帕金森氏症之中醫辨證論治的回顧性文獻探討

Retrospective Study of Discussion onSyndrome Differentiation of Parkinson'sDisease in Traditional Chinese Medicine

Parkinson's disease (PD) is a common dyskinesia neurodegenerative diseasein elderly people. Static trembling, muscle stiffness, slow movement and postureinstability are the four performance characteristics. At present, the prevalence ofPD is about 150 people per 100,000 people in Taiwan. It is mostly happened in themiddle age group over 55 years old. The prevalence rate of PD over 65 years old is1% to 4%. The elder the patients are, the higher risk of PD would be. About PD onthe etiology and pathogenesis of traditional Chinese medicine (TCM), syndromedifferentiation and treatment of new thinking, there is no systematic analysisand discussion. Therefore, we use the China National Knowledge Infrastructure(CNKI) and the Airiti Library to collect the research about the PD of the modernpathology, TCM etiology and pathogenesis, TCM treatment methods for collation,analysis and discussion. The results of our study show four points. First, theBraak hypothesis can explain the course of PD, according to modern medicalpathology: Gastrointestinal symptoms-olfactory disorder-affective disorderdyskinesia-psychiatric symptoms. These symptoms could be corresponding toTCM organs: spleen-lung-liver qi-liver yin-kidney. For the early prevention of PD,the perspective of TCM can start from the spleen and lungs. Second, Accordingto the etiology and pathogenesis of TCM, PD is characterized by deficiency in theroot and excess in the branch. Deficiency was referred to liver, spleen and kidney.Excess was referred as wind, fire, phlegm and stasis. Third, TCM prescription fortreating PD could be mainly based on the frequency of syndrome differentiationand focused on invigorating the liver and kidney, benefiting qi and nourishing blood, clearing away heat and dispersing phlegm, promoting blood circulationand removing blood stasis. Fourth, scalp acupuncture and body acupuncture arethe main stream. The symptoms of PD have a clear improvement after pointthrough-point acupuncture or moxibustion treatment. In the future, we believethat the TCM research of PD should start from the brain neurology, modernpathophysiology as the basis, with TCM differentiation of zang and fu. Then thenew idea of TCM treatment should be updated. We look forward to the clinicaltreatment of TCM or integrative medicine can achieve better efficacy.