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基于肝与小儿少阳体质探究抽动障碍中医机制

Exploring the TCM mechanism of tic disorder based on liver and Shaoyang constitution in children
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摘要 抽动障碍病起病于儿童和青少年时期,现代医学属于神经精神障碍性疾病。随着社会的发展,外界刺激的增加,本病病例亦有逐年上涨的趋势。当儿童发育处于生长时期,无不体现肝之特性,小儿体质符合肝的特性,肝气平和,肝血充足则正常发育;肝阳过亢、肝阴不足或肝肾不相协调易使得肝风内动则可见抽动的症状表现。另外,对于外部刺激的处理失当,肝气郁滞,亦生内动之变。基于此,抓住肝的生理特性和小儿体质特点,探究二者之间的关系,以及肝与其他脏腑的联系,从肝和少阳体质关系的角度分析抽动障碍,以肝为主,五脏平调,内外并治,对于初发和久治不愈的疑难性抽动障碍治疗均具有一定的指导意义。 The onset of tic disorders starts in childhood and adolescence,belonging to neuropsychiatric disorders.With the development of society and the increase of external stimulation,the cases of this disease also have a trend of increase year by year.The whole process of children′s development reflects the characteristics of the liver,and children′s constitution conforms to the characteristics of the liver:if liver qi is peaceful and liver blood is sufficient,children are in normal development;if liver yang is excessive,liver yin is deficient,or liver and kidney do not coordinate,liver wind moves inside,and the symptoms of tic disorders appear.In addition,the improper management of external stimuli results in liver qi stagnation,which also produces internal changes.Based on this,the physiological characteristics of the liver and children′s physical characteristics are taken into account to explore the relationship between the two as well as the connection between the liver and other viscera,and to analyze tic disorders from the perspective of the relationship between the liver and Shaoyang constitution.The following measures has a certain guidance in the treatment of initial and prolonged difficult tic disorder:taking the liver as the main point,regulating the five organs and combining the internal treatment with external treatment together.
作者 刘英 钟明秀 宋邦国 张迪 LIU Ying;ZHONG Mingxiu;SONG Bangguo;ZHANG Di(Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)
出处 《中国中西医结合儿科学》 2024年第3期265-269,共5页 Chinese Pediatrics of Integrated Traditional and Western Medicine
基金 江西省中医药管理局科技计划项目(2023B1239) 江西省中医药管理局科技计划项目(2022B509) 江西省教育厅科学技术研究项目(GJJ2200983) 江西省卫生健康委科技计划项目(202310696)。
关键词 抽动障碍 体质 少阳 儿童 Tic disorder Constitution Shaoyang Child
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