1.北京中医药大学第三附属医院,北京市朝阳区安外小关街51号,100029
2.北京中医药大学
3.北京中医药大学东方医院
cuixia68@163.com
收稿:2021-08-30,
修回:2021-11-09,
纸质出版:2022-06-02
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崔霞,白雪,王瀚东等.王素梅基于五脏-五神-五官辨治儿童孤独症经验[J].中医杂志,2022,63(11):1017-1021.
CUI Xia,BAI Xue,WANG Handong,et al.WANG Sumei's Experience in Treatment of Childhood Autism based on Differentiation of Five Zang (脏)-Five Spirits-Five Sensory Organs[J].Journal of Traditional Chinese Medicine,2022,63(11):1017-1021.
崔霞,白雪,王瀚东等.王素梅基于五脏-五神-五官辨治儿童孤独症经验[J].中医杂志,2022,63(11):1017-1021. DOI: 10.13288/j.11-2166/r.2022.11.005.
CUI Xia,BAI Xue,WANG Handong,et al.WANG Sumei's Experience in Treatment of Childhood Autism based on Differentiation of Five Zang (脏)-Five Spirits-Five Sensory Organs[J].Journal of Traditional Chinese Medicine,2022,63(11):1017-1021. DOI: 10.13288/j.11-2166/r.2022.11.005.
总结王素梅教授辨治儿童孤独症的经验。认为本病辨治应始于阴阳,以五脏为辨治核心,以五脏-五神-五官为辨治经纬,其病位在脑窍,神机失用是本病的关键病机,痰为主要病理因素。治疗以益智醒神开窍为原则,注重平秘阴阳,调和五脏,分为滋补肝肾、填精益髓法,健脾养心、补气生血法,温补脾肾、化痰开窍法,温养心气、安神定志法,清心平肝、化痰宁神法;同时强调化痰通络、益智开窍法贯穿治疗始终。临床常用左归饮、地黄饮子、归脾汤、附桂益智汤、礞石定志汤、孔圣枕中丹等方药。
This paper summarized professor WANG Sumei's experience in syndrome differentiation and treatment of childhood autism. It is believed that
yin
and yang should be initially differentiated, and furthermore the five
zang
-five spirits-five sensory organs is differentiated taking five
zang
(脏) as the core. The location of the disease is at brain orifices, while oppressed vital activity is the key pathogenesis, and phlegm is the main pathological factor. The treatment principle is promoting wisdom, awakening spirit and opening the orifices. To keep
yin
calm,
yang
sound and the five
zang
in harmonization, the methods of enriching and nourishing liver and kidney, supplementing essence and boosting marrow can be used, as well as the methods of fortifying the spleen and nourishing the heart, supplementing
qi
and engendering blood; warming and supplementing the spleen and kidney, and dissolving phlegm to open the orifices; warming and nourishing heart
qi
, and calming the mind; and clearing the heart and calming the liver, dissolving phlegm and calming the mind. It is also suggested to put focus on dissolving phlegm, unblocking the collaterals, promoting wisdom and opening the orifices throughout the treatment. In clinical practice,
Zuogui Beverage
(左归饮),
Dihuang Drink
(地黄饮子),
Guipi Decoction
(归脾汤),
Fugui Yizhi Decoction
(附桂益智汤),
Mengshi Dingzhi Decoction
(礞石定志汤), and
Kongsheng Zhenzhong Pills
(孔圣枕中丹) can be used.
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刘百杰 . 中医“五神”之“魄”异常状态的下意识行为研究 [D]. 济南 : 山东中医药大学 , 2018 .
MOON SJ , HWANG JS , SHIN AL , et al . Accuracy of the Childhood Autism Rating Scale: a systematic review and meta-analysis [J]. Dev Med Child Neurol , 2019 , 61 ( 9 ): 1030 - 1038 .
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