文章基于“脏腑别通”理论深入探讨帕金森病的临证思路，提出以肝与大肠、脾与小肠、肾与三焦为核心的脏腑功能失常病机框架，并构建分期辨治体系。病机演变方面，初期为肝肾阴虚、大肠腑气壅滞、风阳挟浊上逆；中期为脾气虚弱、小肠泌别失司、痰湿阻滞周身；晚期为肾阳不足、三焦通行不利、痰湿瘀毒互结。治疗重在通腑调脏，脏腑同治，针药结合。初期治以滋肝潜阳息风、通腑降浊，选用镇肝熄风汤合济阴承气汤加减，配合调神益智针刺法与“肠三针”；中期治以健脾祛湿化痰、疏利小肠，选用六君子汤合苓桂术甘汤加减，取穴上加用丰隆、阴陵泉、腕骨、支沟、下巨虚，并施以温针灸、隔药灸脐；晚期治以阴阳并补、温肾畅达三焦、涤痰化瘀透毒，选用地黄饮子、涤痰汤、通窍活血汤加减，配合固本通督针刺法隔日交替施针。通过分期辨治，使风、湿、痰、瘀、毒之邪从腑下泄，脏腑安和，则诸症可解。

Based on the theory of “zang-fu organs extraordinary connection”,this article deeply explores the clinical thinking for Parkinson's disease. It proposes a pathological framework of dysfunction of zang-fu organs centered on the liver and large intestine,the spleen and small intestine,and the kidney and triple energizer,and constructs a staged diagnosis and treatment system. In terms of the evolution of the pathogenesis,in the early stage,it is characterized by yin deficiency of the liver and kidney,stagnation of qi in the large intestine,and upward counter-flow of wind-yang accompanied by turbid pathogens;in the middle stage,it is manifested as weakness of the spleen qi,dysfunction of the small intestine in separating the clear from the turbid,and blockage of phlegm-dampness throughout the body;in the late stage,it is marked by insufficiency of the kidney yang,poor circulation in the triple energizer,and the mutual binding of phlegm,dampness,blood stasis,and toxins. In terms of treatment,the focus is on unblocking the fu-organs and regulating the zang-organs,treating the zang-organs and fu-organs simultaneously,and combining acupuncture with medication. In the early stage,the treatments aim to nourish the liver,subdue yang,and calm wind,as well as unblock the fu-organs and reduce turbidity. Modified Zhengan Xifeng Decoction（镇肝息风汤） and Jiyin Chengqi Decoction（济阴承气汤） are selected,combined with the acupuncture method for regulating mind and improving intelligence,as well as the “Three-Needle Method for the Intestines”. In the middle stage,the treatments focus on invigorating the spleen,eliminating dampness,resolving phlegm,and dredging the small intestine. Modified Liujunzi Decoction（六君子汤） and Linggui Zhugan Decoction（苓桂术甘汤） are chosen. In addition to the regular acupoints,Fenglong(ST40),Yinlingquan(SP9),Wangu(SI4),Zhigou(SJ6),and Xiajuxu(ST39) are added,and warming needle moxibustion and herbpartitioned moxibustion on the navel are applied. In the late stage,the treatment principle is to tonify both yin and yang,warm the kidneys to promote the smooth flow of the triple energizer,eliminate phlegm,remove blood stasis,and expel toxins. Modified Dihuang Yinzi（地黄饮子）,Ditan Decoction（涤痰汤）,and Tongqiao Huoxue Decoction（通窍活血汤） are selected,and they are combined with the acupuncture method for strengthening the foundation and dredging the governor vessel,with the needles inserted alternately every other day. By doing so,the pathogenic factors of wind,dampness,phlegm,blood stasis,and toxin can be excreted through the fu-organs. When the zang-organs and fu-organs are in harmony,all symptoms can be relieved.