程維德
程維德中醫診所院長
通訊作者：程維德
連絡地址：新北市板橋區實踐路117號1樓
Tel：02-2959-8113
E-Mail：chengweide@kimo.com
2014年08月20日受理; 2014年12月14日刊載
摘要 :
中國醫學對巴金森氏病的辨證論治根據《實用中西醫結合神經病學》
書中認為巴金森病PD的特點是本虛標實，本虛基礎上形成內風、痰、
火、瘀等病理改變的結果。發病年齡為中老年以後，中年以後陰氣自半，
故出現肝腎陰虛。因抗病能力低下、體質虛弱導致氣血兩虛。本虛為肝腎
陰虛，氣血兩虧。標實為風痰、瘀火。所以治法要以扶正固本為原則。扶
正的同時要兼顧熄風通絡的藥物，如珍珠母、生龍齒、生龍骨、牡蠣、天
麻、鉤藤、白疾藜、僵蠶等。但也要配合活血養血的藥物。無論何證型均
有經脈不暢、血瘀阻絡、經脈失養的現象，常選用藥物有當歸、赤芍、白
芍、丹參、川芎、紅花、牛膝、桃仁等。亦須配合兼具活血化瘀、搜風
通絡、熄風定痙的蟲類藥物，如全蠍、地龍、蜈蚣、僵蠶等以達到較佳療
效。其證型如肝腎陰虛証用地黃飲子加減。肝風內動証用羚角鉤藤湯加
減。風痰阻絡証用導痰湯合羚角鉤藤湯加減。氣血兩虛症用八珍湯合天麻
鉤藤飲加減。台灣另有一派是以醫家李政育等所代表的中西結合，從大腦
神經醫學出發，以現代醫學的生理、病理、血檢及影像為依循，配合中醫
的辨證論治做為準則，提出許多中醫治療腦病的新觀念、新見解及古方新
用的變通，臨床用在治療巴金森氏病及神經退化性疾病得到很好的療效。
關鍵詞：
巴金森氏症、巴金森氏症、多巴胺、震顫
Parkinson's disease of TCM Western medicine
treatment study
Authors：Cheng Wei-De
Address：1F., No.117, Shijian Rd., Banqiao Dist., New Taipei City, Taiwan
(R.O.C.)
Tel：886-2-2959-8113
E-Mail：chengweide@kimo.com
Received：2014.08.20; Accepted：2014.12.14
Abstract
Chinese diagnosis and treatment of Parkinson's disease according to
the
"practical Integrative Neurology" Book that Parkinson's disease
PD is characterized
by the vacuity [1]. The results of pathological changes endogenous wind,
phlegm, fire stagnate, etc. on the basis of pathological changes. Age
of onset is
later middle-aged, middle-aged of yinqi since half later, It appears
liver and kidney
deficiency, Due to lower resistance to disease, physical weakness lead
to blood
deficiency, Physical weakness is deficiency of both qi and blood, Standard
real is
endogenous wind phlegm, fire stagnate.
Taiwan, another faction is represented by Lee Chen-Yu physicians etc.
of practical
Integrative Neurology, Star-ting from brain medicine to physiology,
pathology,
blood tests and imaging of modern medicine is to follow, as the criteria
for the
diagnosis and treatment with traditional Chinese medicine, Chinese medicine
treatment of encephalopathy presented many new ideas, new insights and
new
use of alternative Cuban side, the clinical use in treatment of Parkinson's
disease
and neurodegenerative diseases get good results.
Key Words:
Parkinson's syndrome, Parkinson's syndrome, dopamine,
tremor