刘霞教授“调肺平肝”论治儿童多发性抽动症经验  

Professor Liu Xia's experience in the treatment of Tourette syndrome in children by regulating the lung and calming the liver

作　　者：陈团营[1] 李晶[2] 吴文先[3] 刘霞[4] CHEN Tuanying;LI Jing;WU Wenxian;LIU Xia(The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450002,China)

机构地区：[1]河南中医药大学第二附属医院儿科,郑州450002 [2]郑州大学第二附属医院儿科,郑州450003 [3]河南省中医药研究院儿科,郑州450004 [4]河南中医药大学第一附属医院儿科,郑州450003

出　　处：《中国中西医结合儿科学》2021年第2期161-163,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局第六批全国老中医药专家学术经验继承项目(国中医药人教发2017-29号);河南省中医药科学研究专项课题项目(2019ZY2042)。

摘　　要：儿童多发性抽动症近年来发病率有逐年增高的趋势,严重影响患儿的身心健康和生活质量。刘霞教授是第六批全国老中医药专家学术经验指导老师,对儿童多发性抽动症的治疗有丰富的临床经验。刘霞教授结合自己多年临床体会,提出儿童多发性抽动症病机“本在肝,发于肺”,从“风、痰”立论,采用“调肺平肝,祛风除痰”之法,以辛夷、蝉蜕、芦根、大青叶、冬凌草、木瓜、半夏、伸筋草、钩藤、全蝎等作为基本药物组成,并依据不同的证候特点随症加减治疗儿童多发性抽动症,疗效满意。她认为本病来渐去缓,取法贵在守法守方,遵效不更方的原则,坚持治疗。此外,治疗中的生活调理十分重要,应注意生活起居、饮食及心理方面的调护,重在预防呼吸道感染,力求祛除发病之诱因。In recent years,the incidence rate of Tourette syndrome in children has been increasing year by year,which seriously affects the children's physical and mental health as well as their quality of life.Professor Liu Xia,one in the sixth group of academic experience instructors of national experts in traditional Chinese medicine,has rich clinical experience in the treatment of Tourette syndrome in children.Based on her many years of clinical experience,she proposed the views that the pathogenesis of Tourette syndrome in children is"rooting in the liver,onset in the lung",establishing her theories from"wind evil and phlegm evil",and adopted the method of regulating lung and calming liver as well as dispelling wind and removing phlegm to treat Tourette syndrome in children.She used Lily magnolia,Periostracum cicadae,Rhizoma phragmitis,Folium isatidis,Rabdosia rubescens,papaya,Pinellia ternate,Common clubmoss herb,Ramulus uncariae cum unicis and scorpion as the basic drugs and according to different characteristics of the symptoms she adjusted the medicines during the treatment of children with Tourette syndrome,and the effect was satisfactory.She believed that the disease's onset was slow and its recovery was not quick.As for the principle of therapeutic methods,the most important thing was to stick to the law and prescription,and to follow the prescription if the effect was good,maintaining the treatment.In addition,life conditioning during the treatment was very important,we should pay attention to daily life,diet and psychological care,and focus on the prevention of respiratory tract infection in order to dispel the causes of the disease.

关 键 词：多发性抽动症 调肺平肝 祛风除痰 儿童 

分 类 号：R748[医药卫生—神经病学与精神病学]