Acupuncture and Herbal Treatment of Pediatric Tic Disorder Based on the Theory of "Opening，Closing，and Pivot"

REN Lejia; WANG Siyin; ZHANG Hui; FAN Yiming; BAO Chao

doi:10.13288/j.11-2166/r.2025.21.015

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Acupuncture and Herbal Treatment of Pediatric Tic Disorder Based on the Theory of "Opening，Closing，and Pivot"

更新时间：2025-10-31

- Acupuncture and Herbal Treatment of Pediatric Tic Disorder Based on the Theory of "Opening，Closing，and Pivot"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 21, Pages: 2275-2280(2025)
- 作者机构：
  
  南京中医药大学附属医院，江苏省南京市秦淮区汉中路155号，210029
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.21.015
  CLC：
- Received：26 April 2025，
  
  Revised：2025-08-07，
  
  Published：02 November 2025
- 稿件说明：
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任乐佳,王思寅,张慧等.基于“开阖枢”理论针药并用辨治儿童抽动障碍[J].中医杂志,2025,66(21):2275-2280.

REN Lejia,WANG Siyin,ZHANG Hui,et al.Acupuncture and Herbal Treatment of Pediatric Tic Disorder Based on the Theory of "Opening，Closing，and Pivot"[J].Journal of Traditional Chinese Medicine,2025,66(21):2275-2280.
任乐佳,王思寅,张慧等.基于“开阖枢”理论针药并用辨治儿童抽动障碍[J].中医杂志,2025,66(21):2275-2280. DOI： 10.13288/j.11-2166/r.2025.21.015.

REN Lejia,WANG Siyin,ZHANG Hui,et al.Acupuncture and Herbal Treatment of Pediatric Tic Disorder Based on the Theory of "Opening，Closing，and Pivot"[J].Journal of Traditional Chinese Medicine,2025,66(21):2275-2280. DOI： 10.13288/j.11-2166/r.2025.21.015.

摘要

以“开阖枢”理论为指导，探讨儿童抽动障碍的针药并用辨治思路。提出阴阳升降出入失常为儿童抽动障碍发病的根本病机，其中少阳枢机不利，太阳、阳明开阖失司为抽动发作的关键因素，而阴液损耗又会导致疾病迁延反复。治疗上主张针药并用，以调肝熄风针法调少阳枢机为核心，根据不同患儿证候特点，振发太阳以解风邪、通降阳明以降浊气，以助太阳、阳明的正常开、阖，同时注重调补三阴以固护阴液，恢复阴阳气机的动态平衡。

Abstract

Guided by the theory of "opening， closing， and pivot"， this paper explores the therapeutic approach of acupuncture combined with herbal medicine for pediatric tic disorder （TD）. It is proposed that the fundamental pathogenesis of TD lies in the dysfunction of

yin

yang

ascending， descending， exiting， and entering movements. The impaired pivot mechanism of the

shaoyang

channel， together with the dysregulation of opening and closing in the

taiyang

and

yangming

channels， constitutes the key factors leading to tic onset， while depletion of

yin

fluids contributes to the chronic and recurrent nature of the disease. In treatment， a combination of acupuncture and herbal therapy is advocated. The core strategy is to regulate the

shaoyang

pivot through liver-soothing and wind-extinguishing acupuncture methods. According to the child's specific syndrome pattern， therapeutic emphasis may be placed on activating

taiyang

to dispel wind pathogens and unblocking

yangming

to descend turbid

， thereby restoring the normal opening and closing of these channels. Meanwhile， attention should be paid to harmonizing and tonifying the three

yin

channels to conserve

yin

fluids and reestablish the dynamic balance of

yin

yang qi

movement.

关键词

Keywords

references

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Related Institution

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First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion

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