Parkinson’s symptoms are a common health problem in our clinic. In fact, Parkinson’s is a relatively broad concept, including the primary Parkinson’s disease, secondary Parkinson’s syndrome to, hereditary Parkinson’s disease, and Parkinson’s superimposed on the four aspects of the problem, is actually still relatively complex. Here we will focus on primary Parkinson’s disease and try to have a clearer understanding of this problem. At the same time, it will be interesting to see what methods of dealing with Parkinson’s can get the best benefit and help the patient the most. When it comes to Parkinson’s disease, we all know that patients with Parkinson’s disease experience involuntary tremors in the head or trunk position of the limbs. Therefore, the first thing that comes to mind when mentioning Parkinson’s is this tremor problem. The clinical manifestations of Parkinson’s can be divided into two categories, one is motor symptoms and the other is non-motor symptoms. The so-called motor symptoms include the well-known tremor and trembling, in addition to tremor, there is also muscle tonus, reduced voluntary muscle movement, in addition to some postural reflex abnormalities, for example, Parkinson’s patients usually walk with a panicked gait, small steps and fall forward, at the same time, there will be hunched, bowed back, a look and normal people are not very much the same. These four aspects of the problem are called the motor quadruple signs of Parkinson’s disease. In fact, in comparison, the non-motor symptoms of Parkinson’s often appear earlier than the motor symptoms, and the manifestations are more diverse, in addition to the impact on the quality of life and daily life of the patient is greater than the motor symptoms. In terms of treatment, we should also pay special attention to the management of non-motor symptoms. What are the non-motor symptoms of Parkinson’s disease? 1. Smell impairment, patients may not be able to smell, and the smell impairment often appears very early. 2. Mood disorders. Patients may become impatient, sleep restlessly, or have personality changes, and dementia may occur in later stages. 3. Gastrointestinal symptoms, patients may become constipated. 4, sympathetic symptoms, patients will appear sebaceous sign, that is, the face appears oily, oil is particularly large, is the sebaceous gland secretion problems. In addition, patients may also experience dizziness, which is due to postural hypotension in advanced patients, where blood pressure is not regulated like normal people and cannot be regulated with body position. As soon as the patient stands up, the blood pressure drops and the patient experiences dizziness or even fainting. All of these symptoms have an effect on the patient, and one symptom may affect the patient more than the other. For example, postural hypotension can immobilize the patient in bed or a wheelchair, afraid to stand up. Patients with constipation will have poor digestion as a result. Patients with sleep disorders and mood disorders may lose their temper and become irritable for no apparent reason, which can be a very painful problem for the family, society and the individual patient. Among the non-motor symptoms of Parkinson’s disease, insomnia and constipation are two of the more common clinical problems and also have a greater impact on the patient’s life. Now let’s look at why patients with Parkinson’s disease suffer from insomnia and constipation from a TCM perspective. First of all, Parkinson’s disease is a degenerative disease of the nervous system commonly found in middle-aged and elderly people. In terms of TCM theory, what are the physiological characteristics of the middle-aged and elderly population? After reaching a certain age, the liver and kidney function of the middle-aged and elderly population will gradually decline. The liver and kidney are two organs in the theory of internal organs in TCM, which are different from the liver and kidney in Western medicine anatomy. In Chinese medicine, it is said that when a person is over 40, the Yin Qi will be half of the body, and this Yin Qi starts to refer to the Yin of the liver and kidney. Because both organs, liver and kidney, are based on yin fluid, they can only function properly if they maintain a good reserve of yin fluid. As the body ages physiologically, the yin of the liver and kidney is in a process of gradual depletion. After the age of 40, a liver and kidney yin deficiency will appear to varying degrees. Then the specific degree, some people light, some heavy, one is related to the innate physical endowment, and another is related to the acquired lifestyle habits, and some basic diseases. For example, patients who work for a long time, for example, people who smoke and drink for a long time, for example, people who think too much for a long time, from different angles and ways can damage the liver and kidney yin, resulting in liver and kidney yin deficiency. So what are the consequences of liver and kidney yin deficiency? First of all, the deficiency of liver yin can not suppress liver yang, resulting in excessive liver yang and symptoms of hyperactivity of liver yang, which can disturb the mind, and then the patient’s sleep will be unstable. Then at the same time the kidney and sleep are also related, the heart and kidney must intersect, fire and water must reach a harmonious level, the quality of sleep is too good. At the same time the lack of yin liquid will also lead to less fluid in the intestines, just like the river has no water inside and becomes dry, this time the boat can’t sail properly in it, so the patient will also have problems like constipation. Therefore, insomnia and constipation are mostly seen in Parkinson’s patients, which are mainly related to the pathological mechanism of liver and kidney yin deficiency, and we should pay attention to it in the treatment to protect the patient’s yin. Some classical Chinese medicine prescriptions, such as Zhi Bai Di Huang Wan and Mai Wei Di Huang Wan, are very effective in nourishing the liver and kidneys. Acupuncture is a fast-acting and long-lasting allopathic treatment method. For insomnia and stool problems, acupuncture is used from the perspective of meridian dialectic, to calm the mind and to calm the heart, and to promote the flow of Qi from the internal organs. The effect is often much better than drug treatment alone. Among them, head acupuncture points such as Shenting, Benshin, have a significant improvement on the patient’s sleep quality. The Tianshu point is located two inches next to the navel of the body and is a recruiting point for the large intestine meridian, while its underside is exactly where the colon travels. Acupuncture at the Tianshu point is directly effective for constipation of various causes, and usually one or two treatments can relieve the patient of dry stools and difficulty in elimination.