中医治疗多系统萎缩体位性低血压研究进展

Research progress of traditional Chinese medicine treatment on orthostatic hypotension of multiple system atrophy

多系统萎缩是一组进行性的神经系统变性疾病,主要表现为自主神经功能障碍、帕金森叠加征、共济失调和锥体系功能损害,自主神经功能障碍导致的体位性低血压是多系统萎缩的常见症状,可引起昏厥、头晕、心悸等心脑血管损害,严重影响患者的生活质量和疾病预后。中医多从头晕或厥证辨病,从升阳举陷、益气滋阴、温阳健脑等方面进行辨证治疗。文章从中医病因病机、证型分析及治疗方面对多系统萎缩体位性低血压进行综述,以期对临床治疗该病有理论指导作用。

Multi-system atrophy is a group of progressive neurodegenerative diseases,mainly manifested as autonomic nervous dysfunction,Parkinson’s plus syndrome,ataxia and impairments of pyramidal tract.Postural hypotension caused by autonomic nervous dysfunction is a common symptom of multi-system atrophy,which can cause cardio-cerebrovascular damage such as syncope,dizziness,palpitation,and seriously affect the quality of life and diseases of patients.Traditional Chinese medicine mostly differentiates diseases from dizziness and syncope,and differentiates and treats them from ascending yang and lifting depression,nourishing qi and yin,warming yang and strengthening brain,etc.This article reviewed the etiology,pathogenesis,syndrome type analysis and treatment of multi-system atrophic postural hypotension in order to provide theoretical guidance for clinical treatment of the disease.