基于“脑肠轴”理论探讨孔圣枕中丹合二陈汤治疗儿童抽动障碍脾虚痰聚证  

Clinical study on the treatment for childhood tic disorder with spleen deficiency and phlegm aggregation based on the theory of"brain-gut axis"by Kongsheng Zhenzhong pills and Erchen decoction with spleen deficiency and phlegm aggregation

作　　者：黄丽伟 蒋锴[2] HUANG Liwei;JIANG Kai(Changchun University of Traditional Chinese Medicine,Changchun 130000,China)

机构地区：[1]长春中医药大学,长春130000 [2]长春中医药大学附属医院儿科

出　　处：《中国中西医结合儿科学》2023年第6期510-513,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：刘玉书全国名老中医药专家传承工作室、小儿情志病重点研究室(2022-Z-23);国家中医药管理局科研项目(2019XZZX-EK001)。

摘　　要：儿童抽动障碍是一类慢性神经精神障碍性疾病,该病患儿可伴有多动、注意力不集中、学习困难强迫性动作和思维或其他行为障碍,对患儿的身心健康影响较大,值得引起人们的重视。近年来,对于“脑肠轴”的研究成为了热门的话题,而关于“脑肠轴”与神经和精神疾病之间的关系也成为了人们想要解决的难题,其对于抽动障碍的病程变化及进展也有着重要的临床意义。本文基于“脑肠轴”理论,浅析脑肠轴与抽动障碍的联系,结合中医论治脾虚痰聚型儿童抽动障碍与脑肠轴的关系,探讨孔圣枕中丹合二陈汤治疗脾虚痰聚证抽动障碍的临床研究,以期为小儿抽动障碍的中医治疗提供新的辨证思路。Tic disorders(TD)in children are chronic neuropsychiatric disorders that are complicated with inattention,hyperactivity,learning difficulties,obsessive-compulsive movements,and other behavioral disorders,which have a significant impact on the physical and mental health of the children and are worthy of attention.In recent years,the research on the"brain-gut axis"has become a popular topic,and the relationship between the"brain-gut axis"and neurological and psychiatric disorders has become a problem that people want to solve,which also has important implications for the disease course and progression of tic disorders.In this paper,based on the theory of"brain-gut axis",we analyze the connection between brain-gut axis and tic disorders,and discuss the clinical study of Kongsheng Zhenzhong pills and Erchen decoction in the treatment of tic disorders in children with spleen deficiency and phlegm aggregation,in order to provide new differentiated ideas for TCM treatment of pediatric tic disorders.

关 键 词：抽动障碍 脑肠轴 脾虚痰聚证 儿童 

分 类 号：R748[医药卫生—神经病学与精神病学]