基于“脏腑之变，营卫之行”理论探讨帕金森病睡眠障碍的辨治思路

中图分类号：R249 文献标志码：A 文章编号：1007-2349（2026）02-0026-06

Exploration of the Diagnosis and Treatment Approach for Sleep Disorders in Parkinson's Disease Based on the Theory of Changes of the Internal Organs and the Circulation of Vital Energy and Body Fluids

CHEN Zi-yue'，ZHANG Zhen -nian² （1. Nanjing University of Traditional Chinese Medicine， Nanjing 21oool， China; 2.Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University ofTraditionalChineseMedicine，Nanjing2iooo1，China）

【Abstract】Parkinson's disease （PD） is a common neurodegenerative disease in the elderly.Sleep disorder（SD） is one of the common non-motor symptoms of Parkinson’s disease and its pathogenesis iscomplex.Currently，the therapeutic efectofsymptomatic drugs for sleep disorders in Parkinson’s disease isnot ideal，with drug dependence and many adverse reactions.Traditional Chinese medicine hascertain advantages in improving patients’sleep disorders.Basedonthe theoryof the intermal organsandthecirculationof the vital energyand bodyfluidsin traditional Chinesemedicine，itisbelievedthatdeficiencyof yininliverand kidneyisthe initiating factorof thisdisease andabnormal circulationof thevital energyand bodyfluids istheinternal trendof this disease.Modified Dihuang Decoction is derived from theclassic Dihuang prescription through modification and has the functionsof nourishing blood，soothingliver，tonifying yinandkidneyand harmonizing thecirculationofvital energyandbodyfluids，withagood clinical effect.Clinically，the treatmentof sleepdisorders in Parkinson's disease isadvocated to combine the treatmentof he rootcause with symptom，and combine traditional Chinese medicine withnon-drug therapy to improve the overallfficacy and avoid blindly using sedatives and anesthetics.

【Key Words】Parkinson; Sleep Disorder; Internal Organs； Circulation of Vital Energy and Body Fluids

帕金森病（parkinson'sdisease，PD）是全球第二大常见神经退行性疾病，主要表现为静止性震颤、僵硬、动作迟缓和姿势平衡障碍等运动症状，以及认知障碍、睡眠障碍等非运动症状[1]。（剩余9317字）