Abstract:Vascular dementia is an age-related neurodegenerative disease characterized by cerebral tissue hypoxia resulting from cerebrovascular impairment. The development of this disease is closely associated with the spleen and kidney, with yang deficiency as the core pathological factor and phlegm stasis as a secondary cause. The spleen and kidney are interdependent, and when their Qi is insufficient, improper nourishment of the brain will occur, leading to the occurrence of dementia. This article aims to analyze the disease location and nature of vascular dementia from the perspective of syndrome differentiation of visceral manifestation, drawing on ancient and contemporary literature. Additionally, the article explores the treatment strategies for vascular dementia.