基于“纵横三焦—气化”理论辨治发声性抽动  

Treatment of vocal tic disorder based on the theory of “vertical and horizontal triple energizer-qi transformation”

作　　者：张宁 崔霞 马宁 吉晓晓 梁静 ZHANG Ning;CUI Xia;MA Ning;JI Xiaoxiao;LIANG Jing(The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou 310006;Third Affiliated Hospital of Beijing University of Chinese Medicine)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院),杭州310006 [2]北京中医药大学第三附属医院

出　　处：《现代中医临床》2024年第5期17-21,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金面上项目(No.82374520)。

摘　　要：抽动障碍是一种反复发作、极易影响生活的神经精神类疾病,发声性抽动是抽动障碍的一种类型,目前多以脏腑辨证为主,但临床有时无法将病位精确定位于某个脏腑,三焦辨证可弥补其局限性。三焦主诸气,是气化主要场所,而气的升降出入是发声的关键,故发声性抽动与三焦密切相关。本文基于传统“纵向三焦”概念和“横向三焦”概念,从“纵横三焦”进行3D立体空间的病位辨证,并结合三焦气化功能,将“纵横三焦—气化”理论应用于发声性抽动的辨治,提出纵横三焦的气化运行如常是正常发声的基础,治疗时上表焦宜宣宜散,中里焦宜运宜衡,中冲焦宜和宜解,下里焦宜补宜潜,并附验案1则。Tic disorders is a neuropsychiatric disorder,which is prone to recur and affect the quality of life.Vocal tic disorder is one of the types,which is mainly based on the syndrome differentiation of zang-fu viscera at present,but sometimes it is difficult to locate in a certain zang-fu viscera.The syndrome differentiation of triple energizer can make up for its limitation.The triple energizer dominates Qi,which is the main place of qi-transformation.The qi movement is the key to sound,so vocal tic disorder is closely related to triple energizer.This paper based on the traditional concept of “vertical triple energizer” and “horizontal triple energizer”,carries out the syndrome differentiation of 3D three-dimensional space from “vertical and horizontal triple energizer” theory,and combined with the function of triple energizer,applies the theory to the differentiation and treatment of vocal tic.This paper proposes that normal qi transformation of vertical and horizontal triple energizer is the basis for physiological vocalization.In the treatment,the upper-exterior energizer should disperse and relieve,the middle-interior energizer should transport and balance,the middle-half exterior and half interior energizer should conciliate and regulate,and the lower-interior energizer should tonify and descent.And a case attached.

关 键 词：纵横三焦 气化 抽动障碍 发声性抽动 

分 类 号：R273[医药卫生—中西医结合]