[1]周 艳,王 顺,白 妍.从肝论治帕金森病非运动症状[J].陕西中医,2024,(2):230-234.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.018]
　ZHOU Yan,WANG Shun,BAI Yan.Treatment non-motor symptoms of Parkinson 's disease from liver[J].,2024,(2):230-234.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.018]
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从肝论治帕金森病非运动症状
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年2期
页码:
230-234
栏目:
学术探讨
出版日期:
2024-02-05

文章信息/Info

Title:
Treatment non-motor symptoms of Parkinson 's disease from liver
作者:
周 艳1; 王 顺2; 白 妍3
(1.黑龙江中医药大学,黑龙江 哈尔滨150040; 2.黑龙江中医药大学第二临床医学院,黑龙江 哈尔滨150001; 3.黑龙江省中医药科学院研究所,黑龙江 哈尔滨150036)
Author(s):
ZHOU Yan; WANG Shun; BAI Yan
(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
关键词:
帕金森病;  非运动症状;  肝;  针刺;  疏肝理气;  痰浊
Keywords:
Parkinson's disease;  Non-motor symptoms;  Liver;  Acupuncture;  Soothe the liver and regulate qi;  Phlegm
分类号:
R 741
DOI:
DOI:10.3969/j.issn.1000-7369.2024.02.018
文献标志码:
A
摘要:
基于肝的生理特点,从风、火、痰、瘀、虚五种病机证素对帕金森病非运动症状进行探讨。由于患者素体阴精不足,或阴血亏虚,阴虚不能制阳,阳亢化风; 或肝郁克脾,脾运失司,痰湿内生; 或肝气郁滞,阻碍血行; 或痰瘀留滞经络而致病。阴精、肝血不足,筋脉失养为虚; 痰浊、血瘀阻滞经络为实。治则以平肝滋阴、疏肝清热、理气化痰、活血养血为主,中药和针刺并用。肝风内扰,以平肝为主,兼以滋阴,选方镇肝熄风汤; 肝火伤阴,以清热为主,兼以养阴,选方丹栀逍遥散; 气滞痰阻,以理气为主,兼以化痰,选方柴胡加龙骨牡蛎汤; 气滞血瘀,以理气为主,兼以活血,选方血府逐瘀汤; 肝血亏虚,以补血为主,兼以柔肝,选方补肝汤。针刺辨病与辨证相结合,进行加减配穴。
Abstract:
Based on the physiological characteristics of the liver,this article discusses the non-motor symptoms of Parkinson 's disease from the five pathogenesis elements of wind,fire,phlegm,blood stasis and deficiency.Insufficient of yin essence can not control yang,yang hyperactivity and wind; liver depression restrains spleen,spleen movement disorder,phlegm endogenous; liver qi stagnation,hinder blood; phlegm and blood stasis,retention in meridians.Due to deficiency,yin essence,liver blood insufficient,tendon and pulse malnutrition; because of solid,phlegm,blood stasis block meridians.Therefore,the treatment is traditional Chinese medicine and acupuncture and mainly based on calming liver and nourishing yin,soothing liver and clearing heat,regulating qi and resolving phlegm,promoting blood circulation and nourishing blood.The liver wind internal disturbance,mainly to calm the liver,and to nourish yin,choose Zhengan Xifeng decoction; the liver fire persecutes yin,mainly clearing heat,and nourishing yin,select prescription Danzhi Xiaoyao powder; qi stagnation and phlegm obstruction,mainly to regulate qi,combined with phlegm,apply Chaihu plus Longgu Muli decoction.Qi stagnation and blood stasis,mainly to regulate qi,and to promote blood circulation,use Xuefu Zhuyu decoction; liver blood deficiency,mainly to tonify blood,and to soften the liver,employ Bugan decoction.Acupuncture is combined with disease differentiation and syndrome differentiation to add and subtract acupoints.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81674091)
更新日期/Last Update: 2024-02-07