于此，文章将结合“治未病”理论，调摄先后天之本，从脾肾探析老年性痴呆发生发展的病机及治疗，以期为临床提供理论依据，丰富老年性痴呆的诊疗思路。更多还原

【Abstract】 Senile dementia is a common neurodegenerative disease with cognitive dysfunction as the main manifestation, and early diagnosis and early treatment can slow down the pathogenesis. Traditional Chinese medicine holds that its pathogenesis is based on kidney deficiency, while the spleen and stomach, as the acquired foundation, are also the key to the onset of dementia. Deficiency of the spleen and stomach makes it difficult to transport and transform essence, or internal phlegm and blood stasis caused by spleen and stomach deficiency blocking the brain orifices can lead to dementia. The concept of “ preventive treatment of disease” originates from Huangdi Neijing. It can prevent and treat senile dementia through following two aspects: maintaining health before the onset of the disease and preventing deterioration when the disease occurs. Based on this, this article will combine the theory of “preventive treatment of disease”, regulate and nourish the congenital and acquired foundations, explore the pathogenesis and treatment of the occurrence and development of senile dementia from the perspective of the spleen and kidney, aiming to provide a theoretical basis for clinical practice and enrich the diagnosis and treatment ideas for senile dementia.更多还原