仝小林教授治疗帕金森病伴嗜睡验案一则  

A case report of the difffferentiation and treatment of Parkinson's disease with excessive daytime sleepiness by Professor Tong Xiaolin

作　　者：张艳娇 方心怡 马凯乐 张宇昕 田佳星[1] 赵林华[1] ZNANG Yanjiao;FANG Xinyi;MA Kaile;ZHANG Yuxin;TIAN Jiaxing;ZHAO Linhua(Institute of Metabolic Diseases,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院广安门医院代谢病研究所,北京100053 [2]北京中医药大学研究生院,北京100029

出　　处：《吉林中医药》2024年第9期1041-1044,共4页Jilin Journal of Chinese Medicine

基　　金：国家中医药多学科交叉创新团队项目(ZYYCXTD-D-202001)。

摘　　要：帕金森病是一种进行性神经退行性疾病,以肌强直、运动迟缓、静止性震颤等运动症状及便秘、认知、情绪、睡眠障碍等非运动症状为突出临床特征。帕金森病属中医学“颤证”“震颤”等范畴,仝小林教授综合“四焦八系”与“态靶理论”治疗帕金森伴嗜睡病例一则,提出颤证为髓系疾病,病位在顶焦,本案患者以“虚态”“老态”为本,痰浊、血瘀为标,以地黄饮子加减作为“调态方”联合“靶方”二仙汤加减治疗,取得良好临床疗效,为临床治疗帕金森病伴嗜睡提供了新的诊疗思路。Parkinson's disease is a progressive neurodegenerative disease characterized by motor symptoms such as rigidity,bradykinesia,and static tremors,as well as non-motor symptoms such as constipation,cognitive,emotional,and sleep disorders.Parkinson's disease belongs to the category of"tremor syndrome"in traditional Chinese medicine.Academician Tong Xiaolin combined the theories of"sijiao and eight-systems"and"state-target differentiation and treatment"to treat a case of Parkinson's disease with excessive daytime sleepiness.He proposed that tremor syndrome is a marrow system disease in dingjiao.In this case,deficiency state and aging state constitute its root causes,with phlegm turbidity and blood stasis as its manifestations.He treated the disease with modified Dihuang Yinzi as the"state formula"and modified Erxian Decoction as the"target formula",achieving a good clinical efficacy.This case provides a new diagnostic and therapeutic approach for the clinical treatment of Parkinson's disease with drowsiness.

关 键 词：帕金森病 颤证 态靶辨治 顶焦 髓系 地黄饮子 二仙汤 

分 类 号：R249[医药卫生—中医临床基础]