佘继林教授中医治疗小儿多发性抽动症经验撷萃

Experience of Prof.She Jilin in treating children with Tourette syndrome

简要从病因病机、理法方药等方面介绍佘继林教授治疗小儿多发性抽动症经验。本病病机为本虚标实,发作期多表现为实证,治以平肝熄风、清心泻火、滋阴清热,缓解期多表现为虚证为主,治以健脾养血、滋阴潜阳、柔肝熄风、滋补肝肾为主,在药物治疗的同时,佘教授还注重心理行为干预治疗。同时佘教授认为本病患儿多与过敏有关,每与季节交替时发作次数增加,感冒后加重,在治疗中经常加用祛风抗过敏的药物,五脏辨治的同时注重从肺调治,增强体质,改善患儿过敏状态。

This paper briefly introduces Prof.She Jilin’s experience in the treatment of children with Tourette syndrome from the aspects of etiology,pathogenesis,treatment principles and prescriptions.At onset stage,the disease manifests as"Shi Zheng"(with the symptom of high fever,no sweat,abdominal distension,etc.),and the treatment aims to calm the liver wind,clear away heart fire,nourish Yin and clear the heat.At remission stage,the disease manifests as"Xu Zheng"(deficiency syndrome),and the treatment focuses on invagrating spleen,nourishing Yin and Yang,calming liver wind and nourishing liver and kindey.Meanwhile,Prof.She also pays attention to psychological behavior intervention.Prof.She thinks that this disease in children most often is related to allergy,which makes more attacks at the turn of seasons and becomes more severe after catch a cold.During treatment,anti allergic medicine should be given and pay attention to the regulation of lung,in order to strengthen the children's physical condition and improve the allergic situation of the children.