帕金森病非运动症状的中医治疗探索——附针药结合治疗肝郁脾虚型疲劳医案OA
Exploration of TCM in treating non-motor symtomes of Parkinson's diease clinical-a clinical case analysis of acupuncture combined with medication for liver stagnation-spleen dificiency fatigue
本研究报道 1 例帕金森病肝郁脾虚型疲劳患者的针药结合治疗医案,患者以肢体震颤、持续性疲劳、情绪抑郁、纳差为主症,中医辨证属肝郁脾虚,治疗以柴胡加龙骨牡蛎汤加减疏肝解郁、健脾理中,配合针刺调畅气机,经 1 个月余的干预,患者疲劳严重程度量表(fatigue severity scale,FSS)评分、帕金森病疲劳量表(parkinson fatigue scale,PFS)评分、汉密尔顿抑郁量表(hamilton depression scale,HAMD)评分均降低,Hoehn-Yahr 分级也降低,震颤、疲劳及胃肠功能显著改善,提示针药结合可协同调节帕金森病肝郁脾虚型患者的情绪-运动-消化轴,为中西医结合治疗非运动症状提供新思路.
This study reports one case of Parkinson's disease with liver stagnation-spleen deficiency fatigue treated by acupuncture combined with Chinese medicine.The main symptoms of the patient included involuntary limb tremor,persistent fatigue,depression and anorexia.In terms of treatment,modified Chaihu Longgu Muli Tang(柴胡加龙骨牡蛎汤)was added to relieve liver stagnation,strengthen spleen Qi and regulate the middle Jiao,and along with acupuncture to regulate Qi movement and balance the mechanism.After more than one month of intervention,the scores of Fatigue Severity Scale(FSS),Parkinson's disease Fatigue Scale(PFS),Hamilton Depression Scale(HAMD),and Hoehn and Yahr Scale were decreased,and tremor,fatigue and gastrointestinal symptoms were significantly ameliorated.This case study suggests that the combination of acupuncture and medication can synergistically regulate the"emotion-motor-digestive axis"in Parkinson's disease patients with liver stagnation-spleen deficiency fatigue,providing a new idea for the integrative medicine.
毕瑜君;王子宜;彭建东
山东中医药大学,山东 济南,250014威海市中医院,山东 威海,264200威海市中医院,山东 威海,264200
医药卫生
帕金森病疲劳针刺柴胡加龙骨牡蛎汤医案
Parkinson's diseaseFatigueAcupunctureModified Chaihu Longgu Muli TangClinical case
《中医临床研究》 2026 (3)
86-91,6
山东省中医药科技项目(Q-2023118).
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