张士卿教授治疗儿童抽动障碍并神经性尿频经验探讨  

Discussion on Professor ZHANG Shiqing’s experience in treating children with tic disorder and neurotic frequent urination

作　　者：党清钟 史正刚[1] 张士卿[1] 李玉霞 王宝宝 苏当妮 DANG Qingzhong;SHI Zhenggang;ZHANG Shiqing;LI Yuxia;WANG Baobao;SU Dangni

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃中医药大学附属医院,甘肃兰州730020

出　　处：《中医临床研究》2021年第36期17-19,共3页Clinical Journal Of Chinese Medicine

基　　金：国家重点研发计划项目资助(2018YFC1704100,2018YFC1704105)。

摘　　要：张士卿教授依据小儿“肝常有余,脾常不足,肺常不足,肾常虚”的生理特点,细致探求儿童抽动障碍、神经性尿频这两类病因复杂,反复发作,且常易共患的难治性疾病的发病机制,提出儿童抽动障碍并神经性尿频初期责之于肝脾,后期则累及肺肾,在治疗时运用“经方头、时方尾”的组方原则,以柴胡加龙骨牡蛎汤为底方灵活加减,以调气机为纲,以和五脏为要,审症求因,辨证立法,临床取得良好效果。附临床经典医案一则加以说明。Based on the physiological characteristics of children“the liver is often excessive,the spleen is often insufficient,the lung is often insufficient,the kidney is often deficient”,Professor ZHANG Shiqing carefully explores the pathogenesis of these two kinds diseases-children’s tic disorder and neurotic urinary frequency with complex etiology,which are characterized with repeated attacks,and easy co-occurrence.Professor ZHANG Shiqing suggests that the liver and spleen are responsible for the early stage of tic disorder and neurotic urinary frequency in children and the lung and kidney are involved in the later stage.In the treatment,the prescription principle of“to start with classical prescription,and finish with current prescriptions”is applied,and the formula is made on the basis of the Chaihu and Longgu Muli decoction(柴胡加龙骨牡蛎汤),and the principle of regulating Qi(气)is taken as the key,and harmonizes the five Zang(五脏)organs.Good clinical results are achieved by analyzing symptoms and finding causes and making dialectical treatment plan based on syndrome differentiation.A classic clinical case is attached to illustrate.

关 键 词：儿童 抽动障碍 神经性尿频 

分 类 号：R334[医药卫生—人体生理学]