裴媛教授以益气养血法论治帕金森病经验总结
发布时间：2018-07-23 18:50
【摘要】：目的:对裴媛教授临床自拟方以益气养血法治疗帕金森病遣方用药、辨证施治的经验进行归纳总结,传承其珍贵的学术思想、治疗经验,为临床帕金森病的中医治疗思路和方法提供一些参考。方法:在查阅、研究和总结大量相关文献、资料的基础上,随师出诊,参加医疗实践,认真观察、记录并及时总结,学习其丰富的临床经验。结果:1、裴媛教授认为气血亏虚是帕金森病的主要病因之一。PD的发病主要与脾、肝、肾三脏关系密切,其病理性质属本虚标实,本虚为气血阴阳亏虚,标实为风、火、痰、瘀为患。临床上医家多从肝肾亏虚论治帕金森病,而肝所藏之血,肾所藏之精均有赖脾胃运化之精微物质和气血源源不断的充养;气血亏虚不仅可直接导致筋脉失养、虚风内动而致颤证,而且还可致直接或间接导致风、火、痰、瘀为患而引发颤证。2、裴媛教授认为现代人不良的生活方式和习惯也易形成气血亏虚而引发帕金森病。现代社会生活节奏加快,竞争加剧,人们长期处于精神紧张状态,情绪不稳,而易引起肝郁乘脾、忧思伤脾;饮食不节,暴饮暴食,嗜食肥甘厚腻、辛辣香燥易损伤脾胃;劳逸过度易伤脾气等等,这些均可导致脾胃虚弱,气血化生不足,而致气血亏虚,并可形成痰凝血瘀而可引发帕金森病。3、裴媛教授在长期的临床工作中发现气血亏虚在帕金森病临床患者中较为常见,可单独发病,也可在疾病后期与其他证型相兼发病。4、裴媛教授通过总结前人的治疗思想与自己的临床经验相结合组成自拟方,临床以自拟方为基础,随证加减,能明显改善PD症状,延缓疾病的进展,减少美多巴等替代药物的用量和副作用,取得较好疗效。其自拟方的用药特点不仅符合中医辨证论治思想,而且还具有西医药理学依据。结论:1.裴媛教授认为气血亏虚证是帕金森病最常见的证型之一。2.裴媛教授自拟方以益气养血法治疗帕金森病能明显改善帕金森病症状,延缓疾病的进展,减少美多巴等替代药物的用量和副作用,疗效确切。
[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.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R277.7
本文编号：2140331
[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.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R277.7
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