Dementia and Chinese Medicine  

2 types of Dementia in Traditional Chinese Medicine:

1. trouble with blood vessels in the brain

2. Mixed with other disease(s) A third that must be considered is Alzheimer's. Will see personality changes, and loss of cognitive skills.

Traditional Chinese Medicine Basic Patterns for Dementia

Kidney deficiency

(Qi, Yin, Yang, Essence, marrow)

+ Phlegm (invisible heart, kidney gallbladder)

- may also have some Blood Stasis - half heart and half kidney 

Herbs for Dementia

- Gua Lou (heat phlegm), Xie Bai (cold phlegm)

Mental Heart  - Shi Chang Pu (heart phlegm), Yuan Zhi (heart phlegm)

Physical and Mental Heart - Seng Long Gu and Mu Li (heart phlegm)

Kidney Phlegm - Tu Si Zi, Yi Zhi Ren, Bu Gu Zhi, Du Zhong, Jin Ying Zi, Fu Pen Zi

Kidney Marrow - Lu Rong,

Herbal Formulas:

Sang Piao Xiao San (heart kidney Essence deficiency and leakage)

- Di Huang Yin Zi (marrow, Phlegm, Wind)

- Jin Suo Gu Jin Wan (male Essence/sexual tonic)

- Wu Zi Yuan Zhong Wan (Kidney Essence tonic)

- Ban Long Wan (Kidney Essence tonic)

- Tu Si Zi Wan (Kidney Essence tonic)

- Quan Lu Wan (Kidney Essence tonic)

Herbal Formulas: Wen Dan Tang + tonics Dao Tan Tang + tonics, Di Tan Tang + tonics

Phlegm herbs for Dementia:

Shi Chang Pu, Yuan Zhi, Tian Zhu Huang, Yu Jin, Fu Shen, Long Gu (all herbs above are for Heart Phlegm)Gan Song, Pei Lan (Spleen), Bai Jie Zi (Gallbladder), Nu Li, Xia Ku Cao, Tian Tia (liver), Tu Si Zi, Yi Zhi Ren (Kidney)

Blood Stasis herbs for Dementia:

in Liver mostly - Dan Shen, Tao Ren, Hong Hua, Shan Zha, Da Huang, Si Wu Wen Dan Tang, Tao Hong Si Wu Tang (+ Xiang Pu, Ru Xiang, Zhi Ke), Xue Fu Zhu Yu Tang - Suan Zao Ren 15-30g + Mai Dong 9g + Wu Wei Zi 5g (Qi and Yin deficiency) - Suan Zao Ren 15-30g + Sheng Di 12g + Wu Wei Zi 5g (HT and KI disharmony) - Suan Zao Ren 15-30g + Ban Xia 9g + Wu Wei Zi 5g (HT Qi deficiency and Phlegm) - Wen Dan Tang + Huang Lian (heat) - Wen Dan Tang + Suan Zao Ren Tang (heat) - Gui Pi Tang + Huang Lian + Suan Zao Ren Tang (heat) - Dan Zhi Xiao Yao San (heat) - Hei Xiao Yao San (heat) - Tian Wang Bu Xin Dan (HT heat) - Xue Fu Zhu Yu Tang - Jiao Tai Wan

(HT KI communication, Huang Lian/Rou Gui)

Herbs: Bai He, Lian Zi, He Huan Hua, Ye Jiao Teng

*All stages of Kidney decline can lead to Phlegm and Wind In order: Kidney Qi - frequent urination Kidney Yang - coldness Kidney Yin - sleep during day, not at night Kidney Essence - memory Kidney Marrow - tremors

*When Kidney and Liver are deficient, there is not enough water to nourish wood, this may cause the Liver Qi to rise causing Wind.

*When tonifying the Kidneys, one should consider the need to keep the Spleen and Stomach strong.

Brain Disease -Marrow Parkinsons -Essence, Marrow, Yin deficiency with wind either wind or blood stasis.

We must clear wind to treat Senile Dementia

-Kidney deficiency with phlegm is common for Alzheimers

-Kidney deficiency with phlegm is common for Vascular Dementia

-Kidney deficiency with blood stasis Dai Zheng = mental disease (memory)

Treatment and Prevention Tonify Kidney move the phlegm and stasis and detoxify

*DETOXIFY TOXIC HEAT- Huang Lian Jie Du Tang Turbid Phlegm blocking Orifice - Wen Dan Tang Blood stasis blocking orifice - Tong Xiao Hou xie Tang

Herbs - Xie Xiang, Chong Bai

Liver blood deficiency with Qi stagnation

Herbal Formulas: Xiao Yao San with Gan Mai Da Zao Tang

Heart and Spleen deficiency

Herbal Formula: Gui Pi Tang

Liver and Kidney deficiency

Herbal Formula: Liu Wei Di Huang Tang Headaches - nervous system disease

Animal herbs for chronic headaches

- top 3 Scorpion - Quan Xie Centipede - Wu Gong Cockroach -Tu Bei Chong

Wind Cold Headache

- Xi Xin, Man Jing Zi

Wind Heat Headache

- Gao Ben, Xuan Shen

Liver Fire or Wind Headache

-Long Dan Xie Gan Tang, -Chai Hu Shi Gan Tang

Qi or Blood Deficiency

- Bu Zhong Yi Qi Tang, -Xue Fu Zhu Yu Tang *Brain TUMOR - Tian Nan Xing

Acupuncture Treatment for Dementia

Mania: sedate - Du 14,26, 16, Ren 15, SI 3, PC 8 to LI 4, PC 5 to SJ 6, LR 3 to KI

Depression: Ren 16, 17, Du 24, PC 7, ST 40, PC 8, KI 1, LR stagnation - Du 26, yintang (electro)

Delusion: Ren 12, 17, HT 7, SP 6, PC 6, tonify SP 4

Insomnia: self massage, coordinate Heart and Kidney - HT 7, KI 1.