Alter und Altern aus Sicht der Schul- und der Chinesischen Medizin

Die Traditionelle Chinesische Medizin (TCM) bietet uns Chancen, den Entwicklungsgang zu modulieren zu einem leichteren und erfüllten Altern. Dies darf aber nicht mit einem „Anti-Aging-Programm“ verwechselt werden. Es geht um „healthy aging“ im Sinne des Erhalts einer guten Lebensqualität mit Kontrolle über die Aktivitäten des täglichen Lebens als „best agers“ – alt an Jahren, aber gesund in Körper, Geist und Seele. Der Ansatz geht dabei davon aus, dass ein gutes energetisches Gleichgewicht bei der Geburt eines Menschen vorhanden ist, das zeitlebens aufrechterhalten werden sollte. Blockaden des Energieflusses führen zu Erkrankungen, da dann das Abwehr-Qi (Wei-Qi) durch pathogene Einflüsse geschwächt wird und die Versorgung aller Organe behindert. Dies gilt es zu vermeiden.

Publication History

Article published online:
17 February 2023

• Literatur

• 1 Drachmann DA.. Aging of the brain, entropy, and Alzheimer disease. Neurology 2006; 18: 1340-1352
• 2 Salthouse TA.. Selective review of cognitive aging. J Int Neuropsychol Soc 2010; 16: 754-760
• 3 Stern Y. et al. The Reserve, Resilience and Protective Factors PIA Empirical Definitions and Conceptual Frameworks Workgroup. Whitepaper: Defining and investigating cognitive reserve, brain reserve, and brain maintenance. Alzheimers Dement 2020; 16: 1305-1311
• 4 Sabbagh MN. et al. Primary prevention recommendations to reduce the risk of cognitive decline. Alzheimer’s Dement 2022; 18: 1569-1579
• 5 Kessing LV.. Depression and the risk for dementia. Curr Opin Psychiatry 2012; 25: 457-461
• 6 Jost BC, Grossberg GT.. The evolution of psychiatric symptoms in Alzheimer’s disease: a natural history study. JAGS 1996; 9: 1078-1081
• 7 Kales HC, Gitlin NC, Lyketsos CG.. Assessment and management of behavioral and psychological symptoms of dementia. BMJ 2015; 350: h369
• 8 Schneider LS, Dagerman KS, Insel P.. Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials. JAMA 2005; 294: 1934-1943
• 9 Oh E. et al. Psychotropic Medication and Cognitive, Functional, and Neuropsychiatric Outcomes in Alzheimer’s Disease (AD). JAGS 2021; 69: 955-963
• 10 Livingstone G, Kelly L, Lewis-Holmes E. et al. A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia. Health Technology Assessment 2014; 39: 18
• 11 Kwan RYC, Leung MCP, Lai CKY.. An Randomized Controlled Trial Examining the Effect of Acupressure on Agitation and Salivary Cortisol in Nursing Home Residents with Dementia. Dement Geriatr Cogn Disord 2017; 44: 92-104
• 12 Hou T. et al. Methodology and Reporting Quality Evaluation of Acupuncture for Mild Cognitive Impairment: An Overview of Systematic Reviews. Evid Based Complement Alternat Med 2020; 2020: 7908067
• 13 Levy I. et al. Acupuncture Treatment of Delirium in Older Adults Hospitalized in Internal Medicine Departments: An Open-Label Pragmatic Randomized-Controlled Trial. J Geriatr Psychiatry Neurol 2021; 35: 333-343
• 14 Krause M. et al. Mental speed is high until age 60 as revealed by analysis of over a million participants. Nature human behaviour 2022; 6: 700-708
• 15 Rosenberg A, Mangialasche F, Ngandu T. et al. Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. J Prev Alzheimers Dis 2020; 7: 29-36
• 16 Basak C, Boot WR, Voss MW, Kramer AF.. Can training in a real-time strategy video game attenuate cognitive decline in older adults?. Psychol Aging 2008; 23: 765-777
• 17 Román GC, Tatemichi TK, Erkinjuntti T. et al. Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop. Neurology 1993; 43: 250-260
• 18 Ding X. et al. Acupuncture regulates the aging-related changes in gene profile expression of the hippocampus in senescence-accelerated mouse (SAMP10). Neuroscience Letters 2006; 399: 11-16
• 19 Smith CA. et al. Acupuncture for depression. Cochrane Database Syst Rev 2018; 3: 3
• 20 Chen KY. et al. Acupuncture Treatment is Associated with a Decreased Risk of Dementia in Patients with Depression: A Propensity Score-Matched Cohort Study. Neuropsychiatric Disease and Treatment 2021; 17: 3255-3266
• 21 Ding N. et al. Manual acupuncture regulates behavior and cerebral blood flow in the SAMP8 mouse model of Alzheimer’s Disease. Frontiers in Neuroscience 2019; 13: 37
• 22 Zhou CL. et al. Combined acupuncture and HuangDiSan treatment affects behavior and synaptophysin levels in the hippocampus of senescence-accelerated mouse prone 8 after neural stem cell transplantation. Neural Regeneration Research 2018; 3: 541-548
• 23 Ji S. et al. The Role of Acupuncture Improving Cognitive Deficits due to Alzheimer’s Disease or Vascular Diseases through Regulating Neuroplasticity. Hindawi 2021; ID 8868447
• 24 Lockhart IE, Orme ME, Mitchell SA.. The Efficacy of Licensed-Indication Use of Donepezil and Memantine Monotherapies for Treating Behavioural and Psychological Symptoms of Dementia in Patients with Alzheimer’s Disease: Systematic Review and Meta-Analysis. Dement Geriatr Cogn Disord Extra 2011; 1: 212-227
• 25 Kagawa J. et al. Impact of Plasma Donepezil Concentration on Behavioral and Psychological Symptoms of Dementia in Patients with Alzheimer’s Disease. Dement Geriatr Cogn Disord Extra 2021; 11: 264-272
• 26 Cummings J.. New approaches to symptomatic treatments for Alzheimer’s disease. Molecular Neurodegeneration 2021; 16: 2
• 27 Simoncini M. et al. Acupressure in insomnia and other sleep disorders in elderly institutionalized patients suffering from Alzheimer’s disease. Aging Clinical and Experimental Research 2015; 27: 37-42
• 28 Katzmann R. et al. Clinical, pathological, and neurochemical changes in dementia: a subgroup with preserved mental status and numerous neocortical plaques. Ann Neurol 1988; 23: 138-144