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从"作强之官"探析帕金森病非运动症状因机证治

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帕金森病(PD)非运动症状(NMS)区别于运动症状,是一系列复杂多变的证候群,同时也是PD发生发展的重要危险因素.究其原因多为先天不足或后天失调,肾虚精血不足,肝、心、脾等脏腑失于濡养,在此基础上阴阳偏颇、痰瘀阻络等变生诸证."肾者,作强之官,伎巧出焉",肾在实现人精神活动(情绪、睡眠、认知等)、感知(痛觉、嗅觉等)、二便等生理功能发挥着根本作用.从肾入手治疗PD NMS可显著改善临床诸症,提高临床疗效.
Exploration on etiologies,pathogenesis,syndrome and treatment of non-motor symptoms of Parkinson's disease from view of'doing strong officer'
Non-motor symptoms(NMS)of Parkinson's disease(PD)are different from motor symptoms and are a series of complex and changeable syndromes.It is an important risk factor for the development of PD.Most of the reasons are congenital deficiency or acquired long-term illness,deficiency of kidney,deficiency of essence and blood,loss of liver,heart,spleen and other viscera to nourish,on this basis,imbalance of yin and yang,blockage of qi and blood,accumulation of pathological products and other symptoms.'Kidney being a doing strong officer,putting forth skillful ability',kidney in the realization of human reproduction,mental activities(emotions,sleep,cognition,etc.),perception(pain,smell,etc.),two stool and other physiological functions play a fundamental role.Treating NMS of PD from kidney can significantly improve clinical symptoms and improve clinical efficacy.

Parkinson's disease(PD)KidneyDoing strong officerNon-motor symptoms(NMS)Curative effectEtiologies,pathogenesis,syndrome and treatment

李敏、杨明会

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中国人民解放军总医院第六医学中心中医医学部,北京 100048

帕金森病 作强之官 非运动症状 疗效 因机证治

国家自然科学基金重点项目国家自然科学基金面上项目军队保健专项科研课题

821301178227461320BJZ41

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(7)
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