The Treatment of Cognitive Impairment after Transient Ischaemic Attack Based on the Theory of ＂Liver and Kidney-brain Ataxia＂

    PAN Xiayan¹， ZHANG Bin²

    1.Shandong University of Traditional Chinese Medicine， Jinan 250355， Shandong， China; 2.Zibo Hospital of Traditional Chinese Medicine， Zibo 255300， Shandong， China

    Corresponding Author""" ZHANG Bin， E-mail： 347114394@qq.com

    Keywords""" cognitive impairment after transient ischemic attack; the theory of \"liver and kidney-brain ataxia\"; tonifying liver and kidney; clear heat and resolve toxins; dissolve phlegm and unblock the collaterals

    摘要" 从“肝肾-脑共济”理论切入探讨短暂性脑缺血发作后认知障碍病机，提出肝肾亏虚、内风旋动、脑髓失养是短暂性脑缺血发作后认知障碍的发病之本，痰瘀火郁酿生浊毒，入血污髓损络为发病之标。主要针对注意力、工作记忆力、执行功能、定向力等4方面认知功能，从肝肾入手分期治疗短暂性脑缺血发作后认知功能障碍。初期病人定向力、工作记忆力认知功能下降，病机为痰瘀火郁化浊，入血污髓伤络，重在清热解毒化痰、清髓活血通络；后期病人处理事情速度明显减缓，工作记忆力严重下降，注意力不集中等执行力损伤表现，病机为肝肾亏虚、精血不足、脑髓失充，重在补益肝肾，填精益髓养血。标本同治、补泻并用则肾充肝柔、热清痰消瘀化浊去，可改善病人短暂性脑缺血发作后认知功能。

    关键词" 短暂性脑缺血发作后认知障碍；“肝肾-脑共济”理论；补益肝肾；清热解毒；化痰通络

    doi：10.12102/j.issn.1672-1349.2025.02.028

    短暂性脑缺血发作(transient ischemic attack ......