Dementia is a syndrome with early manifestations of decreased learning ability, memory loss, personality changes, mood swings, etc. In severe cases, the ability to take care of life is extremely poor, day and night reversal, and psychotic symptoms such as hallucinations, suspicion and jealousy can also occur. Common clinical dementias include: Alzheimer’s disease, vascular dementia, dementia due to Parkinson’s disease, Lewy body dementia, alcoholic dementia, paralytic dementia, normal pressure hydrocephalus, etc. Since there is no cure for most dementias, early diagnosis, early treatment and lifestyle interventions are important in order to maintain cognitive ability as much as possible. Therefore, if you find that your friends, relatives or elders have the above symptoms, you must go to a regular hospital in a timely manner. At present, more people with early dementia seek medical treatment in neurology, but as far as I understand, the general neurology departments of county hospitals often do not have a comprehensive grasp of the diagnosis and treatment of dementia and lack the means of examination and treatment. However, as far as I know, the neurology departments of general hospitals at the county level do not have a comprehensive understanding of the diagnosis and treatment of dementia, and lack the means of examination and treatment. Usually, CT or MRI of the head is needed; blood tests such as routine blood tests, liver and kidney functions, thyroid functions, syphilis and AIDS tests, folic acid and vitamin B12 tests are needed; tests related to cognitive functions such as the Simple Mental State Examination Scale (MMSE), Montreal Cognitive Assessment Scale (MoCA), clock drawing test, etc. are also needed. The treatment of dementia: the earlier the better Regarding the treatment of dementia, experts’ opinions are now more unified: once the diagnosis of dementia is confirmed, it is wisest to treat it according to the treatment standard and spend the extra money on care. In terms of western medicine, currently early and middle degree is preferred to Donepezil Hydrochloride, Esnon, etc., mid to late stage Meglumine is more effective, other drugs are Nicergoline, Staphylococcus A, Aniracetam, Oracetam, Ginkgo Biloba, Vitamin E, etc., and Chinese medicines such as Ginseng Wu capsule, compound sea snake capsule, etc. have certain effect. Chinese herbal medicine treatment requires face-to-face examination and diagnosis, and different prescriptions are used according to the identification and typing (there are mainly 8 types), and there is no certain prescription that can cure any kind of dementia. If there are psychotic symptoms such as hallucinations, delusions, scolding, and nocturnal noise, you must go to a psychiatric hospital and apply the appropriate psychotropic drugs. Current psychiatric drugs are already relatively safe, and in comparison, medication can improve the patient’s mental state and quality of life, as well as greatly reduce the mental stress of the patient’s family and improve the quality of life. Although it cannot make the patient become as smart as before, it is enough to make the patient sleep well, be emotionally calm and cooperate with care without attack. Commonly used drugs include haloperidol, olanzapine, quetiapine fumarate and others. All of the above recommended medications are now covered by health insurance and are both effective and safe. I have seen many patients’ families and even the patients themselves spend a lot of money to buy a lot of health care products or seek prescriptions, not only wasting money and energy, but also delaying the treatment of the elderly, aggravating the disease and making themselves and the elderly suffer more. Third, dementia care: professionals are better Dementia treatment care is a long and unfulfilling process, spending energy and money, usually vascular dementia treatment effect will be obvious, after treatment, the patient’s cognitive function, the ability to take care of life will usually have more obvious improvement. Alzheimer’s disease, although it is possible to see results in the short term, given that the disease is persistently difficult to reverse, the follow-up is often less optimistic and the disease will continue to progress. But regardless of the type of dementia, the ideal situation is to hire a reliable babysitter, find a reliable doctor, find a reliable home for the elderly, continue medication, and age peacefully. If the patient’s mental symptoms are too severe, it is difficult to control them by taking medication at home, or even refusing to take medication, it is still recommended to forcibly send them to the geriatric ward of the psychiatric hospital for inpatient treatment. Don’t expect your filial piety to move the patient, don’t think your care will be better than the hospital, the patient is too old to have such good energy, so tossing and turning is a pathology, if not controlled in time will be very sick or rapidly failing and death. Fourth, about health food health food is a strange, ineffective is normal, effective is strange. Recently, it was reported that some health food is adulterated with cheap and impure western medicine, which is very frightening. The effect of some chemical extracts is still at the laboratory level, and the method of administration, safe and effective dosage, and drug dosage form are not yet available, but there are already manufacturers speculating and making corresponding health products, whose effect and safety can be imagined. Every kind of health food is about to be promoted, there are always some various success stories to tell, in China, storytelling is some kind of trick to start the rhythm, I will not say more.