Experience of Zhang Yunling in treatment of Parkinson's disease combined with orthostatic hypotension based on principle of "Deficiency‑Descent‑Stasis"

CHEN Yunmeng; LIU Hongxi; LIANG Xiao; WANG Sichao; SHEN Wei; CHANG Ze; CHI Xiansu; GUO Chunyan; ZHANG Zixuan; ZHANG Yunling

doi:10.16305/j.1007-1334.2026.z20250228004

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Experience of Zhang Yunling in treatment of Parkinson's disease combined with orthostatic hypotension based on principle of "Deficiency‑Descent‑Stasis"

更新时间：2026-02-09

- Experience of Zhang Yunling in treatment of Parkinson's disease combined with orthostatic hypotension based on principle of "Deficiency‑Descent‑Stasis"
- Shanghai Journal of Traditional Chinese Medicine Vol. 60, Issue 2, Pages: 40-43(2026)
- 作者机构：
  
  1.中国中医科学院西苑医院苏州医院脑病科（江苏苏州 215128）
  2.深圳市人民医院中医科（广东深圳 518020）
  3.中国中医科学院西苑医院脑病科（北京 100091）
  4.北京中医药大学中医学院（北京 100029）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2026.z20250228004
  CLC：
- Received：28 February 2025，
  
  Published：10 February 2026
- 稿件说明：
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陈云梦,刘红喜,梁晓,等.张允岭基于“正虚‑中陷‑邪滞”辨治帕金森病合并直立性低血压经验[J].上海中医药杂志,2026,60(2):40-43.

CHEN Yunmeng,LIU Hongxi,LIANG Xiao,et al.Experience of Zhang Yunling in treatment of Parkinson's disease combined with orthostatic hypotension based on principle of "Deficiency‑Descent‑Stasis"[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):40-43.
陈云梦,刘红喜,梁晓,等.张允岭基于“正虚‑中陷‑邪滞”辨治帕金森病合并直立性低血压经验[J].上海中医药杂志,2026,60(2):40-43. DOI： 10.16305/j.1007-1334.2026.z20250228004.

CHEN Yunmeng,LIU Hongxi,LIANG Xiao,et al.Experience of Zhang Yunling in treatment of Parkinson's disease combined with orthostatic hypotension based on principle of "Deficiency‑Descent‑Stasis"[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):40-43. DOI： 10.16305/j.1007-1334.2026.z20250228004.

摘要

介绍张允岭教授基于“正虚-中陷-邪滞”辨治帕金森病合并直立性低血压的经验。张教授认为该病病机为肝、脾、肾功能失调，肝肾亏虚，气血不足，久病致风、火、痰、瘀等实邪阻滞蒙窍；提出“正虚-中陷-邪滞”辨治理念。其中正虚为基，补法为先，治以泰山磐石散、虎潜丸、六味地黄丸、左归丸、右归丸等补益精血，充精填髓；中陷为要，升法为枢，治以补中益气汤、举元煎、升麻葛根汤化裁等升举清阳，匡扶中气；邪滞为标，清法为键，治以温胆汤、厚朴枳实汤等清除实邪，通达百脉。

Abstract

This study presents Professor Zhang Yunling's clinical experience in syndrome differentiation and the treatment of Parkinson's disease （PD） complicated by orthostatic hypotension （OH）， based on the pattern differentiation of "Deficiency-Descent-Stasis". Professor Zhang posits that the pathogenesis of PD with OH involves functional impairment and deficiency of the liver， spleen and kidneys， insufficiency of qi and blood； and in prolonged illness， obstruction of the orifices by substantial solid evil such as wind， fire， phlegm， and blood stasis. He proposes the "Deficiency-Descent-Stasis" diagnostic and therapeutic philosophy， where deficiency of vital qi serves as the foundation， with tonification therapy taking precedence. Treatment involves the use of formulas such as Taishan Panshi Powder， Huqian Pills， Liuwei Dihuang Pills， Zuogui Pills， Yougui Pills to tonify essence and blood， replenish essence and fill the marrow. Descent of the middle energizer is the key， with lifting therapy as the pivot， using formulas such as Buzhong Yiqi Decoction， Juyuan Jian and Shengma Gegen Decoction to lift up the clear yang and support middle qi. Stasis-related evil is the target， with clearing methods as the key， using formulas such as Wendan Tang and Houpo Zhishi Tang to clear pathogenic factors and ensure the smooth flow of all vascular patency.

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references

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