王素梅运用扶土抑木法治疗儿童抽动障碍经验  

WANG Sumei’s Experience in Treating Children Tic Disorder with the Method of“Reinforcing the Earth and Inhibiting the Wood”

作　　者：刘芳[1] 王素梅[2] LIU Fang(The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,110032)

机构地区：[1]辽宁中医药大学附属医院,辽宁省沈阳市110032 [2]北京中医药大学附属东方医院

出　　处：《中医杂志》2021年第24期2131-2134,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24)。

摘　　要：总结王素梅教授治疗儿童抽动障碍的经验。认为风痰为儿童抽动障碍的标证,而脾虚既是痰液生成之本,也是肝木化风的重要因素之一,故提出儿童抽动障碍的主要病机为风痰上扰,流窜经络,外风和内风应同样重视,有形和无形之痰需要兼顾。主张从肝脾论治、采用扶土抑木法治疗儿童抽动障碍。强调健脾与运脾相结合;脾胃之气阴兼顾,润燥相兼;注重脾胃气机的调理;抑木与扶土并重,自拟健脾止动汤治疗本病。This paper summarized professor WANG Sumei’s experience in treating tic disorder in children.Wind-phlegm is considered to be the branch syndrome of tic disorder,while spleen deficiency is the root of the formu-lation of phlegmfluid and may lead to liver-wood transforming into wind.Therefore,it is proposed that the main pathogenesis of this disease is the wind-phlegm harrasing the upper body and flowing through the channels and collaterals.The pathogen of both external and internal wind should be focused on,and the tangible and intangible phlegm need to be dealt with.For treatment of tic disorder in children,it is recommended to treat from liver and spleen and to take the methods of reinforcing earth and inhibiting wood.Moreover,the spleen-fortifying method should be combined with spleen-activating method;spleen-stomach qi and yin are advised to be supplemented and nourished simultaneously,and moistening and drying methods are used together;the qi movement of spleen-stomach should be regulated;both wood-inhibiting and earth-reinforcing are important;and self-made Jianpi Zhidong Decoction(健脾止动汤)is suggested to be used in clinical practice.

关 键 词：儿童抽动障碍 脾虚肝旺 扶土抑木 名医经验 王素梅 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]