基于五脏辨证探讨小儿抽动障碍的病因病机  

Etiology and pathogenesis of pediatric tic disorder based on five viscera with dialectical thought

作　　者：卢志远 LU Zhiyuan(The First School of Clinical Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing,Jiangsu,210023,China)

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《中医儿科杂志》2023年第2期7-9,共3页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：小儿抽动障碍病位虽在肝,却与五脏六腑的功能活动密切相关,基于小儿五脏的生理病理特点,结合抽动障碍的病因病机,提出“五脏皆令小儿动,非独肝也”的辨证思路。从“小儿病有诸于内,必形诸于外”的中医整体观念出发,围绕“抽动”的表象,联系脏腑理论,结合小儿五脏的生理病理特点,求“引动”之本。同时指出,治疗应该从见“动”止动,转变为辨证治“动”,如此方可达到药到“动”止的效果。Although the location of pediatric tic disorder is in the liver,it is closely related to the functional activities of the five viscera and six internal organs.Based on the physiopathological characteristics of the five viscera of pediatric patients and the etiology and pathogenesis of tic disorder,the dialectical idea of"all five viscera make children move,not only the liver"was proposed.Based on the holistic concept of Chinese medicine that"if a child's illness is internal,it must be externalized",we focus on the appearance of"twitching",relate to the theory of internal organs,combine the physiopathological characteristics of the five organs of children,and seek the reason of"induce movement".The treatment should be based on the overall concept of Chinese medicine.At the same time,it was pointed out that the treatment should be changed from stopping the movement when it is seen to treating the"movement"with identical thought,so as to achieve the effect of stopping the"movement"by medicine.

关 键 词：小儿抽动障碍 五脏辨证 病因病机 理论探讨 

分 类 号：R749.94[医药卫生—神经病学与精神病学]