摘要
帕金森病是临床上常见的神经系统变性疾病,其临床表现主要以运动症状为主。近些年来,越来越多的非运动症状受到人们的广泛关注,但临床上缺乏系统性的治疗措施。“异病同治,同病异治”是中医基础理论,自古以来指导中医的临床实践。帕金森病的众多非运动症状在中医学中既可以视为一个个单独的病种,又可以作为一个整体概念在不同病理病程阶段对应不同的脏腑病机改变。本文从“异病”有相同病机、“同病”有不同分期的角度出发,探讨该理论在帕金森病非运动症状中的应用,希望能为医疗工作者提供对帕金森病非运动症状整体施治和灵活辨治的新思路。
Parkinson’s disease is a common clinical neurodegenerative disease,and its clinical manifestations are mainly motor symptoms.In recent years,more and more non-motor symptoms have received widespread attention,but there is a lack of clinically systematic treatment measures.“Treat different diseases with the same treatment,and treat the same disease with different treatments”is the basic theory of Chinese medicine,which has guided the clinical practice of Chinese medicine since ancient times.Many non-motor symptoms of Parkinson’s disease can be regarded as individual disease types in Chinese medicine,and as a whole concept corresponding to different visceral pathogenesis changes in different pathological stages.This article discusses the application of this theory in the non-motor symptoms of Parkinson’s disease from the perspective of“different diseases”having the same pathogenesis and“the same disease”having different stages,hoping to provide a new idea of a whole and flexibly treatment for clinicians to treat non-motor symptoms of Parkinson’s disease.
作者
刘旺
张弘菁
刘慧瑛
夏兆云
陆征宇
LIU Wang;ZHANG Hongjing;LIU Huiying;XIA Zhaoyun;LU Zhengyu(Department of Neurology,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
出处
《神经病学与神经康复学杂志》
2021年第2期45-49,共5页
Journal of Neurology and Neurorehabilitation
基金
国家自然科学基金(81973803)
上海中医药大学杏林中青年人才培养项目(RY411.14.08)
上海中医药大学高峰高原学科临床人才专项(KY111.20.83)
关键词
帕金森病
非运动症状
异病同治
同病异治
Parkinson’s disease
Non-motor symptoms
Treat different diseases with the same treatment
Treat the same disease with different treatments
