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原睿主任医师从风痰论治小儿抽动障碍经验 被引量:5

Archiater YUAN Rui’s experience in treating children with tic disorder from differentiation of wind phlegm
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摘要 原睿主任医师经过多年临床实践,认为小儿抽动障碍的基本病机为肝风内动、痰瘀扰神。肝为风木之脏,体阴而用阳,风为阳邪,其性善行而数变,故该病以不同部位的肌肉抽动为特征,且缓解后易于复发;小儿脾常不足,脾失健运则易聚湿成痰,痰浊蒙蔽清窍则神机不能畅达,从而出现发声性抽动。原老师以祛风涤痰、醒脑止痉为基本治法,予经验方儿抽停汤辨证加减,疗效显著。附案例2则,以资验证。 After years of clinical practice,archiater YUAN Rui holds that the basic pathogenesis of tic disorder in children is stirring of liver-wind and phlegm stagnation troubling the mind.The liver is wind-wood viscus,which is of yin in nature and of yang in function.Wind is a pathogenic factor of yang nature,which tends to move and change by nature,so the disease is characterized by muscle twitch in different parts,moreover,it is easy to relapse after remission;While child’s spleen is frequently insufficient,spleen dysfunction is easy to accumulate dampness into phlegm,turbid phlegm clouds the clear orifices giving rise to unsmooth flow of vital activity,which results in vocal tics.Archiater YUAN takes expelling wind and clearing up phlegm as the basic therapeutic method,and modifies the empirical prescription Er’chouting Tang(儿抽停汤)based on syndrome differentiation,which has obtained significant curative effects.Two cases are attached for verification.
作者 李冬梅 LI Dongmei(Department of Pediatric Internal Medicine,Gansu Provincial Hospital of TCM,Lanzhou,Gansu,730050,China)
出处 《中医儿科杂志》 2021年第1期30-32,共3页 Journal of Pediatrics of Traditional Chinese Medicine
关键词 抽动障碍 小儿 肝风内动 痰瘀扰神 儿抽停汤 临床经验 原睿 tic disorder children stirring of liver-wind phlegm stagnation troubling the mind Er’chouting Tang(儿抽停汤) clinical experience YUAN Rui
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