王永炎院士诊治帕金森病学术思想探析
|
摘要
帕金森病是中老年人中枢神经系统变性疾病,中医古籍中无此病名,根据症状表现,可将帕金森病归属于中医"老年颤证"。王永炎教授认为本病本虚标实,病机复杂,本虚为发病基础,标实为发病依据,内风为发病动因,治疗当以熄风、化痰、活血为通则,兼以解毒,固本培元缓图收功,疗效显著。
Parkinson's disease is the central nervous system degenerative disease in the elderly,and there is no name in the ancient books of traditional Chinese medicine. According to the clinical symptoms,Parkinson's disease can be identified as Vibration Syndrome in TCM. Professor Wang Yongyan thinks that vibration syndrome's pathogenic character is deficiency in origin and excess in superficiality and the pathological mechanisms is complicated. This deficiency in origin is the basis,excess in superficiality is the foundation,endogenous wind is the onset of drivers. Therapeutic principle for expelling wind,eliminating phlegm promoting blood circulation,detoxification and strengthening root and culturing original qi showed a effect significantly in treatment.
Parkinson's disease is the central nervous system degenerative disease in the elderly,and there is no name in the ancient books of traditional Chinese medicine. According to the clinical symptoms,Parkinson's disease can be identified as Vibration Syndrome in TCM. Professor Wang Yongyan thinks that vibration syndrome's pathogenic character is deficiency in origin and excess in superficiality and the pathological mechanisms is complicated. This deficiency in origin is the basis,excess in superficiality is the foundation,endogenous wind is the onset of drivers. Therapeutic principle for expelling wind,eliminating phlegm promoting blood circulation,detoxification and strengthening root and culturing original qi showed a effect significantly in treatment.
引文
[1]管得宁,张扬,徐运.帕金森病的发病机制及治疗研究进展[J].中国临床神经外科杂志,2016,21(11):732-734.
[2]姜德友,李文昊.颤证源流考[J].安徽中医药大学学报,2015,34(5):4-7.
[3]闫川慧,张俊龙,郭蕾,等.帕金森病与颤证的差异与交融[J].辽宁中医杂志,2012,39(8):1496-1497.
[4]王永炎,蒋达树,侯力娜,等.中医药治疗震颤麻痹综合征35例疗效观察[J].中医杂志,1986,(8):22-24.
[5]中华全国中医学会老年医学会.中医老年颤证诊断与疗效评定标准(试行)[J].北京中医学院学报,1992,15(4):39.
[6]隆呈祥.老年颤证(帕金森病)的中医研究回顾与展望[J].中国中医药信息杂志,2000,7(10):10-12.
[7]邹忆怀.王永炎教授治疗颤振病(帕金森氏病)经验探讨[J].北京中医药大学学报,1996,19(4):15-16.
[8]锥体外系疾病专家组.帕金森病及帕金森综合征的诊断标准和鉴别诊断[J].中华神经精神科杂志,1986,19(5):256.
[9]刘岑,曹克刚,林良达,等.老年颤证中医四诊信息的调查研究[J].北京中医药大学学报(中医临床版),2011,18(2):1-4.
[10]隆呈祥,邹忆怀,韩晓军,等.中药颤振平治疗老年颤证临床和实验研究[J].北京中医药大学学报,1999,22(6):57-60.
[11]李爱辉.颤痉并病一证七候疗法辨治帕金森病非运动症状的疗效研究[D].北京:北京中医药大学,2013.
[12]张颖冬.重视帕金森病的正确诊断-帕金森病与帕金森综合征诊断及鉴别诊断的现代认识[J].临床神经病学杂志,2007,20(5):321-325.
[13]汪锡金,张煜,陈生弟.帕金森病发病机制与治疗研究10年进展[J].中国现代神经疾病杂志,2010,10(1):36-42.
[14]刘岑,史正青,史永梅,等.破血逐瘀荡浊法治疗血管性帕金森综合征的临床疗效研究[J].中国临床医生,2011,39(4):55-58.
[15]隆呈祥,韩晓军,刘岑.颤振平胶囊治疗血管性颤证26例[J].中国中医药信息杂志,2002,9(12):41-42.
[16]王永炎.关于提高脑血管疾病疗效难点的思考[J].中国中西医结合杂志,1997,17(4):195-196.
[17]谢颖桢,高颖,邹忆怀.试论毒邪致病及证候特征[J].北京中医药大学学报,2001,24(1):11-13.
[18]高颖,谢颖桢,王永炎.试论浊毒在血管性痴呆发病中的作用[J].中国中医急症,2000,9(6):266-267.
[2]姜德友,李文昊.颤证源流考[J].安徽中医药大学学报,2015,34(5):4-7.
[3]闫川慧,张俊龙,郭蕾,等.帕金森病与颤证的差异与交融[J].辽宁中医杂志,2012,39(8):1496-1497.
[4]王永炎,蒋达树,侯力娜,等.中医药治疗震颤麻痹综合征35例疗效观察[J].中医杂志,1986,(8):22-24.
[5]中华全国中医学会老年医学会.中医老年颤证诊断与疗效评定标准(试行)[J].北京中医学院学报,1992,15(4):39.
[6]隆呈祥.老年颤证(帕金森病)的中医研究回顾与展望[J].中国中医药信息杂志,2000,7(10):10-12.
[7]邹忆怀.王永炎教授治疗颤振病(帕金森氏病)经验探讨[J].北京中医药大学学报,1996,19(4):15-16.
[8]锥体外系疾病专家组.帕金森病及帕金森综合征的诊断标准和鉴别诊断[J].中华神经精神科杂志,1986,19(5):256.
[9]刘岑,曹克刚,林良达,等.老年颤证中医四诊信息的调查研究[J].北京中医药大学学报(中医临床版),2011,18(2):1-4.
[10]隆呈祥,邹忆怀,韩晓军,等.中药颤振平治疗老年颤证临床和实验研究[J].北京中医药大学学报,1999,22(6):57-60.
[11]李爱辉.颤痉并病一证七候疗法辨治帕金森病非运动症状的疗效研究[D].北京:北京中医药大学,2013.
[12]张颖冬.重视帕金森病的正确诊断-帕金森病与帕金森综合征诊断及鉴别诊断的现代认识[J].临床神经病学杂志,2007,20(5):321-325.
[13]汪锡金,张煜,陈生弟.帕金森病发病机制与治疗研究10年进展[J].中国现代神经疾病杂志,2010,10(1):36-42.
[14]刘岑,史正青,史永梅,等.破血逐瘀荡浊法治疗血管性帕金森综合征的临床疗效研究[J].中国临床医生,2011,39(4):55-58.
[15]隆呈祥,韩晓军,刘岑.颤振平胶囊治疗血管性颤证26例[J].中国中医药信息杂志,2002,9(12):41-42.
[16]王永炎.关于提高脑血管疾病疗效难点的思考[J].中国中西医结合杂志,1997,17(4):195-196.
[17]谢颖桢,高颖,邹忆怀.试论毒邪致病及证候特征[J].北京中医药大学学报,2001,24(1):11-13.
[18]高颖,谢颖桢,王永炎.试论浊毒在血管性痴呆发病中的作用[J].中国中医急症,2000,9(6):266-267.