徐氏儿科“运脾柔肝”法论治儿童注意缺陷多动障碍  

Determine treatment of attention deficit hyperactivity disorder in children by‘transporting spleen and softening liver’in XUs’Pediatrics

作　　者：李雪军 姜之炎[1] 王淑敏 肖臻[1] LI Xue-jun;JIANG Zhi-yan;WANG Shu-min;XIAO Zhen(Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《中华中医药杂志》2023年第5期2154-2158,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海市进一步加快中医药传承创新发展三年行动计划(2021年-2023年)项目[No.ZY(2021-2023)-0206-01];上海市临床重点专科建设项目(中医专业)(No.shslczdzk04102);上海中医药大学附属龙华医院科技创新项目(No.KY22059)。

摘　　要：注意缺陷多动障碍(ADHD)好发于学龄早期,其病程长、病性复杂、病因不明,可伴随患儿一生,严重损害患儿的学习、认知、心理及成年后的工作、婚姻、情感。徐氏儿科认为小儿“脾常不足”“肝常有余”,决定了ADHD“脾亏肝旺”的病理基础;无论病之新久,皆从生克乘侮影响肝、脾两脏,基本病机属“脾虚不运,肝阳偏亢”,贯穿整个辨治过程,强调从“运脾柔肝”论治ADHD,自拟龙牡清心合剂,重视脾土运化,潜镇肝阳,兼以调理心神,辨证加减,疗效颇著。Attention deficit hyperactivity disorder(ADHD)tends to occur in early school age,with a long course,complex the nature of disease,and unknown etiology,which can accompany children throughout their lives and seriously damage their learning,cognition,psychology,and their work,marriage,and emotions in adulthood.According to XUs'Paediatrics,children's'spleen is often insufficient'and liver is often in superabundance',which determines the pathological basis of'spleen vacuity and liver hyperactivity'in ADHD.Whether it is a new disease or an old one,it can affect the liver and spleen from the mutual generation,mutual restrain,mutual over-restrain,and mutual counter-restrain.Basic pathogenesis of ADHD is attributed to'vacuous spleen failing to transform and liver-yang hyperactivity',which runs through the whole process of therapy with syndrome differentiation,emphasizes the treatment of ADHD from'transporting spleen and softening liver'.XUs'Pediatrics has independently developed Longmu Qingxin Mixture,which has achieved remarkable curative effects by focusing on the moving and transforming the spleen soil,suppressing and tranquilizing the liver yang,regulating the state of mind,and adding and subtracting syndrome differentiation.

关 键 词：注意缺陷多动障碍 运脾柔肝 病因病机 辨证论治 徐氏儿科 

分 类 号：R277.7[医药卫生—中医学] R249