李宜瑞从脾论治儿童孤独症谱系障碍探讨  

Exploration of Differentiation and Treatment for Autism Spectrum Disorder in Children from the Aspect of Spleen by LI Yi-Rui

作　　者：林晓玲[1] 汤顺莉 刘华[2] 李宜瑞(指导)[2] LIN Xiao-Ling;TANG Shun-Li;LIU Hua;LI Yi-Rui(The First Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,C hina)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第6期1254-1260,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：李宜瑞全国名老中医药专家传承工作室建设项目(国中医药人教函[2018]134号)。

摘　　要：孤独症谱系障碍(ASD)是一组以社交障碍、语言障碍、兴趣狭窄和刻板行为为主要临床特征的疾病,目前病因尚未明确。李宜瑞教授认为,儿童ASD病因为先天禀赋不足、后天脏腑失养;基于小儿"脾常不足"及"脾藏意与智""脾主四脏""脾升胃降"等理论,李宜瑞教授提出"脾养神"的观点,并运用该理论指导临床治疗,通过健运脾胃治本(太子参、茯苓),辅以化痰(白术、半夏、石菖蒲)、消积(山楂、莱菔子、炒麦芽)、调气(枳壳、厚朴)治标,以达到"脾健智增"之效。李宜瑞教授认为,"调理脾胃"这一原则应贯穿ASD患儿治疗始终。同时需配合心理疏导及生活调摄,可取得确切疗效。Autism spectrum disorder(ASD) is a group of diseases mainly characterized by the clinical manifestations of social disorder, language disorder, narrow interest, and stereotyped behavior. The cause of ASD is not yet clear till now. Professor LI Yi-Rui believes that ASD in children is due to congenital insufficiency and zang-fu organs failing in postnatal nourishing. Based on the physiological features of "spleen being prone to be deficiency" and following the theory of "the spleen housing the idea and the wisdom","the spleen nourishing the other four zang-organs", and " the spleen sending clarity upward and the stomach sending chyme downward",Professor LI Yi-Rui gives the thoughts of "the spleen nourishing the mind". Guided by the thoughts of "the spleen nourishing the mind", Professor LI Yi-Rui adopts the therapy of invigorating the spleen and stomach for the elimination of the root cause,and the therapies of resolving phlegm,removing food retention,and regulating qi for the elimination of the branch causes,so as to strengthen the spleen and enhance the wisdom.During the treatment of ASD in children,Professor LI Yi-Rui stresses the importance of regulating the spleen and stomach, and combines with the methods of psychological counseling and life adjustment, thus to achieve satisfactory therapeutic effect.

关 键 词：儿童孤独症谱系障碍 脾养神 健运脾胃 化痰 消积 调气 李宜瑞 

分 类 号：R272.6[医药卫生—中医儿科学]