王素梅从肝脾肺论治发声性抽动障碍经验  

WANG Sumei’s Experience in Treatment of Vocal Tic Disorder from Liver,Spleen and Lung

作　　者：陈思月 戴秋雨 林绿萍 黄家伟 郭姝仪 郝宏文[2] CHEN Siyue;DAI Qiuyu;LIN Lüping;HUANG Jiawei;GUO Shuyi;HAO Hongwen(Beijing University of Chinese Medicine,Beijing 100029,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《山东中医杂志》2025年第4期448-451,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(编号:2018YFC1704100);国家重点研发计划项目资助课题(编号:2018YFC1704101)。

摘　　要：发声性抽动障碍是抽动障碍的一种,因口鼻咽喉部肌肉的不自主抽动产生。王素梅教授根据多年临证经验,认为其病位在咽喉,与肺、肝、脾密切相关,主要病机在于肺失宣肃、肝亢风动、脾失健运。治疗上以理肺、平肝、健脾化痰三法合治,自拟健脾止动汤加减施治。王教授亦善针药结合,治疗本病时多联合揿针疗法调和脏腑阴阳,改善局部气血运行,利咽止声。Vocal tic disorder is a type of tic disorder that is caused by involuntary muscle twitching of the mouth,nose and throat.According to many years of clinical experience,Professor WANG Sumei believes that the disease is located in the throat,and it is closely related to the lung,liver and spleen,and the main pathogenesis is the lung’s failing to disperse and descend,liver hyperactivity and wind stirring,and dysfunction of spleen in transportation.In terms of treatment,the combined treatment of regulating the lung,calming the liver,strengthening the spleen and eliminating phlegm is achieved by self-prescribed modified Jianpi Zhidong Decoction(健脾止动汤).Professor WANG is also good at the combination of acupuncture and medicine,and frequently combines with needleembedding therapy to harmonize viscera yin and yang,improve local qi and blood movement,soothe the throat and stop the sound.

关 键 词：发声性抽动障碍 理肺 平肝 健脾化痰 健脾止动汤 揿针 王素梅 

分 类 号：R277.8[医药卫生—中医学]