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Parkinson’s disease (PD) is a common dyskinesia neurodegenerative disease in elderly people. Static trembling, muscle stiffness, slow movement and posture instability are the four performance characteristics. At present, the prevalence of PD is about 150 people per 100,000 people in Taiwan. It is mostly happened in the middle age group over 55 years old. The prevalence rate of PD over 65 years old is 1% to 4%. The elder the patients are, the higher risk of PD would be. About PD on the etiology and pathogenesis of traditional Chinese medicine (TCM), syndrome differentiation and treatment of new thinking, there is no systematic analysis and discussion. Therefore, we use the China National Knowledge Infrastructure (CNKI) and the Airiti Library to collect the research about the PD of the modern pathology, TCM etiology and pathogenesis, TCM treatment methods for collation, analysis and discussion. The results of our study show four points. First, the Braak hypothesis can explain the course of PD, according to modern medical pathology: Gastrointestinal symptoms-olfactory disorder-affective disorder-dyskinesia-psychiatric symptoms. These symptoms could be corresponding to TCM organs: spleen-lung-liver qi-liver yin-kidney. For the early prevention of PD, the perspective of TCM can start from the spleen and lungs. Second, According to the etiology and pathogenesis of TCM, PD is characterized by deficiency in the root and excess in the branch. Deficiency was referred to liver, spleen and kidney. Excess was referred as wind, fire, phlegm and stasis. Third, TCM prescription for treating PD could be mainly based on the frequency of syndrome differentiation and focused on invigorating the liver and kidney, benefiting qi and nourishing blood, clearing away heat and dispersing phlegm, promoting blood circulation and removing blood stasis. Fourth, scalp acupuncture and body acupuncture are
the main stream. The symptoms of PD have a clear improvement after pointthrough-point acupuncture or moxibustion treatment. In the future, we believe that the TCM research of PD should start from the brain neurology, modern pathophysiology as the basis, with TCM differentiation of zang and fu. Then the new idea of TCM treatment should be updated. We look forward to the clinical treatment of TCM or integrative medicine can achieve better efficacy.
Keywords：Parkinson’s disease, TCM Syndrome Differentiation, TCM treatment
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211.7 帕金森氏症之中醫辨證論治的回顧性文獻探討
