Chinese Medicine Treatment Of Parkinson's Disease
Feb 23, 2022
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Traditional Chinese medicine has a long history in the treatment of Parkinson's disease. Traditional Chinese medicine classifies Parkinson's disease as "shaking syndrome", which is a disease syndrome characterized by shaking of the head or limbs and inability to control oneself as the main clinical manifestation. In mild cases, the head shakes or the hands and feet tremble slightly. In severe cases, the head shakes, the limbs vibrate continuously, and even the limbs are anxious and the ability to take care of themselves is lost. There is already a record of "Shaking Syndrome" in the classic work of traditional Chinese medicine "Huangdi Neijing". Until now, the treatment of Parkinson's disease with traditional Chinese medicine is still relatively common in Asian countries, but the experimental research on traditional Chinese medicine started relatively late. With the increase in research on active ingredients, traditional Chinese medicine has also received more and more attention. In addition, the therapeutic effects of traditional Chinese medicine acupuncture and taijiquan have been recognized internationally.
The "Nei Jing" understanding of tremor syndrome:
In "Su Wen·Zhizhen Yao Da Lun": "All winds are dizzy, and they all belong to the liver." The word "drop" means tremor.
"Su Wen·Wuchangzheng Da Lun" also has descriptions such as "the disease shakes", "drops the dizzy top disease", "drops the vibration of the drum and chestnut", etc. It expounds that the main symptom of this disease is the shaking of the limbs, which belongs to the wind and is closely related to the liver. , kidney-related, and laid the foundation for the understanding of the tremor syndrome in later generations.
Sun Yikui's book "Xuanzhu of Chishui: Vibration Gate" also proposed that qi deficiency and blood deficiency can cause tremor syndrome. In addition, it is pointed out: "Woodfire is abundant in the upper part, the kidney yin is not full, and the lower part is empty and the upper part is full, which is actually phlegm fire, and the deficiency is the kidney deficiency." The treatment method should be "clearing the upper part and replenishing the lower part".
In the Qing Dynasty, Zhang Lu's "Zhang's Medical Knowledge · Flutter" systematically summarized the experience of predecessors, combined with clinical practice, had a more comprehensive exposition of the etiology, pathogenesis, syndrome differentiation, and treatment and prognosis of tremor syndrome. The disease is mostly caused by wind, fire, phlegm, blood stasis, and deficiency, and more than ten corresponding treatment prescriptions are listed, which enriches the understanding of the theory and prescription of this disease.
The main points of TCM syndrome differentiation
Ø For tremor syndrome, first of all, it is necessary to distinguish the false and true of the specimen. Deficiency of liver and kidney yin and deficiency of qi and blood are the root of the disease, which is a deficiency; pathological factors such as wind, fire, phlegm, and blood stasis are mostly the signs of the disease, which is true.
Ø Empirical evidence: Generally, the tremor is severe, the limbs are stiff, irritable, the chest is tight and the body is fat, and the person is angry;
Ø Deficiency: trembling and weakness, lingering difficulty to heal, weak waist and knees, thin body, dizziness, aggravated by trouble.
Ø Long-term disease often mixed with virtual and real specimens
principles of traditional Chinese medicine
Ø In the early stage: the signs of deficiency are not obvious, and the signs of wind and fire are often inflamed and phlegm and heat are obstructed.
Ø Onset for a long time: the old and infirm, the symptoms of liver and kidney deficiency, qi and blood deficiency, etc. are gradually prominent. The treatment should be nourishing the liver and kidney, nourishing qi and nourishing blood, regulating yin and yang, and also eliminating wind and dredging collaterals.
Treatment is slow to treat the root cause, and urgent treatment is to treat the symptoms. For the root cause, it nourishes the liver and kidney, nourishes the qi and nourishes the blood, and regulates yin and yang.
All kinds of clinical syndromes can be appropriately combined with the product of extinguishing wind and stopping tremors. For those with internal movement of wind and yang, it is advisable to submerge the yang; for those with phlegm-heat moving the wind, it is advisable to clear away heat and resolve phlegm and extinguish the wind; for those with deficiency of qi and blood, it is advisable to replenish qi and blood; for those with insufficient marrow sea, it is advisable to fill the essence and nourish the marrow; for those with deficient yang qi, it is advisable to Nourishes kidney and warms yang.
For those who have a false standard and a reality, and a mixture of false and reality, it is advisable to treat both the symptoms and the symptoms, and to be flexible. The disease is a refractory disease syndrome, and some patients tend to aggravate year by year. Therefore, in addition to drug treatment, attention should also be paid to adjusting photography.
Live a routine, keep your mood happy and emotionally stable. Usually, pay attention to strengthening physical function exercise, and appropriately participate in physical activities within one's ability, such as Taijiquan, Baduanjin, internal nourishment, etc.
Traditional Chinese Medicine and Acupuncture Treatment of Parkinson's-related Non-motor Symptoms
1. Insomnia, depression
Scalp needle: middle forehead line, 1 line beside forehead, 2 lines beside forehead, 3 lines beside forehead (both sides)
Body Acupuncture: Baihui, Yintang, Sun, Fengchi, Wangu, Neiguan, Shenmen, Taichong
2. Gastrointestinal dysfunction
(1) hiccup
Zhongwan, Neiguan, Hanzhong, Zusanli (acupoint injection), Zanzhu (Zanzhu on both sides, thorn to the opposite side, twisting for 3-5 minutes)
Those who are in the middle of phlegm turbidity, and the stomach loses and descends will be added to Fenglong; those who have liver stagnation and qi stagnation, and those who go against the stomach and invade the stomach, add Taichong.
(2) Constipation:
Acupuncture to take bilateral foot motor area
Body acupuncture: Take bilateral Daheng and Tianshu for abdomen; left water channel, return, outer water channel, and outer return.
Hot secret plus Hegu and Quchi; cold secret plus Guanyuan; Xu secret plus Qihai and Zusanli; Qi secret plus Zhongwan and Taichong.
3. Cognitive impairment
sluggish expression, slow response, forgetfulness and miscalculation, laziness and few words, etc.
take acupoints
(1) scalp acupuncture: three forehead acupuncture: vestibule, head dimension (both sides);
Top three needles: Baihui and Sishencong (two points parallel to Governor Vessel);
Three Temporal Needles: Suigu (parallel downward needling or three-way needling), Suigu through the sky;
(2) Item Needle: Item Three Needles: Fengfu, Fengchi (both sides);
(3) Body acupuncture: Neiguan, Shenmen, Sanyinjiao, Fenglong.
4. Dysphagia
take acupoints
Acupuncture: Shenting, Baihui, Sugu;
Body acupuncture: Fengchi (both sides), Yamen, Yifeng (both sides), Lianquan, Panglianquan (both sides); Juquan, Jinjin, Yuye.
5. Urinary incontinence
take acupoints
Acupuncture: Baihui, Foot Sports Area
Body acupuncture: Zhongji, Guanyuan, Shuidao, Sanyinjiao
Urinary retention: Zhongji, Guanyuan, Shuidao, Subliao.
Western medicine has a significant effect in improving motor symptoms of Parkinson's disease but lacks targeted methods for non-motor symptoms, and after the "honeymoon period", western medicine has problems such as decreased efficacy, fluctuation of symptoms, and motor complications.
Traditional Chinese medicine treatment is an effective supplement to the conventional treatment of Parkinson's disease, which can significantly reduce the side effects of western medicine and improve the efficacy of western medicine. Moreover, the safety and tolerance of traditional Chinese medicine are good. It is more obvious that Chinese medicine and acupuncture and other Chinese medicine treatments especially have a definite curative effect on the non-motor symptoms of Parkinson's disease. Taijiquan exercise has the effect of delaying the progress of Parkinson's disease, which has been recognized all over the world, highlighting the good conditioning effect of Chinese medicine.
