Syndrome Differentiation and Treatment of Tic Disorders in Children from the Theory of <italic style="font-style: italic">Qi</italic> Movement of <italic style="font-style: italic">Zang</italic>-<italic style="font-style: italic">Fu</italic> Organs Based on “Manifestation-Body and Spirit-<italic style="font-style: italic">Qi</italic>”

LIU Wenbo; SHI Wenli; DONG Juan; ZHAO Yunxia; ZHAO Mengting; MA Bingxiang

doi:10.13288/j.11-2166/r.2024.06.007

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Syndrome Differentiation and Treatment of Tic Disorders in Children from the Theory of Qi Movement of Zang-Fu Organs Based on “Manifestation-Body and Spirit-Qi”

更新时间：2024-04-09

- Syndrome Differentiation and Treatment of Tic Disorders in Children from the Theory of Qi Movement of Zang-Fu Organs Based on “Manifestation-Body and Spirit-Qi”
- Journal of Traditional Chinese Medicine Vol. 65, Issue 6, Pages: 582-586(2024)
- 作者机构：
  
  1.河南中医药大学，河南省郑州市金水路1号，450000
  2.河南中医药大学第一附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.06.007
  CLC：
- Received：22 October 2023，
  
  Revised：2023-12-28，
  
  Published：17 March 2024
- 稿件说明：
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刘文博,史文丽,董娟等.基于“象-形神-气”从脏腑气机辨治儿童抽动障碍[J].中医杂志,2024,65(06):582-586.

LIU Wenbo,SHI Wenli,DONG Juan,et al.Syndrome Differentiation and Treatment of Tic Disorders in Children from the Theory of Qi Movement of Zang-Fu Organs Based on “Manifestation-Body and Spirit-Qi”[J].Journal of Traditional Chinese Medicine,2024,65(06):582-586.
刘文博,史文丽,董娟等.基于“象-形神-气”从脏腑气机辨治儿童抽动障碍[J].中医杂志,2024,65(06):582-586. DOI： 10.13288/j.11-2166/r.2024.06.007.

LIU Wenbo,SHI Wenli,DONG Juan,et al.Syndrome Differentiation and Treatment of Tic Disorders in Children from the Theory of Qi Movement of Zang-Fu Organs Based on “Manifestation-Body and Spirit-Qi”[J].Journal of Traditional Chinese Medicine,2024,65(06):582-586. DOI： 10.13288/j.11-2166/r.2024.06.007.

摘要

基于“象-形神-气”思维认为儿童抽动障碍的病机涉及“风、痰、火”三象，以风象为主导，痰、火二象为伴随，主张临证时辨识形神异常，总结象的演变，针对脏腑气机灵活辨治。其中抽动相关常见症状多属风象，源自肺失宣肃、肝升太过，采用疏肝木、肃肺金之法，可选小柴胡汤、苍耳子散等方加减；病情迁延、症状怪异者多夹杂痰象，源自脾不升清、胃不降浊，采用升己土、降戊土之法，可选异功散、二陈汤等方加减；病情进展、症状严重者多夹杂火象，源自水火不济、心火偏亢，采用交心肾、济水火之法，可选泻肝丸、六味地黄丸等方加减，以期调气机、和形神、化象于冥冥。

Abstract

Based on the theory of “manifestation-body and spirit-

”， it is considered that the pathogenesis of tic disorders （TD） involves three manifestations of “wind， phlegm and fire”， with wind as the leading factor and phlegm and fire as the accompanying factors. It is advocated to identify the abnormality of body and spirit， summarize the evolution of manifestation， and prescribe flexibly based on

movement of

zang

organs. Among them， the common symptoms related to tics are mostly belong to wind symptoms， which originated from lung

failing to purify and liver

over-ascent. The method of soothing liver wood and purifying lung gold is adopted， and modified

Xiaochaihu Decoction

（小柴胡汤） and

Cangerzi Powder

（苍耳子散） are recommended； Patients with prolonged illness and strange symptoms are often mixed with phlegm， which stemmed from the fact that spleen failing to rise clear and stomach failing to downward turbid. The method of raising spleen-earth and lowering stomach-earth is adopted， and modified

Yigong Powder

（异功散） and

Erchen Decoction

（二陈汤） are recommended； Patients with severe symptoms are often mixed with fire symptoms， which originated from discordance of water and fire and hyperactivity of heart fire. The method of interacting heart and kidney and coordinating water and fire is adopted， and modified

Xiegan Pill

（泻肝丸） and

Liuwei Dihuang Pill

（六味地黄丸） are recommended， in order to regulate

movement， harmonize body and spirit， and improve the symptoms.

关键词

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references

姜妍琳，张蔷，翟睿，等 . 中国儿童抽动障碍患病率及危险因素系统评价［J］. 中国儿童保健杂志， 2023 ， 31 （ 6 ）： 661 - 667 .

唐久来，方玲玲，朱静，等 . 儿童神经发育障碍的诊断：ICD-11和DSM-5解读［J］. 中华实用儿科临床杂志， 2019 ， 34 （ 17 ）： 1281 - 1286 .

UEDA K ， BLACK KJ . A comprehensive review of tic disorders in children ［J］. J Clin Med ， 2021 ， 10 （ 11 ）： 2479 .

陈雨霞，赵怡，张昊，等 . 中医药治疗抽动障碍的研究进展［J］. 按摩与康复医学， 2022 ， 13 （ 18 ）： 61 - 65 .

刘莎莎，袁桂花，陈景，等 . 祛风药在小儿抽动障碍中的应用［J］. 中医儿科杂志， 2021 ， 17 （ 4 ）： 17 - 19 .

曹修亮，陆小左，张海军，等 . 儿童抽动障碍的中医证候研究［J］. 现代中西医结合杂志， 2011 ， 20 （ 5 ）： 558 - 559 .

郭玉清，刘媛媛，韩新民，等 . 熄风涤痰汤治疗风痰扰动证儿童抽动障碍的临床评价［J］. 浙江中医杂志， 2021 ， 56 （ 11 ）： 813 - 814 .

李晨，肖淑琴 . 肖淑琴主任医师从痰瘀论治小儿抽动症经验［J］. 西部中医药， 2019 ， 32 （ 10 ）： 9 - 11 .

刘立安，孟月，孙永章，等 . 象思维的离析、贯通与中医理论解构［J］. 中医杂志， 2019 ， 60 （ 20 ）： 1718 - 1720 .

李明珠，詹杰，李思汉，等 . 从“气”“象”“器”论中医状态［J］. 中医杂志， 2021 ， 62 （ 2 ）： 179 - 181 .

曾传，官锦帅，孙香娟 . 论儿童抽动障碍之“风” ［J］. 四川中医， 2019 ， 37 （ 1 ）： 32 - 34 .

周荣易，马丙祥，韩新民，等 . 基于藏象理论探讨儿童发声性抽动从肺论治“金鸣五应”中医机理［J］. 中华中医药杂志， 2023 ， 38 （ 3 ）： 988 - 992 .

李亚平，马融 . 基于“筋为刚”“肝主筋膜”理论浅析儿童抽动障碍的中医病机［J］. 中医杂志， 2021 ， 62 （ 17 ）： 1496 - 1499 .

郑宏，郑攀，郑启仲 . 郑启仲治疗小儿多发性抽动症经验［J］. 中医杂志， 2012 ， 53 （ 3 ）： 195 - 197 .

孙志其，韩涛 . 基于气本体论的邪气致病机理阐述［J］. 中国中医基础医学杂志， 2018 ， 24 （ 1 ）： 5 - 7，10 .

赵丽娜，马丙祥，潘焕焕 . 马丙祥教授治疗小儿多发性抽动症临床经验［J］. 光明中医， 2013 ， 28 （ 5 ）： 909 - 910，917 .

曹颖，李志国 . 从黄元御“中气升降”谈“气机病”论治［J］. 吉林中医药， 2013 ， 33 （ 10 ）： 980 - 981 .

孙文斌，连建伟 . 浅论叶天士调气机法治内风［J］. 中医杂志， 2014 ， 55 （ 3 ）： 265 - 266，268 .

徐云浩，王洋，陶文娟，等 . 中医辨证的象思维属性及对微观辨证的指导价值［J］. 中医杂志， 2022 ， 63 （ 10 ）： 901 - 904 .

石勇 . 中医取象比类与概念隐喻理论［J］. 中华中医药杂志， 2019 ， 34 （ 7 ）： 2893 - 2897 .

王琦 . “象数-形神-气”关系探讨［J］. 中华中医药杂志， 2012 ， 27 （ 6 ）： 1604 - 1606 .

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Syndrome Differentiation and Treatment of Tic Disorders in Children from the Theory of Qi Movement of Zang-Fu Organs Based on “Manifestation-Body and Spirit-Qi”

DOI：10.13288/j.11-2166/r.2024.06.007

摘要

Abstract

关键词

Keywords

references