Professor Yang Wenming's Clinical Experience in the Diagnosis and Treatment of Sleep Disorders in Parkinson's Disease
Sleep disorders,as the most common non motor symptom of Parkinson's disease,seriously affect the quality of life of Parkinson's disease patients.Professor Yang Wenming believes that liver spleen kidney deficiency is the root cause of this disease,and internal disturbances such as wind fire,phlegm heat,and blood stasis are the signs of its onset.On the basis of inheriting the theory of Xin'an Medicine,it has formed its own clinical experience and medication characteristics,and diagnosis and treatment are carried out from four aspects:Qi and blood,liver and kidney,phlegm heat,and stasis blood.For those with Qi and blood deficiency,Yiqi Yangxue Anshen Tang is used to treat them;For patients with liver and kidney yin deficiency and wind and fire internal movement,use Shao Di Ning Xin Tang to nourish the liver and kidney,cultivate yin to calm the wind,and relieve depression and tranquility;For patients with phlegm heat disturbance,use Qinghua Anshen Tang to clear heat,calm the wind,and relieve phlegm and calm the mind;For patients with blood stasis and internal obstruction,use Huayu Ningxin Tang to promote blood circulation,remove blood stasis,and calm the mind.At the clinical stage,Yang emphasized that although PDSD has standardized symptoms,it is important to focus on the root deficiency,strengthen the foundation,cultivate vitality,and calm the mind as the best treatment.At the same time,it is necessary to strengthen patient observation,grasp the clinical characteristics of their sleep disorders,understand the similarities and differences in the etiology and patho-genesis of different types of PD sleep disorders,and know how to achieve changes.This way,the treatment can be eas-ily carried out;In addition,while focusing on improving local symptoms in PDSD patients,more emphasis is placed on adjusting overall function,improving both motor symptoms and non motor symptoms,and enhancing the quality of life of patients.
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