Chen Kejin staging treating Parkinson's disease

Zhai Pan Hubei university of Chinese medicine

China's traditional Chinese medicine to

        Parkinson's disease in the elderly, especially the pathological nature of the virtual to real, this virtual refers to liver and kidney Yin deficiency, spleen and stomach qi two losses, real refers to the wind, fire, phlegm, blood stasis of evil. The basic pathological factors of wind, fire, phlegm, blood stasis, deficiency, five are mutual influence and mutual transformation between even.

        Depending on the severity of Parkinson's disease should be staging treatment. Early when, from the perspective of the spleen and kidney, headed by the spleen phlegm, with flat liver XiFeng symptoms, with spleen yiqi cure; Within the middle of the wind moving, dense phlegm fickle as characteristic, when clear phlegm blood to take temporary treatment, nourishing liver and kidney to cure, and in accordance with the compatibility flat liver XiFeng, yuk Yin latent Yang, nourishing the blood of the liver; If mid wind card is lighter, the attention and qi blood; Late liver, spleen, kidney three dirty and cure, especially attaches great importance to the deficiency of kidney essence.

        Also called parkinsonism, Parkinson's disease is a kind of nervous system degenerative disease common in old people, the clinical manifestation mainly for static tremor, muscle rigidity, bradykinesia and abnormal gait posture, etc.; Late can also appear the symptom such as depression, anxiety, sleep disorders, constipation. The disease is the motherland medicine "chatter", "vibration", "vibration", etc.

        Hubei province hospital neurology chief physician Chen Kejin professor, master tutor. In 1997 was awarded a prize of hubei province have made outstanding contribution to the young and middle-aged experts, 2005, was awarded a prize of Chinese physicians. He nearly 40 years, formed a set in the clinical treatment of Parkinson's disease insights and treatment method, and obtained the good curative effect in clinical. Today I try a brief introduction to its experience in the treatment of Parkinson's disease.

        Etiology and pathogenesis

        A basic understanding of traditional Chinese medicine on etiology and pathogenesis of Parkinson's disease dates back to the earliest huangdi neijing. Including the element theory of ask to want to really big points out "the wind off the computer, all belong to the liver, called tremor fell dizzy. "Ask, arteries and veins is subtle theory" pointed out that "government of bone, bone marrow, can't long, line, vibration, bone will be vigilant yi", and is closely related to liver. The pivot, the evil magazine article cloud "evil evil blood, solid not winner to keep, master the organs of the body bone injury, shall not be a stretch, so the JuLuan yi", think its related to the wind, evil blood pathogens such as guest. Fahrenheit in the scriptures, on jin bi 37 "yue" step line running of nasty, wise hurt liver, liver loss of its gas, so it was not, for a long time not to, into the muscle will, makes people could not reinforced urgent step slow also "; Sun Yikui Ming dynasty in the chishui XuanZhu pointed out that "flutter, patient, foot and shaking as alive, channels can not constraint and mo can hold, the like of the wind", and pathogenesis of "cold the drum chestnut, but wood on the fire, kidney Yin don't charge, on the virtual to real, as phlegm fire, deficiency of kidney." In addition, relevant records and lots more.

        Chen Kejin thinks, Parkinson's disease in the elderly, especially the pathological nature of the virtual to real, this virtual refers to liver and kidney Yin deficiency, spleen and stomach qi two losses, real refers to the wind, fire, phlegm, blood stasis of evil. The basic pathological factors of wind, fire, phlegm, blood stasis, deficiency, five are mutual influence and mutual transformation between even.

        The wind refers to hand wind or sputum thermalization wind; Fire is five more volunteers hyperpolarization, wet blood stasis and phlegm fire, fire or thermalization fire of Yin deficiency; Phlegm due to pixu (spleen deficient) not wet, and can also be caused by heat evil in body fluid. As to blood stasis, blood stasis, long illness can investigate its reason is phlegmy wet the evil block meridians to heat injury of blood vessels, there are also out of blood stasis, blood flow caused by the outside.

        The disease disease when in the Hindu kush, pathological changes is closely related to the liver, spleen, kidney and so on, the pathogenesis is liver and kidney deficiency, in the autumn zephyrlily, relative loss. "Liver membrane of the main body" for the dirty wind wood, in the autumn zephyrlily, channels cannot be self sustaining, moving with the wind, affects the body and head and neck vibrate shake.

        Hepatorenal homology, kidney water disorder usually liver wood, wood liver disorders can also involving the kidney water, and kidney advocate bone marrow, kidney empty is weak bone marrow, brain is not filled, the virtual high wave. If the spleen deficiency, phlegm wet endogenous, soil is not wood, hence appear to wait for the wind blow, swing. On the other hand, the spleen and stomach qi deficiency, can moisten the channels, channels to activity, and show the blow, bradykinesia, panic gait and other symptoms.

        The syndrome differentiation and treatment stage

        In November 1991, the third session of the national academy of elderly encephalopathy, Chinese medicine will tremors and other symptoms of disease named "elderly fibrillation certificate", and made five syndrome differentiation standards, for Chinese medicine diagnosis, objectification laid a solid foundation for the treatment of Parkinson's disease.

        But Chen Kejin according to your own experience, should be staging treatment for Parkinson's disease severity. He proposed for early onset within 1 year, 2 ~ 3 years for mid - late for 3 years or above.

        For the therapeutic principles of every period, Chen Kejin believe that early when, from the perspective of the spleen and kidney, headed by the spleen phlegm, with flat liver XiFeng symptoms, with spleen yiqi cure; Within the middle of the wind moving, dense phlegm fickle as characteristic, when clear phlegm blood to take temporary treatment, nourishing liver and kidney to cure, and in accordance with the compatibility flat liver XiFeng, yuk Yin latent Yang, nourishing the blood of the liver; If mid wind card is lighter, the attention and qi blood; Late liver, spleen, kidney three dirty and cure, especially attaches great importance to the deficiency of kidney essence.

        In the early

        Thermal dynamic wind phlegm symptoms: light body or head tremor, body movement is slow, chest often new frowsty, bitter mouth, gooey, dizziness or head heavy, cough up phlegm color yellow, urine is brown urine and constipation. , red tongue, the tongue body fat, the side with teeth marks, yellow greasy moss, pulse count or string number slip.

        The body of the machine profile: YangCheng or liver fire, fire Yin, burning jin phlegm, phlegm retention in v, phlegm heat indicates, actuating, caused tremors. When thanh hoa hot phlegm, XiFeng qian Yang, common phlegm tonga subtraction.

        Yang in the wind moving type symptoms: the head or body tremors, fibrillation is bulky, heavy, incontinence, accompanied by dizziness tinnitus, nervousness when the card is aggravating, dry mouth, bitter, urinary red, dry. Tongue is red, moss yellow slip or yellow greasy, pulse string.

        Card machine profile: ferrite suffered strong or depressed for a long time to change the wind, the fire disturbance channels. With flat liver XiFeng, rong jin check quiver. Commonly used gastrodia elata uncaria drink town liver XiFeng tonga subtraction.

        Mid -

        Type and qi stagnation and blood stasis symptom of shaking head vibration or limbs tremor, long, slow, chest swelling in pain, happy sigh, local have stabbing pain, limb KouDan not thirsty, constipation. Tongue dim, moss thin white, pulse string.

        Card machine profile: liver depression days long, viscera function disorder, and qi stagnation and blood stasis, blood stasis blocking collaterals, disorder of qi and blood running, so the tremor. Cure to invigorate the circulation of qi and t2dm XiFeng. Commonly used therapeutic gastrodia elata uncaria drink to add and subtract.

        In the late

        Symptoms of kidney deficiency type: the head or body trembles, long, thin form, dizziness tinnitus, lumbar debility, forgetful, insomnia, much dream, dry mouth, dry throat, spermatorrhea or urinary incontinence, woman menstruation to be not moved. Dark red tongue, less moss, pulse string or count.

        The machine profile: ferrite Yin deficiency, JingXie lose money, Yin deficiency caused by wind, endogenous wind disturbance, therefore see tremor. The cure for complementing the liver and kidney, phlegm XiFeng. Commonly used XiFeng fibrillation tonga subtraction.

        Symptoms of both qi type of shaking head, limbs tremor, was a young white, expression, dizziness, weakness of god lazy, shortness of breath, palpitations forgetfulness, stay. The tongue body fat big, tongue reddish, moss thin white or white greasy, pulse fine unable or heavy fine.

        Card machine profile: patient years all buddhists, spleen and stomach weak, the source of qi and blood biochemical spent, qi deficiency, blood deficiency wind, virtual wind disturbance, therefore see body tremors. With tomifying qi and blood, XiFeng check quiver, with eight Jane decoction and rhizoma gastrodiae uncaria drink to add and subtract.

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