从“和解少阳”论治小儿多发性抽动症

On the treatment of Tourette’s syndrome in children from the perspective of "reconciling Shaoyang"

多发性抽动症,是以反复、不自主的一处或多处部位肌肉运动性抽动和(或)发声性抽动为主要特征的综合症候群,影响患儿成长及其家庭的工作和生活。笔者认为其病机关键为“少阳枢机不利,脏腑阴阳失调”,提出从“和解少阳”论治该病,并运用柴胡类方加减清解少阳郁热,疏利气机,调和脏腑阴阳,以旨“阴平阳秘,精神乃治”之效,并重视日常调护,临床疗效堪佳。

Tourette's syndrome is a syndrome characterized by involuntary,recurrent and aimless muscle twitching or vocal twitching in one or more locations,which seriously affects the learning process of children and the life of their families.The authors believe that the key to the pathogenesis of children with tourette's syndrome is"the disadvantageous of cardinal Shaoyang,viscera imbalance of Yin and Yang",and proposed the treatment of"reconciling Shaoyang"and use of radix bupleuri class formula addingor subtractingthe Shaoyang heat,harmonizing the Yin and Yang of the viscera,and dredging the Qi mechanism,so as to achieve the effect of"Yin and yang in balance,vigoris the treatment".With daily care,the clinical effect is better.