从五脏伏风论治小儿抽动障碍

Differential treatment of children’s tic disorder from theory of latent wind into five-zang-organs

伏风秉于先天,潜于体内,逾时而发,属于伏邪范畴。小儿抽动障碍反复发作、病情多变、缠绵难愈的发病特点与伏风致病相符合,且五脏皆可为伏风所潜,而令小儿抽动,非独肝也。以五脏伏风为理论核心论述小儿抽动障碍的致病特点和病理机制,治疗上以五脏辨证为主、调肝息风为本,疾病初期重视透邪外出、注重风药的应用,疾病后期强调扶正固本、健脾补肾。

The latent wind,which is a natural endowment and may lurk in the body with an overdue attack,falls into the category of latent pathogenic factors.The attacking characteristics of children’s tic disorder(TD)with recurrent attack,highly varied conditions and lingering refractory disease correspond to the diseases caused by latent wind.Moreover,latent wind lurks in the five-zang organs inducing TD,rather than the liver alone.Taking latent wind into five-zang organs as the theoretical core,this paper discusses the pathogenic characters and pathogenesis of TD.The therapy is based on the differentiation syndromes of five-zang organs centering on regulating liver and stopping wind.In the early stage of this disease,great importance is attached to letting out pathogenic factors and the usage of wind herbs.In the later stage,great attention is paid to strengthening body resistance to consolidate constitution,and invigorating spleen and tonifying kidney as well.