马融运用五脏辨证体系论治小儿抽动障碍经验

MA Rong′s Experience in Treatment of Tic Disorder in Children Using Syndrome Differentiation System of Five Zang-organs

总结马融教授运用五脏辨证体系论治小儿抽动障碍的临证经验。小儿抽动障碍病位在肝,与脾、肺、心、肾密切相关。通过分析不同患儿的临床主症、兼证及体质特点,确定五脏致病的主次,判断病性虚实,从而提炼出核心病机--肝气郁滞、脾虚生痰、感受外风、心血不足、肾精亏虚,均可导致气机逆乱,引动肝风。并在此基础上选方用药,采用柴胡桂枝龙骨牡蛎汤从肝论治,涤痰汤从脾论治,银翘散从肺论治,酸枣仁汤从心论治,六味地黄丸从肾论治。

This paper summarizes Professor MA Rong′s experience in treating children with tic disorder by syndrome differentiation system of five zang-organs. The location of tic disorder in children is liver. However, it is closely related to spleen, lung, heart and kidney. By analyzing clinical symptoms, complications and constitution characteristics in different children, primary and secondary of five zang-organs causing disease was determined, and deficiency and excess of disease was judged, so as to extract the core pathogenesis including stagnation of liver qi, spleen deficiency generating phlegm, affected by exogenous wind, insufficiency of heart blood and kidney essence deficiency, which can lead to derangement of qi movement and stirring liver wind. On this basis, prescriptions are selected. Chaihu Guizhi Longgu Muli Decoction(柴胡桂枝龙骨牡蛎汤) is for treatment on liver, Ditan Decoction(涤痰汤) is for treatment on spleen, Yinqiao Powder(银翘散) is for treatment on lung, Suanzaoren Decoction(酸枣仁汤) is for treatment on heart, and Liuwei Dihuang Pills(六味地黄丸) is for treatment on kidney.