| 裘辉,张丽萍,裘昌林,等.裘昌林教授“颤痉并病”论治帕金森病[J].浙江中医药大学学报,2024,48(12):1512-1516. |
| 裘昌林教授“颤痉并病”论治帕金森病 |
| Professor QIU Changlin Discusses the Treatment of Parkinson’s Disease from the Perspective of “Tremor and Rigidity” |
| DOI：10.16466/j.issn1005-5509.2024.12.005 |
| 中文关键词: 帕金森病 颤痉并病 柔痉 柔筋缓急 辨治思路 裘昌林 医案 名医经验 |
| 英文关键词: Parkinson’s disease tremor and rigidity spasm syndrome softening tendons and relieving pain ideas for treatment QIU Changlin medical records experience of famous doctors |
| 基金项目:浙江省国医名师传承工作室建设项目(GZS2021007)；浙江省中医药科技计划项目(2019ZA064、2023ZF119) |
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| 中文摘要: |
| [目的] 总结裘昌林教授从“颤痉并病”论治帕金森病(Parkinson disease，PD)的临床经验和学术观点。[方法] 通过复习相关中医文献、跟师临诊、整理医案等方式，从“从颤论治之不足”“颤痉并病之依据”“痉证刚柔之辨析”“颤痉辨治之特色”“颤痉并治之案例”5个方面总结裘教授对PD中医病名、病因病机的认识，以及辨治思路和用药特色，并列举验案一则加以佐证。[结果] 裘教授认为PD仅从“颤证”论治有其不足，部分症状应属“痉证”范畴。根据PD的诊断标准、主症、病因病机、病位、病变脏腑，裘教授提出PD为“颤痉并病”，治疗以“颤痉同治”立法，根据PD的动作幅度较小、病程较长的特点，认为当属“柔痉”。滋阴平肝、解痉熄风为其治疗大法，多用白芍、木瓜、葛根等柔筋缓急之品，以改善患者的“痉证”症状，在临床上取得满意疗效。所举医案从病因病机、治则治法、处方用药上充分印证了其上述学术经验。[结论] PD为本虚标实之证，发病之标常与风邪相关，发病之本多为肝肾不足、筋脉失养。裘教授从“颤痉并病”论治PD有理有据，疗效显著，值得学习和推广。 |
| 英文摘要: |
| [Objective] To explore the clinical experience of Professor QIU Changlin in treating Parkinson’s disease(PD) from the perspective of “tremor and rigidity”. [Methods] By reviewing the relevant Chinese medical literature， following the teacher’s clinical work and compiling medical cases， it investigated Professor QIU Changlin’s understanding of the Chinese medical names of PD， summarized his academic thought and clinical experience from the following five aspects: “deficiency of treatment from tremor theory”， “basis for tremor and rigidity” “discrimination hardness and softness” “characteristics of joint treatment of tremor and rigidity” and “cases of joint treatment of tremor and rigidity”. Then it enumerated his experimental cases to support his view. [Results] Professor QIU Changlin believes that if PD is treated only from the “tremor”， there are still some shortcomings. According to the diagnosis，main symptoms， etiology and pathogenesis and disease location of PD， Professor QIU proposes that PD can also be treated from the “spasm syndrome”. It is established that PD is the same disease as spasm and tremor. In terms of treatment， the therapy is based on the joint treatment of spasm and tremor， and the treatment method of nourishing Yin and softening the liver， relieving spasm and suppressing wind is proposed. The symptoms of “spasm syndrome” have achieved satisfactory clinical results. The medical cases cited fully support the above academic experience. [Conclusion] Professor QIU Changlin’s treatment of PD from the perspective of “tremor and rigidity” is unique， justified and effective， and worthy of study and promotion. |
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