赵杨基于“阴阳相交生风”论治帕金森病经验

ZHAO Yang’s Experience in Treating Parkinson’s Disease Based on“Wind Arising from Interaction of Yin and Yang”

赵杨教授认为“阴阳相交生风”指的是阴阳失衡、相交生风的病理状态,风以阳气为本,阴阳失衡,阳气变动则生内风。帕金森病的病机关键即为“阴阳相交生风”,风既可以作为致病因素内扰清窍,又可作为病理产物影响清窍功能。根据阳气波动情况,帕金森病在不同病程可见阳气亢逆生风、阳气郁滞生风、阳气虚衰生风等病机,临床治疗应以调和阴阳平衡为要,分别治以滋阴潜阳息风、宣阳通郁宁风、温阳养血散风。附验案1则。

Professor ZHAO Yang believes that the“wind arising from the interaction of yin and yang”refers to the pathological state of wind arising from the imbalance of yin and yang.Because the wind is based on yang qi,when yin and yang are imbalanced,the changes in yang qi can lead to the generation of internal wind.The key pathogenesis of Parkinson’s disease is“wind arising from the interaction of yin and yang”,where wind can act as both a pathogenic factor that disturbs the orifices and a pathological product that affects the function of the orifices.Depending on the fluctuations of yang qi,different stages of Parkinson’s disease may present with wind generated from hy⁃peractivity and counterflow of yang qi,depression and stagnation of yang qi,or deficiency and debilita⁃tion of yang qi.Clinical treatment should aim to harmonize the balance of yin and yang,with meth⁃ods of nourishing yin to subdue yang and stop wind,dispersing yang to alleviate stagnation and calm wind,and warming yang to nourish blood and disperse wind.A proved medical case is attached.