Vascular Dementia In The Western Treatment Of The Status Quo

As the incidence of cerebrovascular disease increasing year by year, vascular dementia (VD) growing causes for concern.VD is the major complication of cerebrovascular disease onset. Except for the pathological evidence of cerebrovascular disease, immune and inflammatory mechanisms and degeneration disease are related to the pathogenesis. Clinical manifestations varied according to different vascular lesions, and mainly are memory disorders, behavioral disorders, and cognitive impairment. Diagnostic criteria is not unified, there are now more commonly used NINDS-AIREN criteria, DSM-IV-R standard, ICD-10 standards, ADDTC standards and 2002 Chinese Medical Association neuropathy credits vascular dementia diagnostic standards.Western medicine treatment, including preventive treatment, drug treatment, psychological and social intervention. Preventive treatment start with the treatment of the risk factors of stroke and cognitive impairment, and leads to early diagnosis and treatment of stroke and recurrent stroke prevention. Drugs to treat vascular dementia , include the drugs thatimproving brain metabolism and cerebral circulation, protecting neurons, neurotransmitters related drugs, and the drugs improving neurological symptoms. Chinese medicine focuses on the combination of dialectical debate of symptons and disease. Attentions are paid to identify Xu and Shi, Zang and Fu, balancing the heart, liver, spleen, kidney and more viscera. To fill and diarrhoea by identifying the sputum, blood stasis, wind, the fire. Good effects are achieved and have broad prospects by using Bushen, filling fine, Nutriting heart to peace spirit, Bugan Jianpi, Shugan Jieyu, Liqi Huatan, Huayu methods companioning with acupuncture, point injection, etc. Professor Zhang Tiezhong, instructor, create Hua Dai Formula and Tongmaiyizhi Capsules all by himself, to treat the sputum, blood stasis governance, which causes dementia especially of sydromes of liver and kidney yin vacuity, phlegm and blood stasis block, by ways of Bugan Yishen, Huayu expectorant, benefit intelligence and wake spirit. The treatment shows good effect through experimental research and clinical observation.