抽动障碍之“伏邪致动”学说初探

A Theory Study of "Tic Disorder Induced by Incubation Pathogen"in Tic Disorder.

"感而不发"和"伏而后发"是伏邪致病的特点,临床发现部分抽动障碍患儿发病或复发与外感六淫邪气有一定的病程相关性,与伏邪致病机理相似,故而提出抽动障碍之"伏邪致动"学说,该学说认为外感邪气侵袭肌表,伏藏于半表半里而暂时不发作,在外感邪气、情志变化等刺激下再次发病,病位在肺与肝,与风邪关系密切,外风引动内风,治宜肝肺并调,一则宣肺肃降以疏散外风,二则疏肝通络以熄内风,表里同调,标本兼治。

＂Pathogen-infected but no action＂ and ＂acts again after incubating for a period of time＂ are the main phases in the incubation pathogen theory. It has been showed that children in tic disorders had a relevance to six exogenous factors in clinical experience. The pathogenesis is similar to the pathogenic mechanism based on incubation pathogen theory, so we proposed a theory of ＂tic disorder induced by incubation pathogen＂. The characteristics of pathogenic wind, especially easy mobility determine the symptoms and signs of tic disorder due to pathogenic wind can be characterized by vibration and involuntary movement such as convulsion and tremor. If exogenous pathogenic wind moved into half-exterior and half-interior from exterior, both the exterior and interior syndromes should be treated at the same time. We should regulate the functional relation of the liver and the lung, expel pathogenic wind by dispersing lung, and calm endogenous wind by removing obstruction in the collaterals and soothing the liver.