健忘
Alias记忆力减退
Traditional Chinese Medicine Definition
In traditional Chinese medicine, Amnesia refers to a syndrome within the category of heart-related diseases, characterized by a decline in memory, inability to retain memories for a prolonged period, or frequent forgetfulness upon encountering events. The classical text "Internal Medicine of Traditional Chinese Medicine" records: "Amnesia is due to the deficiency of the heart, where the spirit does not remain in its place, thus leading to forgetfulness." This condition is often caused by deficiencies in both the heart and spleen, or an imbalance between the heart and kidney.
In clinical practice of traditional Chinese medicine, the core pathogenesis of amnesia is attributed to deficiencies in both the heart and spleen or an imbalance between the heart and kidney. Common precipitating factors include emotional disorders, irregular diet, and excessive fatigue. During the process of differentiation, it is crucial to differentiate the nature of cold and heat, as well as the deficiency and excess. For instance, a deficiency in both the heart and spleen is manifested by symptoms such as amnesia, palpitations, insomnia, reduced appetite, fatigue, and a sallow complexion. An imbalance between the heart and kidney presents with symptoms like amnesia, weakness in the lower back and knees, dizziness, tinnitus, and restlessness with insomnia. The overall approach to treatment suggests tonifying the heart and spleen, nourishing the blood and calming the mind, or nourishing yin and reducing fire, and facilitating the communication between the heart and kidney. Traditional Chinese medicine believes that by adjusting the functions of the heart and spleen and balancing yin and yang, the symptoms of amnesia can be improved.
Common Syndrome Types and Key Points of Differentiation
心脾两虚证
Main Manifestations：健忘，心悸失眠，食少体倦，面色萎黄
Management Approach：补益心脾，养血安神
心肾不交证
Main Manifestations：健忘，腰膝酸软，头晕耳鸣，心烦失眠
Management Approach：滋阴降火，交通心肾
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Amnesia patients often have emotional factors, and it is crucial to regulate the heart and spleen, and nourish the heart and calm the mind.
— 王正香 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)