摘要
儿童抽动障碍以神经行为异常表现为临床特征,近年来发病呈上升趋势,病情复杂,诊疗困难,给家庭与社会带来较大负担。中医治疗本病多以脏腑辨证,结合病理因素,认为本病主要由脾虚痰蕴、肝亢风动致病,后期则多瘀。虫类药物功善走窜,其辛以行散,咸以软坚,可搜剔经络,早期配伍使用则能及时截断病情,对于久病痼疾亦能渐起沉疴,临床上常用虫类药物辨治本病,具有较高的实用价值。本文试从叶天士“飞者升,走者降”之升降理论角度,运用取象比类思维,引证中医经典古籍,联系当代临床报道与基础研究,辨析虫类药物治疗儿童抽动障碍的应用特色,并按其化痰、搜风、破血之功加以临证阐发,以期为本病治疗提供更全面的用药思路。
Tic disorders in children are characterized by complex neurobehavioral abnormalities,and the incidence of it is on the rise in recent years,making diagnosis and treatment challenging,which brings a great burden to families and society.TCM doctors usually treat this disease by syndrome differentiation of viscera and combined with pathological factors,and believe that the disease is mainly caused by spleen deficiency and phlegm accumulation,liver hyperactivity and wind movement,and more blood stasis in the later stage.The insect drugs are fleshed and emotional products,with good function and movement,their xin is scattered and salty is soft and firm,and they can be searched and picked out meridians.The early use of insect drugs can cut off the disease quickly.Therefore,insect-based medications are widely used in clinical practice to address the underlying pathology with significant practical value.This paper reviewed the Ye Tianshi’s theory of‘flying up and walking down’to and analyzed the unique application characteristics of insect-based medications in treating tic disorders in children through imagery-based reasoning.By referencing classical Chinese medicine texts and contemporary clinical reports and basic research,it interprets clinical outcomes based on their functions of eliminating phlegm,dispelling wind,and resolving blood stasis to offer a more comprehensive approach for medication in managing this condition.
作者
赵雅芳
肖连宇
窦豆
ZHAO Yafang;XIAO Lianyu;DOU Dou(The First School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《环球中医药》
CAS
2024年第12期2386-2395,共10页
Global Traditional Chinese Medicine
基金
苏州工业园区东方华夏心血管健康研究院天然调脂药物循证科研基金(2023-CCA-NLD-569)
国家中医药管理局高水平中医药重点学科建设项目—北京中医药大学中医疫病学(zyyzdxk-2023264)。
关键词
儿童抽动障碍
虫类药物
飞升走降
升降理论
络病理论
取象比类
tic disorders in children
insect drugs
fly up,walked down
rise-fall theory
theory of collateral disease
image and analogy
