基于中医理论的帕金森病从肺论治

Treating Parkinson's disease from lung based on the theory of traditional Chinese medicine

帕金森病是一种常见的神经系统变性疾病,属于中医的"颤证"范畴,脏腑辨证大多从肝、脾、肾论治,很少提及肺与帕金森病的关系。笔者认为,肺的生理功能与帕金森病有着密切的联系,在帕金森病早期使用补肺的药物对于延缓帕金森病的进展有一定的疗效。基于中医理论,肺开窍于鼻,主气、司呼吸,通调水道,与大肠相表里。肺的生理功能可影响全身脏腑气血的运行,是帕金森病关键的病变脏器。因此,本文除了从病因和病机角度探讨肺与帕金森病的关系外,还以帕金森病的非运动症状作为切入点,论证早期从肺论治帕金森病是必要且可行的。

Parkinson's disease is a common neurological disease. It belongs to the 'tremor syndrome'in traditional Chinese medicine. Parkinson's disease is mostly treated from liver, spleen or kidney based on the theory of traditional Chinese medicine. The relationship between lung and Parkinson's disease is rarely mentioned. Using the treatment to tonifying lung in the early stage of Parkinson's disease has certain curative efficacy to prevent or slow down its progression. Based on the theory of traditional Chinese medicine, the lung opens at nose,governs Qi and breathing, regulates water passage, and has internal and external relationswith the Large Intestine Meridian. Its physiological function also affects the transporting of Qi and blood through the whole body. So the lung is the key organ of Parkinson's disease.In this paper, the discussion on the relationship between the lung and Parkinson's disease through aspects of etiology, pathogenesis and non-motor symptoms demonstrates that the early treatment of Parkinson's disease from lung is necessary and feasible.