从心胃相关理论辨治儿童孤独症谱系障碍  

Differentiation and Treatment of Autism Spectrum Disorders in Children Based on the Theory of Heart-Stomach Related

作　　者：梁育仪 吴波 傅诗书 LIANG Yuyi;WU Bo;FU Shishu(Bao'an Hospital of Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Guangzhou Guangdong China 510006)

机构地区：[1]广州中医药大学附属宝安中医院,广东广州510006

出　　处：《中医学报》2022年第1期64-68,共5页Acta Chinese Medicine

摘　　要：儿童孤独症谱系障碍是引起儿童生长发育障碍的病症之一,以社会交往障碍、语言交流障碍、重复刻板行为等失神症状为主要临床表现。心神失常、脾胃功能不和是儿童孤独症谱系障碍的病机。心胃相关理论强调心主神志的功能与脾胃功能密切相关,心与胃肠生理上相互联系,病理上相互影响。治疗儿童孤独症谱系障碍可以心胃相关理论为指导,若因脾胃生化不足,心神失养发病,治宜健脾养心、补益气血,方选调元散加减;若因脾胃虚弱,痰湿蕴积,痰浊扰心发病,治宜豁痰开窍、健脾化浊,方选涤痰汤加减;若因喂养不当,食积生热发病,治宜清泻胃热、泻心安神,方选竹茹汤加减。此外,毫针针刺及灸法对治疗本病亦有疗效。Autism spectrum disorders in children is one of the diseases that cause children′s growth and development disorder.Its main clinical manifestations are social communication disorder,language communication disorder,repetitive stereotyped behavior and other absenteeism symptoms.Mental disorder and disharmony of spleen and stomach function are the pathogenesis of autism spectrum disorder in children.The theory of heart and stomach emphasizes that the function of mind controlling is closely related to the function of spleen and stomach.The heart and gastrointestinal are physiologically related and pathologically affected.The treatment of autism spectrum disorders in children can be guided by the theory of theory of heart-stomach related.If the disease occurs due to the lack of biochemistry of spleen and stomach and the loss of mental support,the treatment should be to strengthen the spleen,nourish the heart and replenish qi and blood,and Diaoyuan Powder can be used.If due to the weakness of the spleen and stomach,accumulation of phlegm dampness and phlegm turbidity disturbing the heart,the treatment should eliminate phlegm and open orifices,strengthen the spleen and remove turbidity,and Ditan Decoction can be used.If due to improper feeding,food accumulation generates heat,it is appropriate to clear the stomach heat,relieve the heart and calm the mind,and Zhuru Decoction can be used.In addition,filiform acupuncture and moxibustion method are also effective in the treatment of this disease.

关 键 词：儿童孤独症谱系障碍 心胃相关理论 调元散 涤痰汤 竹茹汤 毫针针刺 灸法 

分 类 号：R272.6[医药卫生—中医儿科学]