发声性抽动中医辨证浅析  

Brief Analysis on Chinese Medicine Syndrome Differentiation System of Vocal Tic

作　　者：王道涵[1] 王素梅[1] 赵荣华[2] 卫利[1] 

机构地区：[1]北京中医药大学东方医院 [2]中国中医科学院中药研究所

出　　处：《中医杂志》2016年第15期1285-1288,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81403431)

摘　　要：发声性抽动是由发声器官所主肌肉反复、不自主抽动而引发的简单或复杂的发声或言语。现代医学认为,发声性抽动与运动性抽动的病因无本质性区别,一般是由遗传缺陷和不良环境等因素共同作用所致。中医学对发声性抽动的认识较为局限,其病位、病性和辨证思路目前尚不清晰,且囿于运动性抽动的诊疗思维,使得临床上针对单纯或以之为主的抽动患者,疗效不甚满意。因此,拟从中医理论源流认识为切入点,论述发声性抽动的病因、病位、病机转归和五脏辨证特点,以期为临床辨治本病提供思考和启示。Vocal tic is simple or complex vocalization or language due to phonatory organ governing muscles reduplicated involuntary twitching. In modern medicine the causes of vocal tic and motor tic have no essential difference.The disease is the result of the combined action of factors generally including genetic defect,adverse environment,etc. The understanding of vocal tic in Chinese medicine is limited. The disease location,disease character and dialectical thinking are not clear so far. Moreover,confined by the thought of diagnosis and treatment of motor tic,the effect on patients with simple or mostly vocal tic is not satisfied clinically. Thus this paper takes understanding from the origin of Chinese medicine theory as starting point. The authors discuss the causes of vocal tic,disease location,pathogenesis,outcome and characters of five-Zang syndrome differentiation. This paper might provide thought and enlightenment for clinical treatment and syndrome differentiation of vocal tic.

关 键 词：发声性抽动 脏窍相关 五脏辨证 发声特点 

分 类 号：R277.7[医药卫生—中医学]