传统中医理论认为，帕金森病（PD）多因肝肾阴虚、阳亢动风所致；但在现代中医临证中，PD患者可出现运动症状如 静止性震颤、肌强直、运动迟缓，以及非运动症状如便秘、失眠、嗅觉障碍、表情淡漠等，同时伴有形寒肢冷、面肢浮肿、 腰膝酸冷、舌淡胖或有齿痕、苔白、脉迟无力。此时，其发病机制与阳气不足且分布不均有关，治疗可从阳虚论治，采用 温阳化气法治疗。该文探讨温阳化气法在治疗PD中的应用，拓展了中医临床治疗PD的思路。

In the view of conventional Chinese medicine， Parkinson 􀆳 s disease（PD）is usually caused by yin deficiency of the liver and kidney， hyperactivity of yang stirring up wind. Nevertheless， in modern clinic of Chinese medicine，the patients with PD may also have the manifestations of motor symptoms such as static tremor， rigidity and bradykinesia，and suffer non-motor symptoms such as constipation，insomnia，olfactory disorders and apathia，probably accompanied by cold body and limbs，puffiness of face and dropsy of limbs，soreness and coldness of the lumbar and knee，and may also exert tongue manifestations of pale and swollen tongue with tooth marks， white coating， and pulse condition of a late， feeble and slow pulse. Under these conditions， the pathogenesis of PD can be considered as the insufficiency and uneven distribution of yang qi，treatment of PD can be performed from the perspective of yang deficiency， and the therapy of warming yang to transform qi can be adopted. This paper discusses the application of therapy of warming yang to transform qi in the treatment of PD， and expands the approach to the treatment of PD with Chinese medicine.

R277.7

国家中医药管理局高水平中医药重点学科（温病学）建设项目（编号：zyyzdxk-2023158）