| 引用本文: |
徐海霞,时毓民.时毓民教授治疗小儿多发性抽动症经验举隅[J].湖南中医药大学学报,2020,40(10):1253-1256[点击复制] |
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| 时毓民教授治疗小儿多发性抽动症经验举隅 |
| 徐海霞,时毓民 |
| (上海中医药大学附属市中医医院, 上海 200071;复旦大学附属儿科医院, 上海 201102) |
| 摘要: |
| 时毓民教授认为小儿多发性抽动症病机为脏腑功能失调，阴阳失衡所致，属本虚标实之证，根据本病病程迁延、反复发作的特点，临床分发作期和缓解期，应分期辨治。发作期以风火痰扰为患，为标实之证，涉及心、肝、脾、肺，其中以肝为主；缓解期以气血不足为主，为本虚之证，涉及心、肝、肾，其中以肝肾阴虚为要。治疗重视标本兼顾、分期施治，发作期治疗重在平肝风，清肝火，化痰浊，开清窍，辅以养肝血，通经络；缓解期治疗重在补气血，养肝肾，定神志，辅以活血化瘀。 |
| 关键词: 多发性抽动症 分期辨治 风火痰扰 气血不足 时毓民 |
| DOI：10.3969/j.issn.1674-070X.2020.10.015 |
| 投稿时间：2020-06-10 |
| 基金项目:国家中医药管理局第六批全国老中医药专家学术经验继承工作项目[国中医药人教发〔2019〕29号]。 |
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| Professor SHI Yumin's Experience in Treating Tourette Syndrome in Children |
| XU Haixia,SHI Yumin |
| (Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200071, China;Children's Hospital of Fudan University, Shanghai 201102, China) |
| Abstract: |
| Professor SHI Yumin believed that the pathology of Tourette syndrome in children is the dysfunction of viscera and the imbalance of Yin and Yang, leading to the deficiency of the root and excess of superficiality. According to the prolonged course of the disease and the characteristic of relapse, the disease can be divided into attack stage and remission stage, which should be treated respectively. The attack stage is disturbed with wind, fire and phlegm, which is the syndrome of excessive superficiality. This stage involves the attack of heart, liver, spleen and lung, mainly attacks the liver. The remission stage is the insufficiency of Qi and blood, which refers to the syndrome of deficiency of root. This stage involves heart, liver and kidney, mainly is liver-kidney Yin deficiency. The treatment should consider both the symptoms and the root, and treating according to the stage respectively. The treatment of attack stage is to calm the liver wind, clear the liver fire, resolve the phlegm, open and clear the orifices, assisted with the support of nourishing liver blood and dredging the meridian. The treatment of remission stage should focus on the supplement of Qi and blood, nourishing liver and kidney and calming the mind, assisted with promoting blood circulation to remove blood stasis. |
| Key words: Tourette syndrome syndrome differentiation and treatment according to stages disturbed with wind, fire and phlegm insufficiency of Qi and blood SHI Yumin |
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