庄礼兴基于“动静”更迭针药结合治疗帕金森病运动并发症经验

Professor ZHUANG Lixing's experience of integrated acupuncture and medication approach to treat motor complications in Parkinson's disease based on the alternation of"movement and stillness"

介绍庄礼兴教授采用针药结合治疗帕金森病运动并发症的经验。庄礼兴教授基于帕金森病运动并发症“动静”更迭的特点,将其分为“动”期、“静”期、“交替”期3个不同时期,采用针药结合、分期治疗帕金森病运动并发症,以靳三针调神针(四神针、神庭、印堂、神门、三阴交)为主穴,配手颤三针(合谷、曲池、定颤)、足颤三针(阴陵泉、阳陵泉、太冲)、督三针(大椎、筋缩、命门)等穴组,以羚角钩藤汤、半夏白术天麻汤、八珍汤合补中益气汤、四逆汤合右归丸、小柴胡汤为主方进行治疗,能有效改善帕金森病运动并发症患者的运动症状波动,令其保持平稳的生活状态。

This paper introduces Professor ZHUANG Lixing's experience in treating motor complications of Parkinson's disease(PD)with acupuncture combined with medication.Based on the characteristics of the alternation of"movement and stillness"in PD motor complications,Professor ZHUANG divides these complications into three distinct periods:"movement"stage,"stillness"stage and"alternation"stage,and proposes an integrated approach of acupuncture and medication,with staged treatment tailored to each period.The main acupoints include Jin's three needles to regulate spirit(four spirit needles,Shenting[GV 24],Yintang[GV 24+],Shenmen[HT 7],Sanyinjiao[SP 6]),along with hand tremor three needles(Hegu[LI 4],Quchi[LI 11],Dingchan),foot tremor three needles(Yinlingquan[SP 9],Yanglingquan[GB 34],Taichong[LR 3]),and Du's three needles(Dazhui[GV 14],Jinsuo[GV 8],Mingmen[GV 4]).The primary medicinal formulas include Lingjiao Gouteng decoction,Banxia Baizhu Tianma decoction,Bazhen decoction combined with Buzhong Yiqi decoction,Sini decoction combined with Yougui pills,and Xiaochaihu decoction.This integrated approach effectively alleviates the motor symptom fluctuations in PD patients,helping them maintain a stable life.