CAO Liping, GAO Min. Treating Cognitive Impairment of Children with Epilepsy Based on Consolidating Basis and Cultivating Primordial Qi[J]. Journal of Traditional Chinese Medicine2019, 60(18): 1555-1559.
CAO Liping, GAO Min. Treating Cognitive Impairment of Children with Epilepsy Based on Consolidating Basis and Cultivating Primordial Qi[J]. Journal of Traditional Chinese Medicine2019, 60(18): 1555-1559.DOI: 10.13288/j.11-2166/r.2019.18.007.
In the theory of"consolidating basis and cultivating primordial qi"
"consolidating basis"refers to the use of the method of benefiting qi and strengthening the spleen and replenishing the kidney and replenishing essence to take care of the innate and acquired essence; "cultivating primordial qi"refers to the purpose of cultivating and supplementing the body’s primordial qi by stimulating the physiological functions of organs of human body
so as to play a role in resisting disease and evil. In children with epilepsy
the innate spleen and kidney essence qi is not rich
and the acquired long-term illness is unhealed with the deficiency and fatigue
which leads to insufficient and damage of acquired essence qi of the spleen and kidney. The essence of the spleen and kidney is not enough to metabolize and replenish the brain and marrow
and the long-term illness causes depletion and deficiency of the spleen and kidney
and dysfunction of the zang-fu viscera. The wind
frighten
phlegm
and stasis are mutually inflicted
eventually leading to damage to the brain marrow
dysfunction of spiritual mechanism and become cognitive disorders.Starting from the pathogenesis of pediatric epilepsy cognitive impairment
this paper explored the traditional Chinese medicine thinking of consolidating basis and cultivating primordial qi theory in the treatment of cognitive impairment in children with epilepsy
that is
tonifying the kidney to consolidate the innate origin
and invigorating the spleen to consolidate the acquired origin
tonifying the spleen and benefiting qi to consolidate defensive qi
tonifying the spleen and benefiting essence to fill brain marrow. The specific treatment is mainly based on consolidating basis and cultivating primordial qi
supplemented by resolving phlegm
eliminating stasis and extinguish wind
and often chooses Huangqi( Radix Astragali seu Hedysari)
Dangshen( Radix Codonopsis)
Shudihuang( Radix Rehmanniae Preparata)
etc. to cultivate and tonify the spleen and kidney
Yiyiren( Semen Coicis)
Fuling( Poria)
Shichangpu( Rhizoma Acori Tatarinowii)
etc. to eliminate phlegm
Taoren( Semen Persicae)
Honghua( Flos Carthami)
Chishao( Radix Paeoniae Rubra)
etc. to resolve the stasis
Tianma( Rhizoma Gastrodiae)
Gouteng( Ramulus Uncariae Cum Uncis)
etc. to extinguish the wind
and cooperate with insect medicinals with flexible and fierce nature to pacify the liver