基于木运“发生、委和之纪”探讨儿童抽动障碍

Based on Years of Wood Excess and Wood Insufficiency to Explore Pathogenesis of Tic Disorder in Children

儿童抽动障碍是起病于儿童与青少年时期的神经精神障碍性疾病,中医认为该病病位责之于肝,而肝风为本病的病机关键,肝脏、肝风在五行中属木并与五运六气岁运中的木运“发生、委和之纪”密切相关,通过对木运“发生、委和之纪”的气候、疾病特点分析,可知儿童抽动障碍在发生之纪,以肝气疏泄太过、化火动风的实证为特点,治疗应以清肝、平肝为主;在委和之纪,以肝气疏泄不及、虚风内动的虚证为特点,治疗应以清肺疏肝健脾为主。故重视岁运主病特点对儿童抽动障碍的防治具有一定的指导意义。

Tic disorder in children is a kind of neuropsychiatric disorder that originates in childhood and adolescence. Traditional Chinese medicine believes that the disease is due to the liver,and liver wind is the key pathogenesis of the disease. Liver and liver wind belong to wood in the five elements and are closely related to the “the year of wood excess and the year of wood insufficiency” of wood transportation in the five circuits and six qi. Through the analysis of the climate and civil disease characteristics of “the year of wood excess and the year of wood insufficiency” of wood transportation,it can be seen that the occurrence of tic disorder in children is characterized by excessive liver qi catharsis and the demonstration of transforming fire and wind. The treatment focus should be on clearing the liver and smoothing the liver. Tic disorder in children is characterized by deficiency syndrome of insufficient liver qi catharsis and internal movement of deficiency wind. The treatment should focus on clearing lung dryness,soothing the liver and strengthening the spleen. Therefore,paying attention to the characteristics of the main disease of year evolutive phase has certain guiding significance for the treatment and prevention of tic disorder in children.