田金洲教授治疗帕金森病便秘的临证经验
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摘要
帕金森病是常见的神经系统变性病,其临床症状分为运动症状和非运动症状,其中非运动症状是导致帕金森病晚期致残和生活质量恶劣的重要因素。便秘是帕金森病常见的非运动症状之一。田教授致力于神经变性病的中西医结合治疗,运用中医中药手段治疗帕金森病便秘疗效显著。笔者师从田金洲教授,本文对田教授关于帕金森病便秘的病因病机、发病基础、辨证分型特点、临床用药经验进行简要归纳总结,并整理两则典型临床医案介绍其病证结合的学术特色和临证经验。
Parkinson's disease is a common neurodegenerative disease. Its clinical symptoms are divided into motor symptoms and non-motor symptoms, in which non-motor symptoms are important factors resulting in terminal physical disability and low quality of life of Parkinson's disease. Professor Tian is committed to treating the neurodegenerative diseases by using Chinese and Western combination therapy, the use of traditional Chinese medicine to treat constipation which caused by Parkinson is remarkable. The author learn from Professor Tian Jinzhou,This article briefly summarizes Professor Tian's experience about the pathogenesis,dialectical classification and Clinical medication of Parkinson's constipation, and organizes two typical clinical cases to introduce his characteristic concepts and clinical experiences which combined disease with syndrome.
Parkinson's disease is a common neurodegenerative disease. Its clinical symptoms are divided into motor symptoms and non-motor symptoms, in which non-motor symptoms are important factors resulting in terminal physical disability and low quality of life of Parkinson's disease. Professor Tian is committed to treating the neurodegenerative diseases by using Chinese and Western combination therapy, the use of traditional Chinese medicine to treat constipation which caused by Parkinson is remarkable. The author learn from Professor Tian Jinzhou,This article briefly summarizes Professor Tian's experience about the pathogenesis,dialectical classification and Clinical medication of Parkinson's constipation, and organizes two typical clinical cases to introduce his characteristic concepts and clinical experiences which combined disease with syndrome.
引文
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[4]李金容,陈倩,陶文强.二白汤治疗帕金森病相关便秘的临床疗效观察[J].河北中医,2017,39(9):1337-1339.
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[10]Martinez-Martin P,Falup Pecurariu C,Odin P,et al. Gender-related differences in the burden of non-motor symptoms in Parkinson's disease[J]. J Neurol,2012(2598):1639.
[11]Zhou MZ,Gan J,Wei YR,et al.The association between non-motorsymptoms in Parkinson's disease and age at onset[J]. Clinicalneurology and neurosurgery,2013(115):2103.
[12]杨勇,丁曙晴,杨光,等.功能性便秘中医证候与症状严重度的量化研究[J].南京中医药大学学报,2015,31(1):24-27.
[13]吴菁.益气补肾方治疗老年性便秘43例临床研究[J].山东中医杂志,2017,36(12):1051.
[14]靳昭辉,田金洲,时晶,等.帕金森病中医证候特征研究[J].云南中医学院学报,2014,39(6):23-24.
[15]谭周进,吴海,刘富林,等.超微七味白术散对肠道微生物及酶活性的影响[J].生态学报,2012,32(21):6856-6863.
[16]方圆之,高杰.白芍的通便作用及其对便秘小鼠结肠AQP4、VIP表达的影响[J].山东中医杂志,2017,36(1):62-65.
[2]陈婉珉,郑春叶,连新福.100例帕金森病患者中医证候要素及证型分布规律[J].中医杂志,2012,52(3):214-217.
[3]赵芳芳,朱红灿,李春,等.帕金森病和便秘的关系[J].临床神经病学杂志,2014,27(4):251-254.
[4]李金容,陈倩,陶文强.二白汤治疗帕金森病相关便秘的临床疗效观察[J].河北中医,2017,39(9):1337-1339.
[5]Salat-Foix D,Suchowersky O. The management of gastrointestinal symptoms in Parkinson's disease[J]. Expert Rev Neurother,2012(12):239.
[6]王永炎,张伯礼.中医脑病学[M].北京:人民卫生出版社,2007:714.
[7]唐伟峰,唐晓军,杨巍.功能性便秘的中西医研究进展[J].世界中西医结合杂志,2015,10(6):880.
[8]张伯礼,薛博瑜,唐农,等.中医内科学[M].北京:人民卫生出版社,2002:194-198.
[9]常虹,王栋,张光霁.“二阳之病发心脾”之“二阳”新解[J].中华中医药杂志,2014,29(11):3366.
[10]Martinez-Martin P,Falup Pecurariu C,Odin P,et al. Gender-related differences in the burden of non-motor symptoms in Parkinson's disease[J]. J Neurol,2012(2598):1639.
[11]Zhou MZ,Gan J,Wei YR,et al.The association between non-motorsymptoms in Parkinson's disease and age at onset[J]. Clinicalneurology and neurosurgery,2013(115):2103.
[12]杨勇,丁曙晴,杨光,等.功能性便秘中医证候与症状严重度的量化研究[J].南京中医药大学学报,2015,31(1):24-27.
[13]吴菁.益气补肾方治疗老年性便秘43例临床研究[J].山东中医杂志,2017,36(12):1051.
[14]靳昭辉,田金洲,时晶,等.帕金森病中医证候特征研究[J].云南中医学院学报,2014,39(6):23-24.
[15]谭周进,吴海,刘富林,等.超微七味白术散对肠道微生物及酶活性的影响[J].生态学报,2012,32(21):6856-6863.
[16]方圆之,高杰.白芍的通便作用及其对便秘小鼠结肠AQP4、VIP表达的影响[J].山东中医杂志,2017,36(1):62-65.