从阳虚论治帕金森病经验

Experience of Treating Parkinson's Disease from Yang Deficiency Theory

帕金森病是一类进展缓慢的老年性疾病,以震颤、运动迟缓,姿势步态异常为主要表现。发病人群以老年人为主,发病率呈上升趋势。大量古代书籍文献显示帕金森病的发生与阳虚关系密切。阳气具有温煦机体,维护脏腑功能,推动气血运行的作用。肝主升发,肝阳虚则阳气不能达于头面四肢,阳气不能温煦周身而致颤。心阳化赤而为血,心阳在血液的生成运行中发挥关键作用,心阳不足可导致血虚,肢体失于濡养可致颤。脾为后天之本,气血生化之源,肢体筋脉肌肉皆受气血濡养。食物经脾胃转化输送,其中精微之气滋养筋脉。肺阳虚阴寒内盛,或气血运行无力,均可见肢体颤抖。肾者,主骨生髓。肾阳不足,精髓无以生,筋骨无以养故而见颤。临床治疗和实验研究均表明阳虚是不可忽略的重要因素。帕金森病目前的治疗以改善临床症状,延缓疾病的进展为主。帕金森病的病因多为风与虚,其本在于气血阴阳的亏虚,痰瘀贯穿疾病发展的始终。文章基于帕金森病的病因病机,论述帕金森病与阳虚的关系,以期为临床治疗提供治疗思路。

Parkinsons disease is a kind of slowly progressive senile disease,with tremor,bradykinesia,posture and gait abnormalities as the main manifestations.The incidence population is mainly the elderly,and the incidence rate is on the rise.A large number of ancient books and literature show that the occurrence of Parkinsons disease is closely related to Yang deficiency.Yang Qi has the function of warming the body,maintaining the function of Zang-Fu organs,and promoting the operation of Qi and blood.Liver dominating the ascending,liver Yang deficiency will cause Yang Qi can not reach the head and limbs,and Yang Qi can not warm the body,leading to fibrillation.Heart Yang can generate the blood,and heart Yang plays a key role in the generation of blood.Heart Yang deficiency can lead to blood deficiency,and limb loss can cause trembling.The spleen is the acquired foundation,the source of Qi and blood biochemistry,and the limb muscles are supported by Qi and blood.Kidney dominates the bone and produces the marrow.Insufficient kidney Yang,lack of vitality in the essence and lack of nourishment in the muscles and bones result in tremors.The current treatment of Parkinson's disease is mainly to improve the clinical symptoms and delay the progression of the disease.The cause of Parkinson's disease is mostly wind and deficiency,which lies in the deficiency of Qi,blood and Yin and Yang,and phlegm and blood stasis run through the development of the disease.Based on the etiology and pathogenesis of Parkinsons disease,this paper discussed the relationship between Parkinsons disease and Yang deficiency,in order to provide therapeutic ideas for clinical treatment.