河南中医2024，Vol.44Issue(7)：1049-1054,6.DOI:10.16367/j.issn.1003-5028.2024.07.0194
黄煌辨体质分阶段治疗帕金森病经验
Huang Huang's Experience of Treating Parkinson's Disease Using Differentiation of Physical Constitution and Staged Treatment
摘要
Abstract
Professor Huang Huang believes that the basic pathogenesis of Parkinson's disease is(PD)"predominate wind causing mo-tion",the disease is located in the liver and muscles,and is closely related to the viscera such as the lung,spleen,kidney and heart,etc.PD is divided into five syndromes:syndrome of phlegm-heat inducing wind,syndrome of excessive heat stirring wind,syndrome of deficient healthy qi causing wind attack,syndrome of yang deficiency stirring wind,and syndrome of consumptive disease transforming into wind.According to the different stages of the course of the disease,he adopts the"formula-disease-patient"diagnosis and treatment model to identify the constitution for precise selection of formula and medication.In the early stage,syndrome of phlegm-heat inducing wind,syndrome of excessive heat stirring wind are the main symptoms.The treatment should focus on clearing heat,resolving phlegm,dredging fu-organs,eliminating wind,and calming fright,so Bupleurum and Os Draconis and Oyster Shell Decoction,Wind-Inducing De-coction can be used.In the middle stage,syndrome of deficient healthy qi causing wind attack is the main factor.The treatment should focus on dispelling wind and removing pathogens,supplementing qi and nourishing blood together,so Life-Prolonging Decoction can be used.In the late period,syndrome of yang deficiency stirring wind;syndrome of consumptive disease transforming into wind are the main syndromes.The treatment should focus on warm tonifying deficiency,t regulating qi and promoting urination,so True Warrior Decoction and Rhizoma Dioscoreae Pills can be selected.In the process of clinical treatment,Professor Huang is not strictly in eliminating wind,but seeking the root cause of generating wind and wind attack,conforms to the disease mechanism to adopt syndrome differentiation.He also pays attention to adjusting the bias of the constitution,regulating the whole balance of yin and yang,and qi movement,harmonizing the viscera,distinguish the physical constitution and staged treatment of PD,which has very good effect.关键词
帕金森病/"风胜则动"/"方-病-人"/分期论治/辨体质/痰热生风证/热盛动风证/正虚风中证/阳虚动风证/虚劳化风证/黄煌分类
医药卫生引用本文复制引用
常美如,张静艺,骆守真,郑艳..黄煌辨体质分阶段治疗帕金森病经验[J].河南中医,2024,44(7):1049-1054,6.基金项目
国家中医药管理局第四批全国中医(西学中)优秀人才研修项目{国中医药人教发[2019]13号} （西学中）
全国名中医传承工作室建设项目{国中医药办人教函[2022]245号} （）
2022年国家中医药管理局第五批全国中医临床优秀人才研修项目{国中医人教函[2022]1号} （）
深圳市"医疗三名工程"资助项目(SZZYSM202208011) （SZZYSM202208011）
