上海中医药杂志2026，Vol.60Issue(2)：40-43,48,5.DOI:10.16305/j.1007-1334.2026.z20250228004
张允岭基于"正虚-中陷-邪滞"辨治帕金森病合并直立性低血压经验
Experience of Zhang Yunling in treatment of Parkinson's disease combined with orthostatic hypotension based on principle of"Deficiency-Descent-Stasis"
摘要
Abstract
This study presents Professor Zhang Yunling's clinical experience in syndrome differentiation and the treatment of Parkinson's disease(PD)complicated by orthostatic hypotension(OH),based on the pattern differentiation of"Deficiency-Descent-Stasis".Professor Zhang posits that the pathogenesis of PD with OH involves functional impairment and deficiency of the liver,spleen and kidneys,insufficiency of qi and blood;and in prolonged illness,obstruction of the orifices by substantial solid evil such as wind,fire,phlegm,and blood stasis.He proposes the"Deficiency-Descent-Stasis"diagnostic and therapeutic philosophy,where deficiency of vital qi serves as the foundation,with tonification therapy taking precedence.Treatment involves the use of formulas such as Taishan Panshi Powder,Huqian Pills,Liuwei Dihuang Pills,Zuogui Pills,Yougui Pills to tonify essence and blood,replenish essence and fill the marrow.Descent of the middle energizer is the key,with lifting therapy as the pivot,using formulas such as Buzhong Yiqi Decoction,Juyuan Jian and Shengma Gegen Decoction to lift up the clear yang and support middle qi.Stasis-related evil is the target,with clearing methods as the key,using formulas such as Wendan Tang and Houpo Zhishi Tang to clear pathogenic factors and ensure the smooth flow of all vascular patency.关键词
帕金森病/直立性低血压/辨证论治/中医药疗法/名医经验Key words
Parkinson's disease/orthostatic hypotension/treatment based on syndrome/traditional Chinese medicine therapy/famous doctors'experience引用本文复制引用
陈云梦,张允岭,刘红喜,梁晓,王思超,申伟,常泽,迟显苏,郭春艳,张子萱..张允岭基于"正虚-中陷-邪滞"辨治帕金森病合并直立性低血压经验[J].上海中医药杂志,2026,60(2):40-43,48,5.基金项目
国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202007) （ZYYCXTD-C-202007）
国家中医药管理局高水平中医药重点学科建设项目中医脑病学(zyyzdxk-2023224) （zyyzdxk-2023224）
中国中医科学院西苑医院中医药临床循证证据提升——揭榜挂帅项目(XYZX0204-05) （XYZX0204-05）
中国中医科学院西苑医院名老中医经验传承研究专项(XYZX0101-21) （XYZX0101-21）
中国中医科学院中医药防治脑病传承创新团队项目(CI2021B006) （CI2021B006）
中国中医科学院科技创新工程项目(CI2021A01301) （CI2021A01301）
