Experience of WANG Yongyan in Treating Vascular Cognitive Impairment from the Perspectives of 'Deficient Qi Retention and Stagnation' and 'Toxin Damaging Brain Collaterals'
10.13288/j.11-2166/r.2025.23.003
- VernacularTitle:王永炎从虚气留滞、毒损脑络论治血管性认知障碍经验
- Author:
Yipin FAN
1
;
Jianpeng LI
1
;
Yingying ZHANG
2
;
1
Author Information
1. Institute of Basic Research in Clinical Medicine，China Academy of Chinese Medical Sciences，Beijing，100700
2. Dongzhimen Hospital，Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
vascular cognitive impairment;
deficient qi retention and stagnation;
toxin damaging brain colla-terals;
experience of famous doctors;
WANG Yongyan
- From:
Journal of Traditional Chinese Medicine
2025;66(23):2411-2415
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized the experience of professor WANG Yongyan in differentiating and treating vascular cognitive impairment （VCI）. It is believed that the core etiology and pathogenesis of VCI are deficient qi retention and stagnation， and toxin damaging brain collaterals. The essence lies in depletion of essence and qi， and malnutrition of brain collaterals as the root cause， while phlegm， turbidity， stasis， and heat blocking brain collaterals act as the branch aspects. It reveals the pathogenesis essence of VCI as stagnation caused by deficiency and qi stagnation transforming into excess， internal generation of toxin and collateral injury. The overall therapeutic principle is to tonify deficiency， move stagnation， resolve toxin， and unblock the collaterals， guided by the three core treatment methods of nourishing， unblocking， and clearing. Clinically， according to the different characteristics of the plateau phase， fluctuation phase， and decline phase， treatment methods including replenishing qi and blood， tonifying the kidney and supplementing essence； promoting sanjiao （三焦） circulation and activating blood to dredge collaterals； clearing heat and resolving toxin， eliminating phlegm and reducing turbidity are respectively adopted. This provides clinical guidance for the treatment of VCI in traditional Chinese medicine.
