AN Chengfei,ZHAO Qi,DU Yuzheng.The Pathogenesis of Post-Stroke Cognitive Impairment and the Acupoint Selection Idea based on the Theory of “Heart-brain-kidney Axis”[J].Journal of Traditional Chinese Medicine,2021,62(24):2135-2139.
AN Chengfei,ZHAO Qi,DU Yuzheng.The Pathogenesis of Post-Stroke Cognitive Impairment and the Acupoint Selection Idea based on the Theory of “Heart-brain-kidney Axis”[J].Journal of Traditional Chinese Medicine,2021,62(24):2135-2139.DOI: 10.13288/j.11-2166/r.2021.24.005.
The Pathogenesis of Post-Stroke Cognitive Impairment and the Acupoint Selection Idea based on the Theory of “Heart-brain-kidney Axis”
The theory of “heart-brain-kidney axis”, which takes Du Mai (governor meridian) as the pivot, is formulated based on the characteristic that blood and vessles of heart, brain and kidney are connected in physiology, the channels and collaterals are correlated to each other, and all of them govern the spirit. Post-stroke cognitive impairment (PSCI) is located in the brain and is closely related to the heart and kidney. Under the heart-brain-kidney axis theory, PSCI is an organic brain disease, which is directly induced by phlegm-stasis obstructing the orifices (resuscitate); apraxia is the key to the disease, while the kidney deficiency and marrow reduction is the root. According to the co-morbidity of the heart, brain and kidney and the“heart-brain-kidney axis” theory, it is suggested to treat the three organs simultaneously and to select the main acupoints accordingly, which were Baihui (DU20), Sishencong (EX-HN1) and Shenting (DU24) for treating the brain, Neiguan (PC6) and Shenmen (HT7) for regulating the heart, and Taixi (KI3) and Sanyinjiao (SP6) for supplementing the kidney. Moreover, combined acupoints are selected based on the differentiation results of the symptoms and syndromes of each patient.
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references
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Staged Treatment of Post-Stroke Cognitive Impairment from the Perspective of Core Cognitive Domains Based on the Theory of “Spleen-Kidney-Brain Connection”
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