温阳化气法治疗帕金森病的应用探讨  

Discussion on Application of Therapy of Warming Yang to Transform Qi for the Treatment of Parkinson's Disease

作　　者：李胜萱 吴智兵[2] LI Shengxuan;WU Zhibing(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广州中医药大学第一临床医学院,广东广州510006

出　　处：《广州中医药大学学报》2025年第4期1018-1023,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家中医药管理局高水平中医药重点学科(温病学)建设项目(编号:zyyzdxk-2023158)。

摘　　要：传统中医理论认为,帕金森病(PD)多因肝肾阴虚、阳亢动风所致;但在现代中医临证中,PD患者可出现运动症状如静止性震颤、肌强直、运动迟缓,以及非运动症状如便秘、失眠、嗅觉障碍、表情淡漠等,同时伴有形寒肢冷、面肢浮肿、腰膝酸冷、舌淡胖或有齿痕、苔白、脉迟无力。此时,其发病机制与阳气不足且分布不均有关,治疗可从阳虚论治,采用温阳化气法治疗。该文探讨温阳化气法在治疗PD中的应用,拓展了中医临床治疗PD的思路。In the view of conventional Chinese medicine,Parkinson's disease(PD)is usually caused by yin deficiency of the liver and kidney,hyperactivity of yang stirring up wind.Nevertheless,in modern clinic of Chinese medicine,the patients with PD may also have the manifestations of motor symptoms such as static tremor,rigidity and bradykinesia,and suffer non-motor symptoms such as constipation,insomnia,olfactory disorders and apathia,probably accompanied by cold body and limbs,puffiness of face and dropsy of limbs,soreness and coldness of the lumbar and knee,and may also exert tongue manifestations of pale and swollen tongue with tooth marks,white coating,and pulse condition of a late,feeble and slow pulse.Under these conditions,the pathogenesis of PD can be considered as the insufficiency and uneven distribution of yangqi,treatment of PD can be performed from the perspective of yang deficiency,and the therapy of warming yang to transformqi can be adopted.This paper discusses the application of therapy of warming yang to transformqi in the treatment of PD,and expands the approach to the treatment of PD with Chinese medicine.

关 键 词：帕金森病 阳虚 温阳化气 临证运用 

分 类 号：R277.7[医药卫生—中医学]