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作 者:陈姿霖 王旭 韩斐[1] CHEN Zilin;WANG Xu;HAN Fei(Department of Pediatrics,Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)
机构地区:[1]中国中医科学院广安门医院儿科,北京100053 [2]湖南中医药大学第一附属医院
出 处:《北京中医药大学学报》2025年第3期318-322,共5页Journal of Beijing University of Traditional Chinese Medicine
基 金:国家中医药管理局中医药循证能力建设项目(No.60102)。
摘 要:儿童孤独症是一种广泛发作的神经发育障碍性疾病,中医古籍中无对孤独症的详细记载。“君火以明,相火以位”出自《素问·天元纪大论篇》,后世医家认为,君火为神明之主,主宰生命活动;相火为佐助之臣,维持脏腑功能;二者相辅相成,互相为用,共同促进和维持人体正常的生理活动。孤独症的发病与二者失调有关,君相为逆、神机失用为其根本病机,即君火不明、神识不足,相火失位、五脏不守。应遵循消阴翳以明君火、补脾肾以滋相火、调肝肺以和君相为主的治法,使形神与共,君相为顺,神机流转,五脏立守。基于“君火以明,相火以位”理论,从整体观念、形神一体的角度认识和论治孤独症,为中医临床治疗儿童孤独症提供新的思路和见解。Autism spectrum disorder in children(hereinafter called"childhood autism")is a prevalent neurodevelopmental condition;however,ancient Chinese medical texts did not provide detailed accounts of it.The concept of"the sovereign fire illuminates,while the ministerial fire occupies its position"was first introduced in the Plain Questions:The Great Treatise on the Origin of Heavenly Influences chapter.Subsequent medical practitioners have elaborated on this idea,identifying the sovereign fire as the master of the spirit and governing life activities,while the ministerial fire is the assisting minister that supports the functions of the zang-fu organs.When these two are in harmony,they complement each other,collectively sustaining the body′s normal physiological functions.In the context of this theory,the pathogenesis of childhood autism is attributed to the imbalance between the sovereign and ministerial fires.The root cause lies in the mutual antagonism of these two fires,resulting in the dysfunction of the spirit.Central to childhood autism onset is the dimming of the sovereign fire and a deficiency in the spirit,while the displacement of the ministerial fire and the impaired function of the five viscera contribute significantly to the progression of the condition.Effective treatment for childhood autism involves restoring these imbalances:dispelling yin-related obstructions to illuminate the sovereign fire,nourishing the spleen and kidney to nourish the ministerial fire,and regulating the liver and lung to harmonize the sovereign and ministerial fires.The ultimate goal is to integrate body and spirit,harmonize the sovereign and ministerial fires,and restore the interconnectedness between spirit and the function of the five zang viscera.This article,based on the"the sovereign fire illuminates,while the ministerial fire occupies its position"theory,provides a novel perspective and insights for understanding and treating childhood autism through the holistic principles of traditional Chinese medicine.Emphasizing the
分 类 号:R272[医药卫生—中医儿科学]
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