【摘要】 帕金森病作为全球第二大致残疾病，其疼痛管理已经成为目前医学研究热点之一。西医以药物治疗为主，结合运动、手术等疗法。患者依从性差，不良反应较多。中医认为，帕金森病疼痛属于祖国医学“痹证”范畴，目前对帕金森病疼痛的中医论述较少。经方配伍精简、疗效确切，强调方证结合。文章基于对经方的认识，结合张仲景治疗痹证的思想，从阳虚寒湿、阴阳失交、肾气亏损三个角度论治帕金森病疼痛，选方为附子汤、二加龙骨汤和肾气丸，以期提高患者生活质量，指导临床实践。更多还原

【Abstract】 Parkinson’s disease is the second largest disability disease in the world,and its pain management has become one of the current hot spots in medical research.Western medicine mainly uses drugs for treatment,combined with exercise,surgery and other therapies.Patient compliance is poor and there are many adverse reactions.Traditional Chinese medicine believes that Parkinson’s disease pain belongs to the category of “Arthralgia” in traditional Chinese medicine.Currently,there are few traditional Chinese medicine discussions on Parkinson’s disease pain.The compatibility of classical prescriptions is concise,the efficacy is definite,and it emphasizes the combination of prescriptions and symptoms.Based on the understanding of classical prescriptions and combined with ZHANG Zhongjing’s ideas on the treatment of arthralgia,this article discusses the treatment of Parkinson’s disease pain from three perspectives:yang deficiency,cold and dampness,Yin and Yang disharmony,and kidney Qi deficiency.The selected prescriptions are Fuzi Decoction,Erjia Longgu Decoction and Shenqi Pills,in order to improve the quality of life of patients and guide clinical practice.更多还原