浅谈程锦国主任医师从慢惊风论治小儿抽动障碍

A Treatise by Cheng Jinguo,Chief Physician,on the Treatment of Tic Disorders in Children Based on Chronic Infantile Convulsions

儿童抽动障碍因其症状特点常就诊于眼科。程锦国主任医师认为儿童抽动障碍尤其是慢性抽动障碍、抽动秽语综合征与小儿"慢惊风"之病因病机一致,二者均以土虚木乘,脾虚肝旺为基本病机,生痰动风为主要病理表现,惊风、抽搐为具体体现形式。同时程锦国主任医师认为在治法和方药方面亦有可借鉴治疗慢惊风之经验,或自制疏肝健脾、化痰熄风方;或视病机之不同灵活组方,累获良效。现结合医案总结了儿童抽动障碍的临床特点及程锦国主任医师治疗本病的经验。

Tic disorders are frequently sent first to the department of ophthalmology for consultation because of their clinical characteristics.Chief physician Cheng Jinguo believes that tic disorders in children,especially chronic tic disorders,Tourette's syndrome,and chronic infantile convulsions have the same etiology and pathogenesis in Chinese medicine.All of these have the basic pathogenesis of spleen deficiency and hyperactivity of the liver-YANG;the formation of phlegm and respiration are the main pathological manifestations.Tic disorders and convulsions are the specific forms.At the same time,Cheng Jinguo believes that the treatment of tic disorders can also be used to treat chronic infantile convulsions,either treating with a custom formula to soothe the liver and strengthen the spleen,eliminating phlegm and calming respiration,or a flexible formula based on the pathogenesis to achieve good results.This article summarizes the clinical features of tic disorders and the experience of chief physician Cheng Jinguo in treating the disease.