Characterization of patients with idiopathic Parkinson's disease according to diagnosis in traditional Chinese medicine
Keywords:
Parkinson's disease, diagnosis, traditional Chinese medicine.Abstract
Introduction: Parkinson's disease is the second most prevalent neurodegenerative disease in the world after Alzheimer's disease. Objective: To characterize patients with idiopathic Parkinson's disease according to the correspondence between the diagnosis of Western medicine and traditional Chinese medicine.Methods: A descriptive, cross-sectional, observational, descriptive study of patients diagnosed with idiopathic Parkinson's disease was conducted. Forty-five patients were selected by systematic case-series sampling. Medical histories were taken from each patient to establish a diagnosis according to traditional Chinese medicine. Results: Stage 3 had the highest incidence of emotional pathogenic factors (53.3 %) and physical-mental exhaustion (47.37 %). The pathogenic factor irregular diet occurred in stages 1 and 2 (both 36.36 %). Liver and kidney Yin deficiencies, the syndrome with the highest incidence in stages 2 and 3, were 40 %. Physical and mental exhaustion predominated as a pathogenic factor (42.2%). Liver and kidney Yin deficiency occupied the most frequent diagnosis (33.3 %). Conclusions: According to traditional Chinese medicine, patients with idiopathic Parkinson's disease have physical and mental exhaustion as the root cause, followed by emotional pathogenic factors (anger, frustration and resentment) and liver-kidney Yin deficiency syndrome (the highest incidence), stages 2 and 3, on the Hoehn and Yahr scale.Downloads
References
Hurwitz B. Urban observation and sentiment in James Parkinson’s essay on the shaking palsy (1817). Spring. 2014;32(1):74-104. DOI: 10.1353/lm.2014.0002
Arredondo Blanco K, Zerón Martínez R, Rodríguezç Violante M. Breve recorrido histórico de la enfermedad de Parkinson a 200 años de su descripción. Gac Med Mex. 2018 [acceso 16/04/2021];154(6):719-26. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=83942
De Lau LM, Breteler MM. Epidemiology of Parkinson’s disease. The Lancet Neurology. 2006;5(6):525-35. DOI: 10.1016/S1474-4422(06)70471-9
Siderowf A, Stern M. Update on Parkinson’s disease. Ann Intern Med. 2003;138(8):651-8. DOI: 10.7326/0003-4819-138-8-200304150-00013
Giroud Benítez JL, Collado Mesa F, Esteban EM. Prevalencia de la enfermedad de Parkinson en un área urbana de la provincia Ciudad de La Habana, Cuba. Estudio poblacional puerta a puerta. Rev Neurol. 2000;15(7):269-73. DOI: 10.33588/rn.3307.2001063
Linazasoro G. Classical Parkinson disease versus Parkinson complex: reflections against sta-ging. Eur J Neurol. 2007;14(7):721-8. DOI: 10.1111/j.1468-1331.2007.01853.x
Haaxma CA, Bloem BR, Borm GF, Oyen WJ, Leenders KL, Eshuis S, et al. Gender differences in Parkinson’s disease. J Neurol Neurosurg Psychiatry. 2007;78(8):819-24. DOI: 10.1136/jnnp.2006.103788
Rodríguez M. Enfermedad de Parkinson y medicina tradicional china. NATIJRA MEDICATRIX. 2002 [acceso 16/04/2021];20(6):286-90 Disponible en: https://dialnet.unirioja.es/descarga/articulo/4956333.pdf
Médicos y Pacientes. La acupuntura también puede ayudar a retrasar la progresión del Parkinson. Madrid: OMC; 2009 [acceso 16/04/2021]. Disponible en: http://www.medicosypacientes.com/articulo/la-acupuntura-tambi%C3%A9n-puede-ayudar-retrasar-la-progresi%C3%B3n-del-parkinson
Zhao Y. Acupuncture for Parkinson’s disease: Efficacy Evaluation and Mechanisms in the Dopaminergic Neural Circuit. Neural Plasticity. 2021;2021:9926445. DOI: 10.1155/2021/9926445
Hurtado F, Cárdenas MAN, Cárdenas FP, León LA. La Enfermedad de Parkinson: Etiología, Tratamientos y Factores Preventivos. Universitas Psychologica. 2016 [acceso 16/04/2021];15(5):13-5. Disponible en: www.scielo.org.co/scielo.php?pid=S1657-92672016000500012&script=sci_abstract&tlng=en
Moreira Díaz LR, Palenzuela Ramos Y, Maciñeira Lara IE, Díaz González L, Torres Martínez Y. Variables clínicas y epidemiológicas de pacientes diagnosticados con enfermedad de Parkinson. Rev Galeno. 2019 [acceso 16/04/2021];15(3). Disponible en: http://www.revgaleno.sld.cu/index.php/ump/article/view/358/html
Noa Pelier BY, Leyva Pérez LM, Vila García JM. Enfermedad de Parkinson y enfermedades crónicas no transmisibles asociadas en pacientes ingresados en el CIREN. La Habana: Aniversariocimeq; 2021 [acceso 16/04/2021]. Disponible en: https://aniversariocimeq2021.sld.cu/index.php/ac2021/Cimeq2021/paper/viewFile/53/16
Rodríguez Violante M, Cervantes Arriaga A, Morales Briceño H, Neri Nani G, Estrada Bellmann I, Millán Cepeda MR, et al. Estudio multicéntrico de evaluación de la sintomatología no motora a través de la Escala unificada de la enfermedad de Parkinson de la Sociedad de trastornos del movimiento (MDS-UPDRS). Rev. Neirocien (Mex). 2014 [acceso 16/04/2021];15(4):201-8. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=51746
Simón Pérez E, Aguilera Pacheco OR, Núñez Lahera I, Colina Avila E. Síntomas no motores en pacientes con enfermedad de Parkinson. MEDISAN. 2017 [acceso 16/04/2021];21(6):681-7. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017000600006&lng=es
Maciocia G. Los Fundamentos de la Medicina China. [Móstoles, Madrid)]: Gaia Ediciones; 2015. p.595, 598, 690.
López Argüelles J, Sosa Águila LM, Rodríguez Carvajal AB, González Alba G, Montalvo Manso L. Demographic and Clinical Manifestations of the Patients with Parkinson’s Disease in Cienfuegos City. Biomed J Sci & Tech Res. 2019 [acceso 16/04/2021];21(1):15529-32. Disponible en: https://biomedres.us/pdfs/BJSTR.MS.ID.003537.pdf
