ZHAI Rui,DUAN Juan,LI Yuan,et al.Pathogenesis and Differentiated Treatment Strategies of Childhood Tic Disorders Based on WANG Xugao's “Thirty Methods of Treating the Liver”[J].Journal of Traditional Chinese Medicine,2024,65(02):149-153.
ZHAI Rui,DUAN Juan,LI Yuan,et al.Pathogenesis and Differentiated Treatment Strategies of Childhood Tic Disorders Based on WANG Xugao's “Thirty Methods of Treating the Liver”[J].Journal of Traditional Chinese Medicine,2024,65(02):149-153.DOI: 10.13288/j.11-2166/r.2024.02.006.
Pathogenesis and Differentiated Treatment Strategies of Childhood Tic Disorders Based on WANG Xugao's “Thirty Methods of Treating the Liver”
Based on WANG Xugao's “thirty methods of treating the liver”, it is believed that the occurrence and development of childhood tic disorders follow the dynamic progression from liver
qi
disease to liver fire disease and then liver wind disease. The basic pathogenesis of three stages are characterized by binding constraint of liver
qi
, liver fire hyperactivity, and internal stirring of liver wind. Moreover, liver-blood deficiency and stagnation, and malnutrition of liver
yin
as the main point in terms of the imbalance of liver
qi
, blood,
yin
, and
yang
should be considered, as well as the imbalance relationship of the five
zang
organs such as the involvement of other organs and the gradually reach of the other organs. Guided by the principles of “thirty methods of treating the liver”, the treatment of tic disorders in liver
qi
stage should focus on soothing the liver and rectifying
qi
, soothing the liver and unblocking the collaterals, using
Xiaochaihu Decoction
(小柴胡汤) and
Sini Powder
(四逆散). The treatment of tic disorders in liver fire stage involves clearing, draining and resolving liver heat, using
Longdan Xiegan Decoction
(龙胆泻肝汤)
, Xieqing Pill
(泻青丸)
, Danggui Longhui Pill
(当归龙荟丸)
,
and
Huagan Decoction
(化肝煎)
.
The treatment of tic disorders in liver wind stage involves extinguishing wind and subduing
yang
, using
Lingjiao Gouteng Decoction
(羚角钩藤汤) and
Liuwei Dihuang Pill
(六味地黄丸). Throughout the treatment process, attention should be paid to harmonizing the liver's
qi
, blood,
yin
, and
yang
, as well as addressing the pathology of other organs.
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Discussion on the Etiology, Pathogenesis and Treatment of Tumor-related Hiccups from the Perspective of “All Counterflow Upsurging is Ascribed to Fire”
Jintong Keli (金童颗粒) for treatment of Children Tic Disorder with Deficiency of Kidney Yin and Liver Wind Stirring up Internally Syndrome: A Randomized Double-blind Controlled Trial
Related Author
张磊
WANG Chenlin
ZHOU Lu
ZHANG Nan
XU Erping
LI Yanan
MA Bingxiang
ZHAO Mengting
Related Institution
Henan University of Chinese Medicine
Henan University of Chinese Medicine
The First Affiliated Hospital of Henan University of Chinese Medicine
Hunan University of Chinese Medicine
The First Chinese Medicine Clinical College of Hunan University of Chinese Medicine