小儿抽动症中医病因病机探讨  

Exploring the Etiology and Pathogenesis of Pediatric Tourette's Syndrome

作　　者：柏琳 徐丽[2] BAI Lin;XU Li(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《实用中医内科杂志》2023年第6期28-30,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家自然科学基金项目(81603511)。

摘　　要：小儿抽动症是近些年临床常见的儿童神经精神性疾病,其中我国总发病率在6.1%,该病症状复杂、发病部位多样、疾病反复发作为该疾病特点。给我国青少年健康与学习造成严重影响,影响了学龄期的学习与注意力水平,给家庭带来了严重经济与精神负担。根据该疾病临床症状“动”的特点,从“风善行数变”“脾虚生风”,结合脏腑之间生理病理相关性,以及考虑儿童生理特点等中医传统思想后,探究发现该病的发病与肝风、肾虚、脾弱具有关系密切,文章探讨了其对小儿抽动症的影响,总结出肝风内伏,脾肾弱的病机理论。Tourette syndrome in children is a common clinical neuropsychiatric disease in children in recent years,with a to⁃tal incidence of 6.1%in China.The disease is characterized by complex symptoms,diverse incidence sites and recurrent dis⁃ease.It has a serious impact on the health and learning of adolescents in China,affecting school-age learning and attention lev⁃el,and bringing serious economic and mental burden to families.According to the characteristics of"movement"of the clinical symptoms of this disease,from the perspective of"wind good action number change"and"spleen deficiency produces wind",combined with the physiological case correlation between zang-fu organs,as well as considering the physiological characteristics of children and other traditional Chinese medicine thoughts,it is found that the incidence of this disease is closely related to liver wind,kidney deficiency and spleen weakness.The effects of these three factors on tourette syndrome in children were discussed.Summarize the pathogenesis theory of liver wind entrapment and spleen and kidney weakness.

关 键 词：小儿抽动障碍 病因 肝风内动 病机 

分 类 号：R277.7[医药卫生—中医学]