Diagnostic criteria for dementia: The occurrence of multifaceted cognitive deficits, as evidenced by the presence of both of the following. (1) Memory deficits (deficits in the ability to learn new information or recall previously learned information); (2) At least one of the following cognitive deficits (1) aphasia; (2) prosopagnosia; (3) prosopagnosia; (4) impairment of executive management functions (i.e., planning, organizing, sequencing, abstracting, etc.). Cognitive deficits consistent with the multiple facets listed above result in deficits in social or occupational functioning and may be found to be significantly worse than before. The course of the disease is characterized by a gradual onset and continued decline. Cognitive deficits consistent with both of the above are not due to: 1. Other central nervous system conditions that can lead to progressive deficits in memory and cognition (e.g., cardiovascular disease, Parkinson’s disease, Huntington’s disease, subdural hematomas, normal-pressure hydrocephalus, brain tumors); 2. Systemic conditions known to contribute to dementia (e.g., hypothyroidism, Vitamin Bl2 folate deficiency, niacin deficiency, hyponatremia, neural syphilis, HIV infection); 3. These deficits are not due to delirium; and 4. The disorder is not due to other mental disorders (e.g., major depression, schizophrenia). Clinical diagnosis of dementia must be made by a cognitive examination, which includes checking the level of consciousness, attention, memory, language function, numerical ability, abstraction and structural ability. The purposes are: 1. to determine the presence or absence of cognitive impairment; 2. to characterize the cognitive impairment; 3. to help localize the lesion; 4. to guide diagnostic tests for final clarification of the etiology. At present, there are a variety of intelligence state examination methods, such as Simple Intelligence State Examination Method, Hasegawa Dementia Screening Scale, Dementia Grading Scale, and Daily Living Ability Scale, etc., which can be used as appropriate. I. Diagnosis and treatment 1. Insufficiency of the medulla oblongata This syndrome is the most common. This syndrome is the most common. It is characterized by obvious loss of memory and calculation power, accompanied by dizziness and tinnitus, laziness and fatigue, burnt hair and withered teeth, lumbago and leg weakness, and difficulty in walking, with a thin and pale tongue, thin white moss, and a sunken and weak pulse. Diagnostic points: dizziness and tinnitus, scorched hair and withered teeth, lumbago and leg weakness, sunken and weak pulse. Treatment: tonifying the kidney and marrow, filling in the essence and nourishing the spirit. Formula: Seven Fortunes Drink (Jingyue Quanshu) plus subtractions. Composition: Radix Rehmanniae Praeparata 30g, Radix Angelicae Sinensis 15g, Radix Panax Ginseng 6g (single decoction), Rhizoma Atractylodis Macrocephalae 15g, Rhizoma Atractylodis Macrocephalae 1Og, Almonds 10g, Deer Antler Gelatin 10g (melted), Gelatinum Cornu Cervi Pelargonium 15g (melted), Colla Corii Asini 15g (melted), Zi He Chess 3g (crushed), Radix et Rhizoma Glycyrrhizae Praeparata 6g. Alternative: Six-flavored Radix Rehmanniae Soup (“Children’s Medicinal Evidence Directly”) with subtractions, for those who are deficient in Kidney Essence and whose water does not control fire. For those with hyperactive heart fire, the symptoms are: no menstruation in speech and behavior, heartburn and insomnia, dry stools and ulcers, red tongue with little moss, and thin and stringy pulse. Radix Rehmanniae Praeparata 24g, Cornu Cervi Pantotrichum 12g, Rhizoma Dioscoreae 12g, Rhizoma Zedoariae 9g, Poria 9g, Dampyrospermum 9g, Salviae Miltiorrhizae 9g, Lotus Ziziphi 5g, Calamus Calamus 9g, Radix Ginseng and Rhizoma Dioscoreae Pill (Jishi Liangfang Jiezhi), or Hechi Dazao Pill (Jingyue Quanshan), one pill each time, two times per day’ For those suffering from deficiency in yin essence and heat in the blood with symptoms of apparent Dullness, deafness, early whitening of hair on temples, lumbago, weakness of legs, bone vapor and hot flashes. Add and subtract: for those with restlessness of heart and mind, insomnia and easy to be frightened, add 12g of sour jujube nut, 9g of cypress seed kernel, 9g of dragon’s tooth (decocted first); for those who have no warmth of limbs, fear of cold and coldness, and inability to pass stools, add 12g of walnut seed kernel, 9g of Cistanches, 12g of lock yang; for those who have a red tongue with yellowish greasy moss, add Qingxin Rolling Phlegm Pill, 1 pill for each serving, 2 times a day. Problems: people in old age, qi and blood gradually decline, and many diseases and long illnesses, day long easy to cause the liver and kidney two deficiencies and gradual birth of this evidence ‘”liver and kidney the same source”, “essence and blood the same source”, the two affect each other, the treatment of when the balance is appropriate; the treatment should be appropriate! The treatment should be appropriate; the use of flesh and blood sentient products, in order to play the effect of the beam; because of the heavy use of nourishing thick and greasy products, when the regulation of the spleen and stomach, in order to prevent congestion. Kidney Yin Deficiency Symptoms: Speechlessness, lack of expression in the eyes, emaciation, dull expression, slow reaction, forgetfulness, headache and dizziness, anxiety, thinness, zygomatic redness and night sweating, tendon vigilance and flesh pity, or joint flexion and extension disadvantage, hemiplegia, strong language, red tongue, yellow moss, and slippery or fine string pulse. Diagnostic Points: dizziness, deficiency and annoyance, thinness and night sweating, and tendon tetany. Treatment: nourish the liver and kidney, nourish Yin and fill in essence. Formula: Dazhongyin Pill (“Danxi Xinfa”) with addition and subtraction. Ingredients: 30g of Radix Rehmanniae Praeparata, 30g of Radix et Rhizoma Gastrodiae (first decoction), 5g of Rhizoma Zhi Mu, 5g of Radix Rehmanniae Praeparata, 15g of Fructus Lycii, 12g of Colla Corii Asini (melted), 12g of Radix Jujubae Jubae Seed (sour jujube seed), 12g of Radix Piperitiae (Cyperus rotundus), 5g of Rhizoma Gastrodiae (far-flungus), 10g of Mother-of-Pearl (first decoction), 20g of Rhizoma Longxianus (first decoction), 9g of Oysters (first decoction). Alternative formula: Zhi Bo Di Huang Tang (《Medicine Zong Jin Jian》)added subtractions, suitable for people with insufficient kidney yin, deficiency and inflammation of fire, symptoms include slow reaction, dullness and forgetfulness, headache, eye redness, irritability, dry mouth and bitter mouth, night sweating, spermatorrhea, lumbar and knee soreness and softness, with red tongue, little moss, and thin and numb pulse. Radix Rehmanniae Praeparata 24g, Rhizoma Dioscoreae 2g, Cornu Cervi Pantotrichum 12g, Rhizoma Zhi Mu 9g, Rhizoma Zedoariae 9g, Poria 9g, Dampy 9g, Paeonia Lactiflora 2g, Polygala Tenuifolia 10g, Eriophyllum 9g, Acorus Calamus 9g, Erxian Tang (Clinical Manual of Chinese Medicine Formulas) Plus Flavoring is indicated for those with deficiency of yin and essence and insufficient cerebral essence, suffering from dullness and forgetfulness, dizziness and dizziness, shortness of breath and fatigue, weakness and achiness of the lower back and knees, with palpitations and insomnia. The symptoms include stupidity, forgetfulness, dizziness, shortness of breath, weakness of waist and knees, palpitation and insomnia, dull red tongue, thin and weak pulse. Xianmao Gong 5g, Xianling Spleen 15g, Fructus Lycii 15g, Deer Antler Gum 10g (melted), Kamehameha Gum 10g (melted), Colla Corii Asini 20g (melted), Shouwu 30g, Radix Panax Ginseng 6g (single decoction), Cortex Phellodendron Bidentata 6g, Zhimu 6g, Longtooth 30g (first decoction). Addition and subtraction: headache very person add stone vitex 20g (first decoction); The heart annoys the hot person may add Huanglian 6g, burnt gardenia 6g; Constipation person add gua vulgaris 9g, hedge hedgehog 6g. Problems: the liver and kidney live in the lower focal point together, the yin deficiency is easy to lead to the lower element deficiency, the false yang upward disturbing, the clinical treatment may be used with the submerged subdued product to respond to; The formula in the more gold stone shell and nourishing grease obstruction of the stomach, may use the gas to move the spleen of the product modulation, so as to avoid congestion of obstruction of the stomach. 3, the heart and spleen deficiency Symptoms: trance, forgetfulness, sleeplessness, dreaming, palpitations, emotional vulnerability, worrying, happy to talk wildly, ‘dull, face color is not gorgeous, body fatigue, tongue pale red, thin white moss, pulse is thin and feeble. Key points: palpitation and easy to scare, dullness and tiredness, fine and weak pulse. Liver Yin Deficiency Symptoms: anxiety, sadness and crying, palpitations, forgetfulness, restlessness, irritability, dizziness, deafness, red or dull red tongue, little or no moss, and fine pulse. Diagnostic Points: Palpitation and dizziness, false annoyance and insomnia, fine pulse. Treatment: Benefiting Qi and strengthening the spleen, nourishing Blood and tranquilizing the heart Formula: Gui Spleen Tang (“Jisheng Fang”) with additional subtractions. Composition: Atractylodes macrocephala 30g, Poria 30g, Astragalus membranaceus 30g, Ginseng 5g, Angelica sinensis 9g, Radix et Rhizoma Ginseng 9g, Radix Paeonia lactiflora 9g, Fructus schisandrae chinensis 6g, Calamus calamus 9g, Salvia miltiorrhiza 9g, Radix glycyrrhiza glabra 6g. Alternative: Gan Mai Dazao Tang (The Essentials of the Golden Pillars of the Poverty Elderly) plus subtractions. The symptoms include mental trance, forgetfulness and insomnia, sadness and desire to cry, or even speech and behavior disorders, blanched complexion, dullness, red tongue with little moss, and thin or numberless pulse. Glycyrrhiza glabra 5g, wheat 8g, jujube 8, ginseng 2g, lily of the valley 2g, cyperus rotundus 2g, jujube seed 12g, atractylodes macrocephala 2g, white peony 15g. tianwang tonic heart dan (regimen of the secret anatomy), 1 pill each time, 2 times a day, for the spleen deficiency caused by the deficiency of yin deficiency of blood, or yin blood deficiency of the heart and kidneys, the symptoms of forgetfulness and easy to startle, laxity of the spirit, false annoyance and little sleep, palpitation and dreams of spermatorrhea, or dry stools, red moss, pulse fine countless, tongue Red tongue with little moss, fine and numb pulse. Add and subtract: emotional vulnerability, emotional anomaly, plus lotus heart 6g, tulip gold work 2g, Poria 12g, and reuse calamus; nausea, plus the service of ShenJuShan; sleeplessness at night, plus the night vine work 2g, Acacia bark 9g. Problems: heart-spleen deficiency and qi and blood deficiency is often seen, and the two can be mutually influential, clinically it is appropriate to distinguish between the importance of the main priority, flexible legislation; “the heart masters the divine light! “Therefore, attention should be paid to the regulation of the heart and the spirit in the treatment, and rationally applying products that can benefit the intellect and tranquilize the spirit. Liver depression and qi stagnation, trance, indifference, forgetfulness, fearfulness, delusional thoughts and bizarre ideas, few words, insomnia or chaotic dreams, dizziness, dizziness, distension and tightness of the chest and hypochondrium, pale tongue, thin white or greasy moss, and stringy or slippery pulse. Diagnostic Points: good taiyi, chest distension and tightness, stringy pulse. Treatment: regulate qi, relieve depression, resolve phlegm and open the orifices. Formula: Chai Hu Shuo Liver San (Jing Yue Quanshan) combined with Cleansing Phlegm Tang (Jisheng Fang) with additions and subtractions: Ingredients: Chai Hu 2g, Chen Pi 2g, Chuan Xiong 9g, Xiang Fu 9g, Hovenia Citri Reticulatae 9g, Pao Lactiflora 9g, Semixia 15g, Poria 2g, Bamboo Roots 6g, Acorus Calamus 9g, Uljin 9g, Yuan Zhi 2g, Angelica Sinensis 9g. Alternative formula: Prosperity San.