การรักษาภาวะความรู้คิดบกพร่องจากหลอดเลือดสมองด้วยการแพทย์แผนจีน
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บทคัดย่อ
การรู้คิด cognitive เป็นรูปแบบกระบวนการทำงานของสมอง ซึ่งใช้ในการวางแผนการทำงาน การใช้สมาธิ การจดจำ การใช้ตรรกะเหตุผล การตัดสินใจ รวมไปถึงการสื่อสารและการใช้ไหวพริบสติปัญญา เพื่อใช้ในกิจวัตรประจำวันต่างๆ หากการรู้คิดมีความบกพร่องจะทำให้เกิดปัญหาในการใช้ชีวิตประจำวันได้ในหลายด้าน ทั้งการขาดการวางแผน การนึกจดจำข้อมูล การขาดสมาธิ หรืออาจส่งผลต่อการเคลื่อนไหวและการสื่อความหมายได้ โรคของหลอดเลือดต่างๆ โดยเฉพาะโรคหลอดเลือดสมอง เป็นปัจจัยหลักที่ทำให้เกิดภาวะความรู้คิดบกพร่องจากหลอดเลือดสมอง (vascular cognitive impairment, VCI) ในทางการแพทย์แผนจีนมองว่า การรู้คิดจะมีความใกล้เคียงกับ เสิน (神) โดยที่จิตวิญญาณดั้งเดิมถูกเก็บอยู่ที่สมอง ดังนั้นในการรักษาความผิดปกติทางการรู้คิดจึงจำเป็นต้องเน้นย้ำการทำงานของเสิน โดยการรักษา VCI ในทางการแพทย์แผนจีน เช่น ยาสมุนไพร และการฝังเข็มให้ผลค่อนข้างชัดเจน โดยสามารถกระตุ้นการรู้คิดของผู้ป่วยได้ และลดสารกระตุ้นการอักเสบต่างๆ ในผู้ป่วย VCI อีกทั้งยังสามารถเพิ่มคะแนนของแบบประเมิน Mini-Mental State Examination (MMSE) และ Montreal Cognitive Assessment (MoCA) ของผู้ป่วยได้อีกด้วย บทความนี้จึงมีจุดประสงค์ที่จะรวบรวมงานศึกษาทางคลินิกที่เกี่ยวข้องกับการรักษาโรค VCI ด้วยการแพทย์แผนจีน โดยจะเน้นการรักษาด้วยการใช้ยาสมุนไพรและการฝังเข็มเป็นหลัก
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