| 引用本文: |
张雯,王素梅,于文静,孙文军,崔霞.从脑神与五脏神辨治小儿多发性抽动症共患病[J].湖南中医药大学学报,2019,39(2):203-206[点击复制] |
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| 从脑神与五脏神辨治小儿多发性抽动症共患病 |
| 张雯,王素梅,于文静,孙文军,崔霞 |
| (北京中医药大学第三附属医院, 北京 100029;北京中医药大学东方医院, 北京 100078) |
| 摘要: |
| 结合古代文献与临床经验，应用中医的五脏神与脑神理论对多发性抽动症共患病的病机、证候特点与临床辨证用药等进行系统探讨。认为多发性抽动症始发于脾，并发于肝，失调于脑，脑神被扰是其核心病机，随着病机不同演变，而呈现出一定的倾向性：心神失守，易共患焦虑；肾志不足，易共患自闭；脾意不宁，易共患抑郁；肝魂失镇，易共患强迫；肺魄失藏，易共患多动。临床治疗中，则相应采取安心神、益肾志、强脾意、抑肝魂、收肺魄的不同治疗方法。 |
| 关键词: 多发性抽动症共患病 脑神 五脏神 辨证论治 |
| DOI：10.3969/j.issn.1674-070X.2019.02.012 |
| 投稿时间：2018-08-02 |
| 基金项目:国家自然科学基金青年基金（81503615）；北京市自然科学基金（7182101） |
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| Application of TCM Theory of Brain Shen and Five Viscera Shen in Syndrome Differentiation-Based Treatment of Comorbidity of Tourette Syndrome in Children |
| ZHANG Wen,WANG Sumei,YU Wenjing,SUN Wenjun,CUI Xia |
| (The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;Dongfang Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100078, China) |
| Abstract: |
| In this paper, the theory of five viscera Shen and brain Shen in traditional Chinese medicine is used to systematically investigate the pathogenesis, syndrome characteristics, and clinical syndrome differentiation-based treatment of the comorbidity of Tourette syndrome based on ancient literature and clinical experience. The authors consider that Tourette syndrome originates in the spleen, is concurrent in the liver, and causes imbalance in the brain. The brain Shen being disturbed is the core pathogenesis, and the changes in pathogenesis cause some trends in the comorbidity: anxiety induced by lost heart Shen; autism spectrum disorder induced by insufficient of kidney Zhi; depression induced by unquiet spleen Yi; obsessive-compulsive disorder induced by unhinged liver Hun; hyperactivity disorder induced by failure to store lung Po. The therapies for treating these mental diseases include calming heart Shen, nourishing kidney Zhi, strengthening spleen Yi, tranquilizing liver Hun, and colleting lung Po. |
| Key words: comorbidity of Tourette syndrome brain Shen five viscera Shen comorbidity |
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