浅谈以脾胃为核心的孤独症中医辨证

Discussion on the TCM differentiation of autism with spleen and stomach as its core

孤独症是一种社交互动障碍和沟通受损,以及有重复性和限制性行为疾病;近几年肠道菌群与神经系统相关性发现,为认识和治疗孤独症提供了新思路和方法。孤独症患儿全身症状广泛,与五脏六腑均相关,历代医家虽有其病机应主责心脑,根在脾肾的认识,却因其证之广泛性与难治性,而致临床效果不佳。现代研究表明,肠道菌群变化与孤独症的发生密切相关;且以偏食、腹胀、便秘等症状较为普遍且突出。孤独症根在脾肾,而先天必待后天之补,且脾胃统四旁,灌五脏,故脾胃是孤独症诊治的核心。基于此,孤独症的中医治疗需要抓住以脾胃为核心的重点,分阶段逐层推进治疗,从而取得满意的临床疗效。因此,笔者通过以脾胃为核心的观点来探究孤独症中医辨证,从而用于指导临床。

Autism is an impaired social interaction and communication,as well as repetitive and restrictive behavioral diseases.In recent years,the discovery of correlation between intestinal flora and nervous system has provided new ideas and methods for the understanding and treatment of autism.Children with autism have a wide range of systemic symptoms,related to the viscera.Although medical experts in the past dynasties had the understanding that the pathogenesis should be mainly responsible for the heart and brain and the root was in the spleen and kidney,the clinical effect was not good because of its extensive and intractable symptoms.Modern studies have shown that changes in intestinal flora are closely related to the occurrence of autism,and the general and prominent symptoms are partiality for a particular kind of food,abdominal distension,constipation and others.The root of autism in the spleen and kidney,while congenital essence must be replenished by the acquired essence,and the spleen and stomach govern all around,irrigating the five internal organs.So the spleen and stomach is the core in the diagnosis and treatment of autism.Based on this,the TCM treatment of ASD should focus on the spleen and stomach,and promote the treatment in stages and layers,so as to achieve satisfactory clinical efficacy.Therefore,the author explores the TCM differentiation of autism by the view of spleen and stomach as its core.so as to guide clinical.