郝宏文以肝为纲从五脏辨治儿童抽动障碍经验  

Professor Hao Hongwen took the liver as the key line and combined the five viscera to diagnose and treat children's tic disorder

作　　者：戴秋雨 陈思月 黄家伟 杨宗贤 郭姝仪 郝宏文[1] DAI Qiuyu;CHEN Siyue;HUANG Jiawei(Oriental Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《四川中医》2024年第1期10-13,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家重点研发计划项目——基于“道术结合”思路与多元融合方法的名老中医经验传承创新研究(No.2018YFC1704100);国家重点研发计划项目资助课题一——名老中医经验挖掘与传承的方法学体系和范式研究(No.2018YFC1704101)。

摘　　要：目的:总结郝宏文教授以肝为纲从五脏辨治儿童抽动障碍的学术认识及临床经验,旨在为临床诊治儿童抽动障碍提供新的思路。方法:通过临床跟师郝宏文教授,归纳、思考及分析临诊中相关典型病例资料,从病因病机、辨证施治等方面总结郝宏文教授对儿童抽动障碍的学术认识及临床经验,并列举验案一例以资佐证。结果:郝宏文教授认为儿童抽动障碍责之肝风,病位之根本在于肝,外延与心、肺、脾、肾密切相关,提出病机关键在于肝亢风动,并结合抽动特点与肝及五脏的关系,施以疏肝、清肝、平肝、柔肝四种治法,以肝为纲结合脏腑辨证,随症加减。结论:郝宏文教授以肝为纲从五脏辨治儿童抽动障碍的学术认识及辨治思路在临床实践中疗效满意,值得深入探讨研究。Objective:To summarize Professor Hao Hongwen's academic understanding and clinical experience in taking the liver as the key line and combining the five viscera to diagnose and treat children's tic disorder,in order to provide new ideas for clinical diagnosis and treatment of children with tic disorder.Methods:Through clinical study from Professor Hao Hongwen,the relevant clinical typical case were summarized,thought deeply and analyzed,and Professor Hao Hongwen's academic understanding and clinical experience on children's tic disorder were summarized from the aspects of etiology,pathogenesis,syndrome differentiation and treatment,and an empirical case was cited as evidence.Results:Professor Hao Hongwen believed that the responsibility for the disease was the liver wind,the liver was the root of the disease location,and the extension was closely related to the heart,lung,spleen and kidney.She proposed that the key of the pathogenesis was endogenous liver wind,combined with the relationship between the characteristics of tic disorder and the liver and the five internal organs,and implemented four treatment methods of soothing the liver,clearing the liver,flattening the liver and softening the liver.Conclusion:Professor Hao Hongwen's academic understanding and treatment of children with tic disorder based on liver and five viscera are satisfactory in clinical practice,which is worthy of further study.

关 键 词：抽动障碍 儿童 肝 脏腑辨证 

分 类 号：R249[医药卫生—中医临床基础] R74[医药卫生—中医学]