《黄帝内经》与帕金森病的关联性研究
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摘要
本文主要围绕《黄帝内经》中对类似于帕金森病的颤证的认识,和《黄帝内经》中与帕金森病相类似证候来加以挖掘,并结合现代医学对帕金森病的研究来加以论述。主要阐述了《黄帝内经》与帕金森病在证候、病因病机、治疗预防三个方面的关联性。
在其证候方面的关联性上,在前人研究的基础上主要阐述了它们在帕金森病典型症状方面的关联性,同时还进一步论证了它们在精神抑郁、情绪低落、认知障碍、吞咽困难等非典型症状方面的关联性。
在病因病机方面,主要论述了帕金森病主要与外界风寒湿邪有关,与人体肾精、饮食、和自然界之气也有关联,人体脏腑主要涉及到肝、肾、脾、肺,发病机理主要与肝主筋、肾主骨生髓、脾主四肢的功能异常及肺卫虚弱有关。文章同时结合现代医学对导致帕金森病的遗传因素、年龄老化、环境因素的研究来对比做了论述。
在治疗预防方面,主要论述了《黄帝内经》中针灸对“帕金森病”的治疗,以及《黄帝内经》中对针灸治疗帕金森病的指导性内容；文中论述了《黄帝内经》中对中药治疗“帕金森病”有指导意义的记载；同时分析了《黄帝内经》在饮食、情志疏导方面对帕金森病的辅助治疗所具有的指导意义；最后,论述了《内经》养生对预防帕金森病的重要性。
In this paper, arounding the "Huang Di Nei Jing" and the trembling of the card is similar to Parkinson's disease awareness, and the "Huang Di Nei Jing" and is similar to Parkinson's disease syndrome to be excavated, combining with modern medicine for Parkinson's disease research to be discussed. Main writes "Huang Di Nei Jing" syndrome and Parkinson's disease in, etiology and pathogenesis, treatment, prevention of three aspects of relevance.
Syndrome in its relevance, in previous studies based on the major writing their typical symptoms of Parkinson's disease relevance, but also by writing them in the spirit of depression, depression, cognitive impairment, difficulty swallowing and other atypical symptoms of relevance.
In the etiology and pathogenesis, the main discussion of Parkinson's disease primarily concernes with external wind cold dampness evil, and human kidney essence, diet, and the nature of the gas are also associated, with the human body organs are mainly related to liver, kidney, spleen, lungs, the pathogenesis of primary liver governing tendons, Kidney in charge of bone marrow, spleen and lung dysfunction in limbs, weakness of the Guardian, the article combines with modern medicine, leading to Parkinson's disease genetic factors, aging, environmental factors, studies to compare done is discussed.
In the treatment and prevention, mainly dealt with the "Huang Di Nei Jing" in acupuncture for "Parkinson's disease" treatment, as well as the "Huang Di Nei Jing" in acupuncture treatment of Parkinson's disease guidance content; article discusses the "Huang Di Nei Jing" in Chinese medicine treatment of "Parkinson's disease" has guiding significance to records; paper also writes the "Huang Di Nei Jing" in the diet, in terms of emotional ease the adjuvant treatment of Parkinson's disease has guiding significance, finally, discusses the "Nei Jing" health to the prevention of Parkinson's the importance of the disease.
在其证候方面的关联性上,在前人研究的基础上主要阐述了它们在帕金森病典型症状方面的关联性,同时还进一步论证了它们在精神抑郁、情绪低落、认知障碍、吞咽困难等非典型症状方面的关联性。
在病因病机方面,主要论述了帕金森病主要与外界风寒湿邪有关,与人体肾精、饮食、和自然界之气也有关联,人体脏腑主要涉及到肝、肾、脾、肺,发病机理主要与肝主筋、肾主骨生髓、脾主四肢的功能异常及肺卫虚弱有关。文章同时结合现代医学对导致帕金森病的遗传因素、年龄老化、环境因素的研究来对比做了论述。
在治疗预防方面,主要论述了《黄帝内经》中针灸对“帕金森病”的治疗,以及《黄帝内经》中对针灸治疗帕金森病的指导性内容；文中论述了《黄帝内经》中对中药治疗“帕金森病”有指导意义的记载；同时分析了《黄帝内经》在饮食、情志疏导方面对帕金森病的辅助治疗所具有的指导意义；最后,论述了《内经》养生对预防帕金森病的重要性。
In this paper, arounding the "Huang Di Nei Jing" and the trembling of the card is similar to Parkinson's disease awareness, and the "Huang Di Nei Jing" and is similar to Parkinson's disease syndrome to be excavated, combining with modern medicine for Parkinson's disease research to be discussed. Main writes "Huang Di Nei Jing" syndrome and Parkinson's disease in, etiology and pathogenesis, treatment, prevention of three aspects of relevance.
Syndrome in its relevance, in previous studies based on the major writing their typical symptoms of Parkinson's disease relevance, but also by writing them in the spirit of depression, depression, cognitive impairment, difficulty swallowing and other atypical symptoms of relevance.
In the etiology and pathogenesis, the main discussion of Parkinson's disease primarily concernes with external wind cold dampness evil, and human kidney essence, diet, and the nature of the gas are also associated, with the human body organs are mainly related to liver, kidney, spleen, lungs, the pathogenesis of primary liver governing tendons, Kidney in charge of bone marrow, spleen and lung dysfunction in limbs, weakness of the Guardian, the article combines with modern medicine, leading to Parkinson's disease genetic factors, aging, environmental factors, studies to compare done is discussed.
In the treatment and prevention, mainly dealt with the "Huang Di Nei Jing" in acupuncture for "Parkinson's disease" treatment, as well as the "Huang Di Nei Jing" in acupuncture treatment of Parkinson's disease guidance content; article discusses the "Huang Di Nei Jing" in Chinese medicine treatment of "Parkinson's disease" has guiding significance to records; paper also writes the "Huang Di Nei Jing" in the diet, in terms of emotional ease the adjuvant treatment of Parkinson's disease has guiding significance, finally, discusses the "Nei Jing" health to the prevention of Parkinson's the importance of the disease.
引文
1.孟景春,王新华,张美华,等.黄帝内经素问译释[M].上海：上海科学技术出版社,1991,3：127,315,367,44-46,302,41,283,21,609,19,305,313,135,222,81,4,88,51,196,39,652,191,173,70,226,225,152,184,85,253,98,392,363,367,412,117,201,361,53,119,626,636,26,16,1,3,49.
2.高国栋,王学廉,李立宏,等.帕金森病诊疗关键[M].南京：江苏科学技术出版社,2004,1：46,48.
3.陈生弟,乐卫东,陈先文,等.帕金森病[M].北京：人民卫生出版社,2006,12：135,136,134,59,72.
4.孟景春,王新华.黄帝内经灵枢译释[M].上海：上海科学技术出版社,1986,3：118,139,143,158-170,402,279,280,557,189,412,269,352,275,497,132,93,6,1,526,552,516,304-305,368,425,80,339,530,107,598.
5.(日)若山吉弘.帕金森氏病防治[M].南昌：江西科学技术出版社,2005,4：7,4.
6. Corin MS,Elizan TS and Bender MB. Oculomotor function in patients with Parkinson's disease [J] J Neurol Sci 15:251-265,1972.
7. Payami H,Zareparsi S.Genetic epidemiology of Parkinson's diseases [J].J Geriatr Psych Neurol.1998,11:98-106.
8.王彦春,雷涛,马骏.帕金森病从脑论治[J].湖北中医杂志,2005,27(10)：14-15.
9. Soyder SH, et al. Neurology[J].1986,36:250.
10. Johnson CC,corell JM,Rybicki BA,et al.Adult nutrition intake as a risk factor for Parkinson's disease[J].Int J Epidemiol,1999,28(6):1102-1109.
11. Seheck L. Clustering of Parkinson's disease points to environmental etiology[J]. Arch Enviro Health,1998,53(1):71-73.
12. Joseph KC Tsui. Occupational risk factors in Parkinson's disease[J] Can JPH,1999,9 0(5):334-335.
13. Rybicki BA,Johnsona CC,Uman J,et al. Parkinson's disease mortality and the industrial use of heavy metals in MICHIGAN[J].Movement Disord,1993,8(1):87-92.
14.陈彪,刘焯林,梁秀龄,等.帕金森病病因研究[J].中山医科大学学报,1991,12(2)：143-146.
15.许继平.当代神经系统疾病的中医药治疗[M].济南：济南出版社,1994：112-135.
16.樊莹,周仲瑛.治疗震颤麻痹的经验[J].中医杂志,1996,37：663.
17.王永炎,蒋达树,侯力娜,等.中医药治疗震颤麻痹综合征35例疗效观察[J].中医杂志,1986,27(8)：221.
18.陈生弟,周孝达.帕金森病的病因学研究进展[J].国外医学神经病学神经外科学分册,1991,18(3)：130-133.
19.王旭慧,针刺治疗帕金森病42例临床观察[J].实用中西医结合临床,2002,2(4)：36-37.
20.王顺,周振坤,胡丙成,等.头部电针透穴疗法治疗帕金森氏病的临床研究[J].中国针灸,2003,23(3)：129.
21.黄文燕.眼针结合中药治疗帕金森病45例[J].上海针灸,2000,19(4)：20.
22.张京峰,孙国胜.隔药灸神龛穴治疗帕金森病54例疗效观察[J].中国针灸,2006,25(9)：610-611.
1.李军艳,杨明.帕金森病的中医药治疗[J].北京中医药,2008,27(4)：300-302.
2.王永炎.《中医内科学》[M].上海科技出版社,1994,12：369.
3.王文武,何建成.帕金森的中医文献研究[J].新中医,2008,40(1)：118-120.
4.李贤彬,姚源.中西医结合治疗帕金森病术后并发症39例[J].四川中医,2000,18(9)：13.
5.白清林,马云枝.古代中医对帕金森病的认识[J].北京中医药大学学报,2008,15(1)：34-35.
6.刘刚,刘昭纯.活血熄风法治疗帕金森病的理论与实验研究[D].山东中医药大学学报,2008,32(2)：135-138.
7.王彦春,雷涛,马骏.帕金森病从脑论治[J].湖北中医杂志,2005,27(10)：14-15.
8.周厚广,鲍远程.中医药治疗帕金森病的研究进展[J].中西医结合心脑血管病杂志,2004,2,(10)：593-596.
9.老膺荣,朱泉.帕金森氏病中医思辨[J].辽宁中医杂,2005,32(10)：1015-1016.
10.董洪涛.《内经》对颤症的认识[J].国医论坛,1998,13(3)：17-18.
11.王玲玲,张建斌,王玲玲“阳虚生风”论及启示[J].中医药学刊,2006,(24)9：1604-1606.
12.连新福,雒晓东.帕病1号方治疗强直少动型帕金森病21例疗效观察[J].新中医,2007,39(2)：32-33.
13.王洁民,王亚丽.补肾解毒法治疗帕金森病机制初探[J].山东中医杂志,2002,21(10)：581-582.
14.马骏.中医对帕金森病的研究[J].湖北中医学院学报,1999,1(1)：62-63.
15.邹忆怀.王永炎教授治疗颤振病(帕金森氏病)经验探讨[J].北京中医药大学学报,1996,19(4)：15-16.
16.丰广魁.略论柔肝缓痉法治疗帕金森病[J].辽宁中医杂志,2003,10：802.
17.郑国庆.论养脾阴法治疗帕金森病[J].中国中医基础医学杂志,2008,14(3)：216-217,225.
18.邱建文,骆仲达.八卦头针为主治疗血管性帕金森氏综合征5例[Z].浙江中医杂志,2000,(11)：497.
19.朱鹏举.《金匮要略》“趺蹶”条文解读[J].中医药通报,2007,6(3)：26-28.
20.孟立.古法新生——导引按跷(上、下)[J].按摩与导引,2002,17(1)：2-3,45(上)；2002,18(2)：3-4(下)
21.杨蕻,张伟,马烈光.帕金森病抑郁状态的心理护理[J].四川中医,2006,24(5)：94-95.
2.高国栋,王学廉,李立宏,等.帕金森病诊疗关键[M].南京：江苏科学技术出版社,2004,1：46,48.
3.陈生弟,乐卫东,陈先文,等.帕金森病[M].北京：人民卫生出版社,2006,12：135,136,134,59,72.
4.孟景春,王新华.黄帝内经灵枢译释[M].上海：上海科学技术出版社,1986,3：118,139,143,158-170,402,279,280,557,189,412,269,352,275,497,132,93,6,1,526,552,516,304-305,368,425,80,339,530,107,598.
5.(日)若山吉弘.帕金森氏病防治[M].南昌：江西科学技术出版社,2005,4：7,4.
6. Corin MS,Elizan TS and Bender MB. Oculomotor function in patients with Parkinson's disease [J] J Neurol Sci 15:251-265,1972.
7. Payami H,Zareparsi S.Genetic epidemiology of Parkinson's diseases [J].J Geriatr Psych Neurol.1998,11:98-106.
8.王彦春,雷涛,马骏.帕金森病从脑论治[J].湖北中医杂志,2005,27(10)：14-15.
9. Soyder SH, et al. Neurology[J].1986,36:250.
10. Johnson CC,corell JM,Rybicki BA,et al.Adult nutrition intake as a risk factor for Parkinson's disease[J].Int J Epidemiol,1999,28(6):1102-1109.
11. Seheck L. Clustering of Parkinson's disease points to environmental etiology[J]. Arch Enviro Health,1998,53(1):71-73.
12. Joseph KC Tsui. Occupational risk factors in Parkinson's disease[J] Can JPH,1999,9 0(5):334-335.
13. Rybicki BA,Johnsona CC,Uman J,et al. Parkinson's disease mortality and the industrial use of heavy metals in MICHIGAN[J].Movement Disord,1993,8(1):87-92.
14.陈彪,刘焯林,梁秀龄,等.帕金森病病因研究[J].中山医科大学学报,1991,12(2)：143-146.
15.许继平.当代神经系统疾病的中医药治疗[M].济南：济南出版社,1994：112-135.
16.樊莹,周仲瑛.治疗震颤麻痹的经验[J].中医杂志,1996,37：663.
17.王永炎,蒋达树,侯力娜,等.中医药治疗震颤麻痹综合征35例疗效观察[J].中医杂志,1986,27(8)：221.
18.陈生弟,周孝达.帕金森病的病因学研究进展[J].国外医学神经病学神经外科学分册,1991,18(3)：130-133.
19.王旭慧,针刺治疗帕金森病42例临床观察[J].实用中西医结合临床,2002,2(4)：36-37.
20.王顺,周振坤,胡丙成,等.头部电针透穴疗法治疗帕金森氏病的临床研究[J].中国针灸,2003,23(3)：129.
21.黄文燕.眼针结合中药治疗帕金森病45例[J].上海针灸,2000,19(4)：20.
22.张京峰,孙国胜.隔药灸神龛穴治疗帕金森病54例疗效观察[J].中国针灸,2006,25(9)：610-611.
1.李军艳,杨明.帕金森病的中医药治疗[J].北京中医药,2008,27(4)：300-302.
2.王永炎.《中医内科学》[M].上海科技出版社,1994,12：369.
3.王文武,何建成.帕金森的中医文献研究[J].新中医,2008,40(1)：118-120.
4.李贤彬,姚源.中西医结合治疗帕金森病术后并发症39例[J].四川中医,2000,18(9)：13.
5.白清林,马云枝.古代中医对帕金森病的认识[J].北京中医药大学学报,2008,15(1)：34-35.
6.刘刚,刘昭纯.活血熄风法治疗帕金森病的理论与实验研究[D].山东中医药大学学报,2008,32(2)：135-138.
7.王彦春,雷涛,马骏.帕金森病从脑论治[J].湖北中医杂志,2005,27(10)：14-15.
8.周厚广,鲍远程.中医药治疗帕金森病的研究进展[J].中西医结合心脑血管病杂志,2004,2,(10)：593-596.
9.老膺荣,朱泉.帕金森氏病中医思辨[J].辽宁中医杂,2005,32(10)：1015-1016.
10.董洪涛.《内经》对颤症的认识[J].国医论坛,1998,13(3)：17-18.
11.王玲玲,张建斌,王玲玲“阳虚生风”论及启示[J].中医药学刊,2006,(24)9：1604-1606.
12.连新福,雒晓东.帕病1号方治疗强直少动型帕金森病21例疗效观察[J].新中医,2007,39(2)：32-33.
13.王洁民,王亚丽.补肾解毒法治疗帕金森病机制初探[J].山东中医杂志,2002,21(10)：581-582.
14.马骏.中医对帕金森病的研究[J].湖北中医学院学报,1999,1(1)：62-63.
15.邹忆怀.王永炎教授治疗颤振病(帕金森氏病)经验探讨[J].北京中医药大学学报,1996,19(4)：15-16.
16.丰广魁.略论柔肝缓痉法治疗帕金森病[J].辽宁中医杂志,2003,10：802.
17.郑国庆.论养脾阴法治疗帕金森病[J].中国中医基础医学杂志,2008,14(3)：216-217,225.
18.邱建文,骆仲达.八卦头针为主治疗血管性帕金森氏综合征5例[Z].浙江中医杂志,2000,(11)：497.
19.朱鹏举.《金匮要略》“趺蹶”条文解读[J].中医药通报,2007,6(3)：26-28.
20.孟立.古法新生——导引按跷(上、下)[J].按摩与导引,2002,17(1)：2-3,45(上)；2002,18(2)：3-4(下)
21.杨蕻,张伟,马烈光.帕金森病抑郁状态的心理护理[J].四川中医,2006,24(5)：94-95.