【摘要】：目的:對(duì)裴媛教授臨床自擬方以益氣養(yǎng)血法治療帕金森病遣方用藥、辨證施治的經(jīng)驗(yàn)進(jìn)行歸納總結(jié),傳承其珍貴的學(xué)術(shù)思想、治療經(jīng)驗(yàn),為臨床帕金森病的中醫(yī)治療思路和方法提供一些參考。方法:在查閱、研究和總結(jié)大量相關(guān)文獻(xiàn)、資料的基礎(chǔ)上,隨師出診,參加醫(yī)療實(shí)踐,認(rèn)真觀察、記錄并及時(shí)總結(jié),學(xué)習(xí)其豐富的臨床經(jīng)驗(yàn)。結(jié)果:1、裴媛教授認(rèn)為氣血虧虛是帕金森病的主要病因之一。PD的發(fā)病主要與脾、肝、腎三臟關(guān)系密切,其病理性質(zhì)屬本虛標(biāo)實(shí),本虛為氣血陰陽(yáng)虧虛,標(biāo)實(shí)為風(fēng)、火、痰、瘀為患。臨床上醫(yī)家多從肝腎虧虛論治帕金森病,而肝所藏之血,腎所藏之精均有賴脾胃運(yùn)化之精微物質(zhì)和氣血源源不斷的充養(yǎng);氣血虧虛不僅可直接導(dǎo)致筋脈失養(yǎng)、虛風(fēng)內(nèi)動(dòng)而致顫證,而且還可致直接或間接導(dǎo)致風(fēng)、火、痰、瘀為患而引發(fā)顫證。2、裴媛教授認(rèn)為現(xiàn)代人不良的生活方式和習(xí)慣也易形成氣血虧虛而引發(fā)帕金森病�，F(xiàn)代社會(huì)生活節(jié)奏加快,競(jìng)爭(zhēng)加劇,人們長(zhǎng)期處于精神緊張狀態(tài),情緒不穩(wěn),而易引起肝郁乘脾、憂思傷脾;飲食不節(jié),暴飲暴食,嗜食肥甘厚膩、辛辣香燥易損傷脾胃;勞逸過度易傷脾氣等等,這些均可導(dǎo)致脾胃虛弱,氣血化生不足,而致氣血虧虛,并可形成痰凝血瘀而可引發(fā)帕金森病。3、裴媛教授在長(zhǎng)期的臨床工作中發(fā)現(xiàn)氣血虧虛在帕金森病臨床患者中較為常見,可單獨(dú)發(fā)病,也可在疾病后期與其他證型相兼發(fā)病。4、裴媛教授通過總結(jié)前人的治療思想與自己的臨床經(jīng)驗(yàn)相結(jié)合組成自擬方,臨床以自擬方為基礎(chǔ),隨證加減,能明顯改善PD癥狀,延緩疾病的進(jìn)展,減少美多巴等替代藥物的用量和副作用,取得較好療效。其自擬方的用藥特點(diǎn)不僅符合中醫(yī)辨證論治思想,而且還具有西醫(yī)藥理學(xué)依據(jù)。結(jié)論:1.裴媛教授認(rèn)為氣血虧虛證是帕金森病最常見的證型之一。2.裴媛教授自擬方以益氣養(yǎng)血法治療帕金森病能明顯改善帕金森病癥狀,延緩疾病的進(jìn)展,減少美多巴等替代藥物的用量和副作用,療效確切。
[Abstract]:Objective: to summarize professor Pei Yuan's experience in treating Parkinson's disease with the method of supplementing qi and nourishing blood, and to pass on his precious academic thought and treatment experience. To provide some references for TCM treatment of Parkinson's disease. Methods: on the basis of consulting, studying and summarizing a large number of related documents and materials, we studied its rich clinical experience by visiting teachers, taking part in medical practice, observing carefully, recording and summarizing in time. Results: 1. Professor Pei Yuan thinks that deficiency of qi and blood is one of the main causes of Parkinson's disease. The pathogenesis of PD is closely related to spleen, liver and kidney. The pathological nature of PD is the deficiency of qi and blood yin and yang, and the deficiency of wind, fire and phlegm. Blood stasis is a disease. Clinically, most doctors treat Parkinson's disease from deficiency of liver and kidney, and the blood stored in the liver and essence in the kidney are all dependent on the superfluous substance of the spleen and stomach and the continuous filling of the blood of Qi and blood, and deficiency of qi and blood can not only directly lead to the loss of the veins of the tendon, but also to the essence of the kidney. It can cause tremor syndrome directly or indirectly, which can cause wind, fire, phlegm and blood stasis. Professor Pei Yuan believes that the poor lifestyle and habits of modern people are also prone to lead to deficiency of qi and blood and lead to Parkinson's disease. The pace of modern social life is quickening, competition intensifies, people are in a state of long-term mental tension, emotional instability, and easy to cause liver depression and spleen, worry about spleen injury; Laborious excess easily injures the temper and so on. These can lead to weakness of spleen and stomach, deficiency of qi and blood, and deficiency of qi and blood. Professor Pei Yuan has found that deficiency of qi and blood is more common in clinical patients with Parkinson's disease and can be isolated. Professor Pei Yuan, by summing up his predecessors' treatment ideas and his own clinical experience, can form a self-made prescription, which is based on the self-made prescription and can obviously improve the symptoms of PD with the addition and subtraction of the syndrome, in the latter stage of the disease, and with the addition and subtraction of the syndromes, Professor Pei Yuan can obviously improve the symptoms of PD. Delay the progress of the disease, reduce the dosage and side effects of medopa and other alternative drugs, and obtain better results. The characteristics of its own prescription not only accord with the thought of TCM syndrome differentiation, but also have the basis of western pharmacology. Conclusion 1. Professor Pei Yuan thinks deficiency of qi and blood is one of the most common syndrome types of Parkinson's disease. Professor Pei Yuan's prescription for treating Parkinson's disease with the method of supplementing qi and nourishing blood can obviously improve the symptoms of Parkinson's disease, delay the progress of the disease, reduce the dosage and side effects of substitute drugs such as medopa and so on.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R249;R277.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 管菁菁;王軍;顧曉松;孫誠(chéng);;牛膝多肽對(duì)體外培養(yǎng)的MPP~+誘導(dǎo)的大鼠多巴胺能神經(jīng)元凋亡的保護(hù)作用[J];神經(jīng)解剖學(xué)雜志;2016年05期

2 田盼盼;趙楊;;從腎論治帕金森病的研究思路及實(shí)踐[J];中西醫(yī)結(jié)合心腦血管病雜志;2016年17期

3 黃汝成;金遠(yuǎn)林;趙貝貝;崔曉峰;周蔚華;孔杰;翟亮;;自擬補(bǔ)腎調(diào)肝止顫湯治療肝腎不足型帕金森病臨床研究[J];世界中醫(yī)藥;2016年08期

4 蔡國(guó)林;;補(bǔ)腎活血疏肝法配合針灸對(duì)帕金森病伴抑郁患者的臨床療效觀察[J];數(shù)理醫(yī)藥學(xué)雜志;2016年08期

5 廉龍江;汪瀚;楊文明;;帕金森病非運(yùn)動(dòng)癥狀中醫(yī)藥治療研究進(jìn)展[J];吉林中醫(yī)藥;2016年06期

6 周衛(wèi)鵬;楚秋霞;;規(guī)范化中西醫(yī)結(jié)合方案治療帕金森病的效果探討[J];基層醫(yī)學(xué)論壇;2016年10期

7 韓麗;霍青;;從肝脾腎論治帕金森病近況[J];湖南中醫(yī)雜志;2016年02期

8 袁杰;;中西醫(yī)結(jié)合治療帕金森病震顫30例療效觀察[J];亞太傳統(tǒng)醫(yī)藥;2016年03期

9 劉海波;;中西醫(yī)結(jié)合治療帕金森病90例臨床療效觀察[J];中醫(yī)臨床研究;2015年23期

10 李昭鳳;馬瑞;符文彬;;符文彬教授治療帕金森病經(jīng)驗(yàn)探析[J];中華中醫(yī)藥雜志;2015年08期

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