Parkinson’s disease is a chronic disease with many symptoms, the progression of each Parkinson’s patient is different and varies greatly among individuals, most patients progress relatively slowly, and standardized treatment is an important factor in slowing down the disease in Parkinson’s patients. In order to be able to further confirm whether Parkinson’s disease is diagnosed, it is necessary to make an appointment for a Medobar shock test to clarify the diagnosis and then make further adjustments to the medication. Early diagnosis of Parkinson’s disease is crucial, and many patients are prone to misdiagnosis. What is the diagnosis of Parkinson’s disease to do? 1. Differential diagnosis: often mistaken for Alzheimer’s disease: 30%-40% of Parkinson’s patients do not have hand tremors in the early stages. They are often mistaken for “dementia”, “demented disease”, etc. Because these Parkinson’s disease patients in the early stage of the onset of the disease will be accompanied by tension, worry, restlessness, insomnia and other so-called Because these patients with Parkinson’s disease have so-called “non-motor symptoms of Parkinson’s disease”, they are sometimes treated as Alzheimer’s disease by doctors and family members in the early stages. Differentiation from other diseases: The early symptoms of Parkinson’s disease are not very obvious and are often confused with other diseases. The diagnosis of Parkinson’s disease is differentiated from hysterical, catatonic, and senile tremor. Also, it is necessary to exclude Parkinson’s disease syndrome triggered by encephalitis, cerebrovascular disease, poisoning, trauma, etc. 3, Symptom diagnosis: The symptoms of Parkinson’s are mainly tremor, muscle tonicity, motor retardation, abnormal posture and gait, mouth, pharynx and palate muscle movement disorders. The neurological symptoms of Parkinson’s also include greasy face, constipation, abnormal sweating, excessive salivation, salivation, and nearly half of the patients have depression or sleep disorders. 4, Medobar / Benadryl: effective with Medobar or Benadryl, can be initially judged as Parkinson’s disease, note that only initially! There are some Parkinson’s syndromes that are also effective with Medobar early on, and even with isokinetic disorders, but the final diagnosis is not primary Parkinson’s disease. There are also primary Parkinson’s disease, with Medobar or Benadryl, the effect is not obvious. 5, dopaminergic drug efficacy evaluation Simply put, it is to use a specially designed medication regimen to see how effective it is for the patient. The evaluation of the effect is not something that the patient says himself, but requires a short hospitalization to do the scale. 6.Imaging MRI (Magnetic Resonance Imaging) of the head can look at the basic situation of the brain, and generally neurology will be used as a basic test to help identify Parkinson’s disease and certain Parkinson’s syndromes. Ultrasound of the substantia nigra (TCS): specifically to look at this part of the substantia nigra, which is the main problem in Parkinson’s disease. If there is a problem with the substantia nigra, Parkinson’s disease can be highly determined, and if you want to be further certain, you can consider a PET test. DAT-PET: It is the most accurate test among the ancillary tests for Parkinson’s disease and is more expensive. If you plan to have surgery, you must have this test first, and if primary Parkinson’s disease is ruled out, you will not need surgery.