冯兴中基于“虚气流滞”论治帕金森病经脑深部电刺激术后

谭丽; 马羽; 官杰; 高慧娟; 王威; 冯兴中

doi:10.13288/j.11-2166/r.2022.17.006

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冯兴中基于“虚气流滞”论治帕金森病经脑深部电刺激术后

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冯兴中基于“虚气流滞”论治帕金森病经脑深部电刺激术后
FENG Xingzhong's Experience in Treatment of Parkinson's Disease after Deep Brain Stimulation based on Deficiency Qi and Liquid Stagnation"
1.首都医科大学附属北京世纪坛医院，北京市海淀区羊坊店铁医路10号，100038
2.清华大学玉泉医院/清华大学中西医结合医院
3.山东省青岛市中医医院
DOI：10.13288/j.11-2166/r.2022.17.006

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谭丽, 马羽, 官杰, 等. 冯兴中基于“虚气流滞”论治帕金森病经脑深部电刺激术后[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2022.17.006

TAN Li, MA Yu, GUAN Jie, et al. FENG Xingzhong's Experience in Treatment of Parkinson's Disease after Deep Brain Stimulation based on Deficiency Qi and Liquid Stagnation"[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2022.17.006
谭丽, 马羽, 官杰, 等. 冯兴中基于“虚气流滞”论治帕金森病经脑深部电刺激术后[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2022.17.006 DOI：

TAN Li, MA Yu, GUAN Jie, et al. FENG Xingzhong's Experience in Treatment of Parkinson's Disease after Deep Brain Stimulation based on Deficiency Qi and Liquid Stagnation"[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2022.17.006 DOI：

摘要

总结冯兴中教授基于“虚气流滞”论治帕金森病经脑深部电刺激术后的临证经验。认为帕金森病患者术后“虚气”加重，以气虚、血虚、阴虚为主，肾虚贯穿疾病始终；“流滞”之血瘀、痰湿、浊毒亦加重，肝风、气滞、内热虽减犹存。提出分期论治本病，术后2周内以元气虚衰为主，治宜补虚培元，以益气养血、益气养阴为治法，予生脉散、当归补血汤、玉屏风散等加减；术后2周至半年内以本虚实滞为主，宜补虚化滞，予平肝熄风、理气行滞、活血化瘀、祛湿化痰、清解内热等治法，常用镇肝熄风汤合增液汤、天麻钩藤饮、四逆散等；术后半年以上以毒损脑络为主，以解毒通络为治法，予自拟益智解毒汤治疗，并根据浊毒性质及程度灵活加减，以巩固临床疗效。

Abstract

This paper summarized Professor FENG Xingzhong's clinical experience in treating Parkinson's disease (PD) after deep brain stimulation (DBS) based on the theory of "deficiency ,qi, and liquid stagnation". It is believed that the PD patients after DBS are characterized by severe "deficiency ,qi,", mainly manifested as ,qi, deficiency, blood deficiency, and ,yin, deficiency, as well as "liquid stagnation", of which blood stasis, phlegm dampness, and turbid toxin are also aggravated, while liver wind,qi, stagnation, and internal heat are reduced but still continued. It is proposed to treat this disease by stages. Within two weeks after the operation, the main pathogenesis of the disease is original ,qi, deficiency and depletion, for which the focus should be supplementing deficiency and banking up original ,qi, and the treatment method is to boost ,qi, and nourish the blood, boost ,qi, and nourish ,yin, by using ,Shengmai Powder, (生脉散),Danggui Buxue Decoction, (当归补血汤),Yupingfeng Powder, (玉屏风散) and their modifications. Two weeks to half a year after operation, the main pathogenesis of the disease is root deficiency and access stagnation, acquiring deficiency supplementing and stagnation dissolving, for which the treatment is to calm the liver and extinguish wind, rectify ,qi, and move stagnation, invigorate blood and dissolve stasis, dispel dampness and remove turbidity, clear internal heat, and ,Zhengan Xifeng Decoction with Zengye Decoction, (镇肝熄风汤合增液汤),Tianma Gouteng Drink, (天麻钩藤饮),Sini Powder, (四逆散) are commonly used. More than half a year after operation, the main pathogenesis is mainly toxin damaging brain collaterals, and the treatment principle is to resolve toxins and unblock the collaterals, by using self-designed ,Yizhi Jiedu Decoction, (益智解毒汤) with modifications according to the nature and degree of turbid toxin, in order to consolidate the clinical effect.

关键词

帕金森病脑深部电刺激术虚气流滞名医经验冯兴中

Keywords

Parkinson's diseasedeep brain stimulationdeficiency qi and liquid stagnationexperience of famous doctorsFENG Xingzhong

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