基于“土壅木郁”理论探析小儿抽动障碍的病机与治疗  

Exploring pathogenesis and treatment of tic disorders in children based on the theory of“earth stagnation and wood depression”

作　　者：闫李婕 张梦洁 盛艺菲 张琼月 李燕[1] YAN Lijie;ZHANG Mengjie;SHENG Yifei;ZHANG Qiongyue;LI Yan(Department of Pediatrics,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing100700,China)

机构地区：[1]北京中医药大学东直门医院儿科,北京100700

出　　处：《中国医药导报》2025年第9期120-123,共4页China Medical Herald

基　　金：全国老中医药专家学术经验继承项目(国中医药人教函〔2022〕76号)。

摘　　要：抽动障碍是儿科常见的神经精神类疾病,以不自主、重复、无节律的一个或多个部位抽动为主要特征,具有病情易反复、临床症状多样且易变化等特点,病程迁延可影响患儿学习及日常生活。本文总结徐荣谦教授从“土壅木郁”论治小儿抽动障碍的临证经验,认为小儿抽动障碍病机复杂,涉及五脏,风、痰为主要病理因素,而“少阳为枢”,“土壅木郁”为小儿抽动障碍的重要病机,治疗多从肝胆及脾胃论治,以疏土达木、化痰开郁为法,而奏止动安神之效,临床效果显著。Tic disorder is a common neurological and psychiatric disorder in pediatrics,characterized by involuntary,repetitive,and non rhythmic twitching of one or more parts of the body,it is characterized by easy recurrence of the condition,diverse clinical symptoms,and easy changes,prolonged course of the disease can affect children’s learning and daily life.This paper summarizes Professor Xu Rongqian’s clinical experience in the treatment of tic disorders in children from the perspective of“earth stagnation and wood depression”,believes that the pathogenesis of tic disorders in children is complex,involving five zang viscera,wind and phlegm are the main pathological factors,“shaoyang as the pivot”,“earth stagnation and wood depression”is important pathogenesis of tic disorders in children,treatment often focuses on liver,gallbladder,spleen,and stomach,using methods such as clearing earth and reaching wood,resolving phlegm and relieving depression,and achieving the effect of stopping movement and calming mind,clinical effect is significant.

关 键 词：“土壅木郁” 抽动障碍 徐荣谦 名医经验 

分 类 号：R272[医药卫生—中医儿科学]