摘要
目的通过文献分析,总结近年来有关帕金森病的中医辨证分型及处方用药研究概况,探寻其辨证论治规律。方法收集1998～2011年《万方数据库知识服务平台》收录的有关帕金森病中医证型和方药研究的相关文献,归纳统计主要证型和常用药物。结果①帕金森病中医证型10个,其中肝肾亏虚(18.1%)、气血不足(15.4%)、气血瘀滞(14.3%)、肾精不足(13.5%)、阴虚动风(11.6%)等5种证型最为常见,占总频次的72.9%。②归纳出15个病因病机要素,实证以痰、瘀、风为主,虚证以肾虚及气血两虚为主。③处方39首,常用方剂有大定风珠、导痰汤、天麻钩藤饮、大补阴丸、人参养荣汤等。④用药110种,按功能归为15类,补益药为第1位,活血药、安神药次之,此3类使用频次共占60.5%,再次为开窍药、化痰药等。结论帕金森病以心、肝、脾、肾四脏虚为本,以风、火、痰、瘀为标;临证可从肝、从肾、从风、从痰、从瘀论治。
Objective On the basis of literature research, this paper summarizes the TCM syndrome distribution and rule of medication in treating Parkinson＇ s disease in recent years, and aims to explore the rule of syndrome differentiation in TCM. Methods The papers on TCM syndrome and medication in Parkinson＇ s disease from 1998 to 2011 in wanfang database were collected. The syndromes and medicine in common use were collected. Results （~）Ten syndromes of Parkinson disease were collected, and 5 of them were in most common syndromes： deficiency of liver and kidney （ 18. 1% ）, deficiency of qi and blood （15.4%）, stagnation of qi and blood （14.3%）, deficiency of kidney essence （13.5%）, yin asthenia generating wind （11.6%）. The total frequency is 72.9%. （~）Fifty pathogenic factors were collected, the sthenia syndromes are phlegm, blood stasis, wind; astherlia syndromes are kidney deficiency and deficiency of qi and blood mainly. （~）Thirty-nine prescriptions including ＂Dadingfeng Pill＂, ＂Daotan Decoction＂, ＂Tianma Gouteng Drink＂, ＂Dabuyin Pill＂, ＂Renshen Yangrong Decoction＂, ect. in common use. （~）One hundred and ten medicines were divided into 15 categories： first was tonifying and replenishing medicine; the second were blood-activating medicine and tranquillizing medicine. The frequency of the three medicines was 60.5%. Others were orifice-opening medicine and phlegm-transforming medicine. Conclusion The pathogenesis of the Parkinson＇ s disease is asthenia in the r^ot and sthenia in the branch. The deficiency of heart, liver, spleen and kidney are the root and wind, fire, phlegm and blood stasis are the branch. Parkinson＇ s disease can be treated from liver, kidney, wind, phlegm and blood stasis.
出处
《上海中医药杂志》
2013年第7期12-14,共3页
Shanghai Journal of Traditional Chinese Medicine
关键词
帕金森病
证型
方药
文献研究
Parkinson＇ s disease
Chinese medical syndrome
herb and prescription
literature research
