吉林中医药2024,Vol.44Issue(9) :1041-1044.DOI:10.13463/j.cnki.jlzyy.2024.09.012

仝小林教授治疗帕金森病伴嗜睡验案一则

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

张艳娇 方心怡 马凯乐 张宇昕 田佳星 赵林华
吉林中医药2024,Vol.44Issue(9) :1041-1044.DOI:10.13463/j.cnki.jlzyy.2024.09.012

仝小林教授治疗帕金森病伴嗜睡验案一则

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

张艳娇 1方心怡 2马凯乐 1张宇昕 1田佳星 1赵林华1
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作者信息

  • 1. 中国中医科学院广安门医院代谢病研究所,北京 100053
  • 2. 中国中医科学院广安门医院代谢病研究所,北京 100053;北京中医药大学研究生院,北京 100029
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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.

Abstract

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

Key words

Parkinson's disease/tremor syndrome/state-target differentiation and treatment/dingiiao/marrow system/Dihuang Yinzi/Erxian Decoction

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基金项目

国家中医药多学科交叉创新团队项目(ZYYCXTD-D-202001)

出版年

2024
吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
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