文静汤加味方结合推拿治疗小儿抽动障碍验案  

A Proven Case of Wenjing Decoction(文静汤)Modified Combined with Massage in the Treatment of Tic Disorder in Children

作　　者：于凤元 龙旭浩[2] 白晓红[2] YU Fengyuan;LONG Xuhao;BAI Xiaohong(Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学研究生学院,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2021年第6期56-58,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省沈阳市科技创新专项资金-人口与健康科技攻关专项(F15-139-9-40)。

摘　　要：小儿抽动障碍是一种慢性神经精神障碍性疾病。发病时常具有突然、反复发生,行为难以自控等临床特点,严重影响患儿的心理状态、学习质量及生活水平。该病发病原因尚未明确,但与遗传因素、免疫因素、精神心理因素等有一定相关性。中医大部分医家认为本病病位主要在肝,与心脾肺肾相关。病机围绕肝失疏泄,肝亢风动;心胆气虚,精神失所;脾虚化痰生风,食积日久化火;肺卫不足,伏风潜肺,外风引动内风;肾精失常,阳不入阴等进行阐释。其中医分型主要包括肝亢风动、痰火扰心、脾虚肝旺、阴虚风动等。龙旭浩教授经临床辨证治疗,针对肝风内动-阴虚风动型小儿抽动障碍,使用文静汤加味方结合中医外治推拿疗法在本案例中,效果较好。在中医内外同治的前提下,家长及患儿积极配合治疗,未病先防、既病防变,积极进行预防调护,效果更佳。Tic disorder in children is a chronic neuropsychiatric disorder. The onset often has the clinical characteristics of sudden, repeated, behavior difficult to control, which seriously affects the psychological state, learning quality and living standard of children. The cause of the disease is not clear, but it is related to genetic factors, immune factors, mental and psychological factors. Most doctors of traditional Chinese medicine believe that the disease is mainly located in the liver, which is related to the heart, spleen, lung and kidney. The pathogenesis of the disease revolves around the loss of liver, hyperactivity of liver and wind;deficiency of heart and gallbladder and Qi, loss of spirit;spleen deficiency, phlegm generating wind, accumulation of food for a long time, fire;insufficient lung defense, latent wind, external wind leading to internal wind;kidney essence disorder, Yang not entering Yin and so on. Its TCM classification mainly includes hyperactivity of the liver and wind,phlegm and fire disturbing the heart, spleen deficiency and hyperactivity of the liver, yin deficiency and wind. Professor long xuhao used Wenjing decoction combined with external treatment of traditional Chinese medicine to treat children’s tic disorder of liver wind internal movement Yin deficiency wind movement type. In this case, the effect is good. Under the premise of internal and external treatment of traditional Chinese medicine, parents and children actively cooperate with the treatment, prevention before disease, prevention of disease, active prevention and care, the effect is better.

关 键 词：小儿抽动障碍 文静汤加味方 推拿 临床经验 

分 类 号：R277.7[医药卫生—中医学]