木瓜牛膝汤治疗儿童抽动障碍经验

Experience in Mugua Niuxi decoction in the treatment of children with Tic disorder

木瓜牛膝汤出自《三因极一病证方论》,为六庚年运气主方,主治金运太过,木运不及。本方在六庚年使用频率较高,同时在其他年份也可根据患儿病机选择。抽动障碍是儿童常见行为异常性疾病,近年来发病率逐渐上升,严重影响患儿及其家庭的日常生活,中医治疗本病,在降低药物副作用、减少复发率等方面具有一定优势。张葆青教授擅长使用五运六气方治疗儿童抽动障碍,本文介绍张葆青教授运用木瓜牛膝汤加减治疗儿童抽动障碍的临床经验。张葆青教授认为儿童抽动障碍的病位主要在肝,与肺、脾密切相关,主要病因为“风”,兼有“痰”“湿”等,并与五运六气密切相关。木瓜牛膝汤以养血柔肝、息风止痉为治疗大法,佐以润肺化痰、健脾祛湿,用于治疗以肢体抽动为主要表现得儿童抽动障碍疗效确切。

Mugua Niuxi decoction,from the Three causes of a disease formula theory,is the main formula of luck in the Liugeng year,which is used in the treatment of excess of Jin luck and insufficiency of Mu luck.This formula is used more frequently in the Liugeng year,and can be used according to the pathogenesis of children in other years.Tic disorder is a common behavioral disorder in children.In recent years,the incidence of it has gradually increased,which seriously affects the daily life of children and their families.TCM treatment for Tic disorder has certain advantages in reducing drug side effects and reducing recurrence rate.Professor Zhang Baoqing specializes in the treatment of children with Tic disorder by using Five Yun Six Qi prescription.This paper introduces Professor Zhang Baoqing′s clinical experience in treating children with Tic disorder by Mugua Niuxi decoction with modification.Professor Zhang Baoqing believes that children′s Tic disorder mainly involves the liver,and is closely related to lung and spleen;the main cause of the disease is"wind",complicated with"phlegm","wetness"and so on,and is closely related to the five Yun and six Qi.Mugua Niuxi decoction,which has the effect of nourishing the blood and softening the liver,relieving wind and stopping spasm,supplemented by moistening the lung and resolving phlegm and strengthening spleen and clearing dampness,is used in the treatment of children with Tic disorder mainly manifested as limb tic,and has achieved great effect.