王松龄治疗多巴反应性肌张力障碍的思路与经验
Experience of WANG Song-ling in The Treatment of Dopa Responsive Dystonia
DOI:10.19945/j.cnki.issn.1006-3250.2021.09.031
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1.河南省中医药研究院,郑州 450004
2.河南中医药大学第二附属医院,郑州 450002
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张社峰, 王松龄. 王松龄治疗多巴反应性肌张力障碍的思路与经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.031
ZHANG She-feng, WANG Song-ling. Experience of WANG Song-ling in The Treatment of Dopa Responsive Dystonia[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.031
张社峰, 王松龄. 王松龄治疗多巴反应性肌张力障碍的思路与经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.031 DOI:
ZHANG She-feng, WANG Song-ling. Experience of WANG Song-ling in The Treatment of Dopa Responsive Dystonia[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.031 DOI:
多巴反应性肌张力障碍是一种以肌张力障碍或步态异常为首发症状的神经系统遗传性疾病,目前西医以左旋多巴为主要治疗手段,但存在需要终身治疗及部分患者无效的困惑。王松龄根据多巴反应性肌张力障碍的临床表现,认为该病属于中医学“痉病”范畴,提出久病重症多为诸虚百损、筋脉失养证,治疗重在补虚培元,方用薯蓣丸与瓜蒌桂枝汤化裁,新病急症多为痰湿瘀阻、邪袭经络证和阳明里实、热盛灼络证,治疗重在祛邪止痉、痰湿瘀阻、邪袭经络证方用二陈汤、葛根汤、止痉散化裁,阳明里实、热盛灼络证方用大承气汤、五虎追风散、芍药甘草汤化裁。
Dopa-responsive dystonia is a rare hereditary disorder of the nervous system which is characterized by dystonia or gait abnormality. At present, Levodopa is the main treatment method of this disease in western medicine, but there is a status quo of life-long treatment or ineffectiveness of some patients. According to the clinical manifestations of Dopa-responsive dystonia, Professor WANG Song-ling think that the disease belongs to the category of "convulsive disease". He proposes that the severe and chronic illnesses patients are mostly syndromes of insufficiency and dystrophy of sinews and vessels, the treatment should focuses on tonifying deficiency and strengthening Yuan, the Shuyu Piu and Gualou Guizhi Decoction are used. The new patients of emergency are mostly syndromes of phlegm dampness obstruction, evil attack meridian syndrome and Yangming Fu-viscera excess, meridian attacked due to heat syndrome, the treatment should focuses on eliminating pathogenic factors and relieving spasm, the phlegm dampness obstruction, evil attack meridian by applying Erchen Decoction, Gegen Decoction, Zhijing Powder, the Yangming fu-viscera excess, meridian attacked due to heat syndrome uses the changes of Dachengqi Decoction, Wuhu Zhuifeng powder and Shaoyao Gancao Decoction.
多巴反应性肌张力障碍痉病经验总结王松龄
Dopa Responsive DystoniaJing disease by applyingExperience summaryWANG Song-ling
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