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陶洪,周姗,彭昕欣,舒兰.舒兰教授基于“平衡脏腑”“证症结合”思想论治儿童抽动障碍[J].湖南中医药大学学报,2023,43(6):1070-1073[点击复制] |
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| 舒兰教授基于“平衡脏腑”“证症结合”思想论治儿童抽动障碍 |
| 陶洪,周姗,彭昕欣,舒兰 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 抽动障碍（tic disorder, TD）是儿童临床常见的难治性疾病之一，其发病机制复杂，诱因较多，易共患其他精神性疾病，目前缺乏疗效确切的治疗方案。国家级名中医舒兰认为TD的核心病机为风胜则动，提出“五脏六腑皆可致抽，非独在肝”的学术观点，以平衡脏腑功能、辨证与辨症结合为基本治疗原则。外风引动以疏风止痉、清热利咽为法，方选清解止抽方治疗；内风引动以平衡脏腑为法，常用导赤散、参苓白术散、泻黄散、龙胆泻肝汤、知柏地黄汤等加减治疗，并强调临证时需证症结合、相互兼顾。“平衡脏腑”“证症结合”的思想为儿童TD提供新的诊疗思路。 |
| 关键词: 抽动障碍|平衡脏腑|证症结合|清解止抽方|舒兰|医案 |
| DOI：10.3969/j.issn.1674－070X.２０23.06.017 |
| 投稿时间：2023-01-14 |
| 基金项目:国家中医药管理局“第七批全国老中医药专家学术经验继承工作项目”（国中医药人教函〔2022〕76号）；湖南省卫生健康委员会科研项目（202206015012）。 |
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| Professor SHU Lan's experience in treating children's tic disorder based on the ideas of “balancing zang-fu organs” and “combining pattern with symptom” |
| TAO Hong,ZHOU Shan,PENG Xinxin,SHU Lan |
| (The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Tic disorder (TD) is one of the common refractory diseases for children. It's characterized by complex pathogenesis, various triggers, and tending to be complicated with other psychiatric diseases. Yet, there has been no regimen with definite clinical efficacy currently. The national famous TCM practitioner SHU Lan, believes that the core pathogenesis of TD is "prevalence of wind gives rises to stirring", and puts forward the academic view that "five zang organs and six fu organs can cause TD, not only the liver", and takes balancing the function of zang-fu organs, combining pattern and symptom as the basic treatment principle. In accordance, TD caused by external wind is treated by relieving wind and stopping convulsions, clearing heat and clearing the throat, and administering Qingjie Zhichou Formula; TD caused by internal wind is treated by balancing zang-fu organs with variations of Daochi Powder, Shenling Baizhu Powder, Xiehuang Powder, Longdan Xiegan Decoction, and Zhibo Dihuang Decoction, and focusing on combining pattern with symptom. The ideas of "balancing zang-fu organs" and "combining pattern with symptom" provide reference for diagnosing and treating TD in children. |
| Key words: tic disorder|balancing zang-fu organs|combining pattern with symptom|Qingjie Zhichou Formula|SHU Lan|medical record |
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