女贞养阴颗粒对美多巴为主抗震颤麻痹增效减毒作用的临床观察

目的：观察并评价女贞养阴颗粒对美多巴、安坦治疗震颤麻痹的增效与减毒作用。方法：采用随机双盲方法，对因服美多巴、安坦疗效衰减或出现明显毒副反应的震颤麻痹患者30例加服中药女贞养阴颗粒治疗，并与对照组(加服安慰剂)30例作对比观察。结果：治疗组和对照组的总有效率分别为86．7％和56．7％，证候总进步率分别为90．0％和56．7％，减毒总有效率分别为90．0％和43．3％，两组比较差异均有显著性(P<0．05或P<0．01)；同时表明，女贞养阴颗粒对美多巴、安坦在消化系统、神经精神系统、心血管系统的不良反应有明显治疗作用。结论：初步认为女贞养阴颗粒对美多巴、安坦治疗震颤麻痹有明显的增效减毒作用。

Clinical Observation on the Efficacy Enhancing and Toxicity Attenuating Effect of Nuzhen Yangyin Granule to the Anti-Parkinsonism Therapy Mainly with Medopa

Objective: To observe and assess the efficacy enhancing and toxicity attenuating effect of Nuzhen Yangyin Granule (NYG) to the anti-parkinsonism (paralysis agitans) therapy with Medopa and Artane. Methods: Adopting the randomized double-blinded method, the effect of adding NYG to 30 patients with Parkinsonism in the treated group, who already received anti-Parkinsonism treatment but showing decreased response to Medopa and Artane and with obvious adverse reaction, was observed and controlled by 30 patients treated by adding placebo. Results: The total effective rate in the treated group and the control group was 86.7 % and 56.7% respectively, the total syndrome improving rate was 90 % and 56. 7 % respectively and the toxicity attenuating rate 90 % and 43.3 % respectively, comparison between the two groups showed significant difference (P<0.05 or P<0.01). NYG also showed markedly effective in reducing the adverse reactions of Medopa and Artane on digestive, neuro-psychiatric and cardiovascular system. Conclusion: NYG has obvious efficacy enhancing and toxicity attenuating effects caused by the anti-Parkinsonism treatment with Medopa and Artane.