World Parkinson’s Disease Day (WPD) is celebrated every year on April 11. This day is the birthday of the discoverer of Parkinson’s disease – British internist Dr. James Parkinson. Parkinson’s has become the “third killer” of the elderly, 10 years ago, China’s Parkinson’s patients reached about 1.7 million, the total number of Parkinson’s disease patients in China has reached 2.5 million. 55 years of age or older, the prevalence rate of about 1%, 65 years of age or older, the prevalence rate of 1.7%. It is estimated that there are 100,000 new patients in China every year. What is Parkinson’s disease? Parkinson’s disease (PD) is a common neurological disorder caused by the necrosis of nerve cells in some deep brain nuclei (“substantia nigra”), resulting in a decrease in dopamine production in the brain, resulting in symptoms such as resting tremor, muscle rigidity and motor retardation. Middle-aged and elderly people are the main incidence group, and the incidence increases with age, with a prevalence of about 1% in people over 55 years of age and 1.7% in people over 65 years of age. Currently, the specific cause of Parkinson’s disease is not clear, but it is related to factors such as advanced age and exposure to environmental toxins. Parkinson’s prevention starts with improving the environment Parkinson’s disease is a degenerative disease of the nervous system, which is not preventable from the genetic point of view, but has some preventive significance from the perspective of environmental promotion. Specific preventive measures include prevention of cerebral atherosclerosis, control of hypertension, hyperglycemia and hyperlipidemia; avoid exposure to neurotoxic chemicals such as organic pesticides, carbon monoxide, mercury and manganese; careful use of chlorpromazine, reserpine and other drugs that can cause tremor and paralysis; pay attention to physical exercise and mental work to slow down brain aging; those with Parkinson’s disease aura should be actively diagnosed and treated early. Movement disorders are typical symptoms of Parkinson’s. Self-examination for early detection Parkinson’s disease starts insidiously and aggravates slowly, which means that it does not develop to a very serious degree all of a sudden, but is a slow, progressive development process. Typical Parkinson’s disease symptoms include slow movements, resting tremor (involuntary trembling of limbs at rest), rigidity, postural disturbances, panic gait, etc. Parkinson’s disease also has many non-motor symptoms, such as decreased sense of smell, chronic constipation, sleep disturbances (moving hands and feet, shouting after falling asleep), depression, cognitive impairment, etc. People over the age of 40 should pay close attention to their physical health. If all three of these symptoms occur at the same time, or if the disease is likely, diagnose it early. Active treatment of Parkinson’s disease does not affect life expectancy Although Parkinson’s disease is one of the “killers” of the middle-aged and elderly, it is not a fatal disease and does not have a significant impact on life expectancy. However, if the disease is left untreated, severe loss of self-care ability and severe depression and other emotional disorders can greatly jeopardize the quality of life of individuals and families. At present, it is widely advocated internationally that Parkinson’s disease should be detected and treated as early as possible. Early treatment of Parkinson’s disease can protect neurons, reduce neuronal death and slow down the progression of the disease. Through active treatment, although Parkinson’s disease cannot be cured, the disease can be effectively controlled, symptoms can be significantly improved, and quality of life can be enhanced. Parkinson’s treatment Drugs and surgery are the mainstream At present, the main treatments for Parkinson’s disease are drugs, surgery, and Chinese medicine. Drug therapy The most common and effective drug used to treat Parkinson’s disease is levodopamine preparation. In addition to these, there are dopamine agonists, enzyme inhibitors, and antagonists. In general, there are currently more than a dozen drugs in seven categories for the treatment of Parkinson’s disease. Each drug has its own characteristics, and patients should take which drugs and how to use them under the guidance of a specialist according to their condition and family conditions. Surgical treatment Currently, the main surgical treatment for Parkinson’s disease is deep brain stimulation (DBS), in which a miniature brain pacemaker is installed in the nucleus accumbens of the brain. The previously popular nucleus accumbens destruction procedure has been phased out due to its disadvantages such as high damage and irreversibility. The installation of a brain pacemaker is a new milestone in the treatment of Parkinson’s disease. It is less invasive, reversible, and has long-term modulation, and most neurosurgeries have special neuromodulation clinics where patients can have regular postoperative modulation. The cost of surgery needs 200,000 yuan. Chinese medicine treatment Parkinson’s disease in Chinese medicine belongs to the category of “tremor” and “paralysis”, Chinese medicine has its own independent pathology and pathological mechanism, dialectical classification theory of Parkinson’s disease, Chinese medicine treatment has a certain effect on the improvement of symptoms, significant and stable efficacy in the continued test and development. 80% of patients have depression Home care should be paid attention to Home care is an important part of Parkinson’s disease treatment, a study shows that 80% of Parkinson’s disease patients have depressive symptoms, therefore, when taking care of Parkinson’s patients, in addition to general care, but also pay more attention to the patient’s psychological condition. 1, Parkinson’s disease is a chronic disease, but is progressive aggravation, a few patients can also develop the disease very quickly. Therefore, early treatment, and the need for long-term medication, but also pay attention to the patient’s medication effect and drug side effects, in order to help doctors adjust the dose and type of drugs in a timely manner. 2. Encourage early patients to do more active exercises, try to continue working, and cultivate hobbies to prevent patients from being depressed and pessimistic due to their condition. 3.Actively carry out functional exercise, especially posture and gait training. Try to let the patient complete daily life by himself, but pay attention to protect the patient and prevent him from falling. 4.Eat more vegetables, fruits or honey to prevent constipation; avoid stimulating food, smoking, alcohol, etc. 5.For patients who are bedridden in the late stage, they should be helped to turn over regularly and make more passive movements in bed to prevent joint fixation, decubitus ulcers and the occurrence of decubitus pneumonia.