基于“玄府-气液-脑络”理论探讨中医辨治帕金森病

Exploration on Traditional Chinese Medicine Syndrome Differentiation and Treatment of Parkinson's Disease Based on the Theory of "Sweat Pores-Qi and Fluid-Brain Collaterals"

摘要:

玄府、脑络是人体脑组织中的重要结构，为气液流通、运转神机提供通道；气液则为玄府、脑络正常功能的发挥提供物质基础。中医学认为，“玄府、气液、脑络”三者共同参与帕金森病（PD） 的发生、发展过程。本文基于此理论，认为“风扰玄府-气液壅结-毒损脑络”是构成PD的主要病机，贯穿疾病发生和发展的全过程；临证论治中，可从调玄熄风、滋水涵木，宣通气液、化痰散瘀，解毒补络、养筋治变入手，构建以调玄府、通气液、补络脉为主的治法，以期为PD的中医临床辨治提供参考。

Abstract:

Abstract： The sweat pores and brain collaterals are important structures in human brain tissue， providing channels for the circulation of qi-fluid and the functioning of the vital activity. Qi-fluid serves as the material basis for the normal functioning of the sweat pores and brain collaterals. In traditional Chinese medicine （TCM），it is believed that the "sweat pores-qi and fluid-brain collaterals" triad collectively participates in the onset and progression of Parkinson's disease （PD）. Based on this theory，this article proposes that "wind disturbing the sweat pores - stagnation and binding of qi and fluid-toxin damaging the brain collaterals" constitutes the primary pathogenesis of PD，which runs through the process of disease onset and progression. In clinical syndrome differentiation and treatment， therapeutic approaches can be developed from the aspects of regulating the sweat pores to suppress wind，nourishing water to enrich wood， unblocking and dispersing qi-fluid， resolving phlegm and dissipating stasis， removing toxins and supplementing the collaterals， and nourishing the sinews to disconnect the route of transmission. Thus， a treatment strategy centered on regulating the sweat pores， unblocking qi-fluid， and supplementing the collaterals can be established，thereby providing a reference for clinical differentiation and treatment of PD in TCM.