Treatment of Parkinson’s

  Parkinson’s disease treatment I. Western medical treatment of Parkinson’s disease 1. Early PD treatment Early PD nigrostriatal system of DA neurons can be compensated to increase DA synthesis, physical therapy (massage, hydrotherapy) and sports therapy (joint activities, walking, balance and language exercises, facial expression muscle exercises) are recommended, and the cooperation of patients’ families is sought to encourage patients to take more active exercise and postpone drug therapy as much as possible. If the disease affects the patient’s daily life and work, drug treatment is required.  2, drug treatment PD is still mainly drug treatment, restore the balance of striatal DA and Ach transmitter system, the application of anticholinergic and improve DA transmitter function drugs, improve the symptoms, can not stop the development of the disease.  3, the principle of drug use: ① start with a small dose, slowly increasing, try to use a smaller dose to achieve satisfactory results.  ②Treatment plan individualized, according to the patient’s age, symptom type and degree, employment status, drug prices and affordability, etc. to choose drugs.  ③The drugs should not be added blindly, should not be stopped suddenly, and need to be taken for life.  ④PD drug therapy is complex, and the adjuvant drugs DR agonists, MAO-B inhibitors, and catechol-oxo-position-methyltransferase (COMT) introduced in recent years can be used in combination with compound dopa to enhance the efficacy, reduce symptom fluctuations, and lower the dose of compound dopa, and the efficacy is not satisfactory when used alone, so the pros and cons should be weighed and the combination should be selected appropriately.  Second, Parkinson’s Chinese medicine treatment 1, the main symptoms for the treatment of Parkinson’s disease, Chinese medicine identification of liver and kidney yin deficiency type. Clinical manifestations are coarse limb tremors that cannot be controlled, dizziness and tinnitus, red face and irritability, easily agitated, tremors aggravated by stress, accompanied by numbness of the limbs, bitter mouth and dry throat, slow and unclear speech, salivation, red urine, dry stool, red tongue, yellow fur, string pulse.  2.Treatment is to calm the liver and quench the wind, soothe the tendons and stop trembling.  3.Asparagus, Radix et Rhizoma, Radix et Rhizoma, Radix et Rhizoma, Porcupine, Radix et Rhizoma, Crotalus, Radix substitutionis, Rhizoma nightshade, Tortoise, Radix et Rhizoma, Radix et Rhizoma oyster, Radix et Rhizoma paeoniae, Radix asparagus, Radix et Rhizoma, Radix et Rhizoma, Radix scutellariae, Radix Gardeniae.  4. Usage: Decoction in water in 3 doses, 1 dose daily.  5, add or subtract: if liver fire is strong, anxiety and distress, add gentian grass, Xia Ku Cao; if phlegm is abundant, add bamboo lei, Tian Zhu Huang to clear heat and resolve phlegm; if kidney yin is insufficient, deficiency fire disturbs, dizziness and tinnitus, add Zhi Mu, Huang Bai, Dan Pi; if heart is troubled and insomnia, add fried sour date seed, cypress seed, Dan Shen to nourish the blood and calm the mind; if trembling is more than one, add stiff silkworm, whole scorpion to enhance the power of extinguishing wind and activating fibrillation.