从五脏风证论儿童抽动障碍  

Exploration on childhood tic disorders from the perspective of wind syndrome in the five organs

作　　者：李涛 汪敏[3] 林丽丽[2] 戴启刚[1,2] 陈慧[1,2] 严伟[4] 汪受传[1] LI Tao;WANG Min;LIN Lili;DAI Qigang;CHEN Hui;YAN Wei;WANG Shouchuan(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Nanjing University of Chinese Medicine,Nanjing 210023,China;Wuxi Traditional Chinese Medicine Hospital,Wuxi 214000,China;Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin 214400,China)

机构地区：[1]南京中医药大学附属医院,南京210029 [2]南京中医药大学,南京210023 [3]无锡市中医医院,无锡214000 [4]江阴市中医院,江苏江阴214400

出　　处：《中华中医药杂志》2024年第11期5948-5951,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局全国名中医传承工作室建设项目(No.国中医药办人教函〔2018〕119号);国家中医药管理局高水平中医药重点学科建设项目资助(No.国中医药人教函〔2023〕85号);无锡市卫生健康委科研项目(No.M202035)。

摘　　要：文章总结了汪受传教授诊治儿童抽动障碍的临床经验。汪教授认为,五脏皆可生风,病机关键为风阳妄动、痰浊内蕴。病位主要在肝,涉及心、脾、肺、肾,临证应首辨五脏病位,次辨标本,结合病因病机随证治之。在抽动障碍诊治中,将平肝息风治则贯穿始终,兼顾养肝、柔肝、疏肝、搜肝、镇肝、敛肝法。合并他脏病变时,从肝肺、肝心、肝脾、肝肾入手,丰富了抽动障碍的治法,亦拓展了抽动障碍的辨证思路。The article summarizes professor WANG Shouchuan’s clinical experience in diagnosing and treating tic disorders in children.Professor WANG believes that disorders related to wind can originate from any of the five internal organs,with the key pathological factors being excessive movement of wind and yang,as well as the presence of phlegm and turbidity.The primary affected organ is usually the liver,which also involves the heart,spleen,lungs,and kidneys.In clinical practice,the first step is to identify the affected five organs,followed by distinguishing the primary and secondary factors.Treatment should be tailored to the specific etiology and pathology of each case.In the diagnosis and treatment of tic disorders,the principle of soothing the liver and calming the wind is consistently applied throughout the process,and various methods such as nourishing the liver,softening the liver,dispersing the liver,regulating the liver,sedating the liver,and consolidating the liver are considered.When combined with other organ pathologies,approaches such as addressing the interactions between the liver and the lungs,heart,spleen,and kidneys are employed.This enriches the treatment options for tic disorders and also expands the diagnostic strategies for tic disorders.

关 键 词：儿童抽动障碍 汪受传 五脏生风 临证经验 

分 类 号：R277.7[医药卫生—中医学]