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胡天成诊治儿童抽动障碍的思路与方法 被引量:6

HU Tian-cheng’s ideas and methods of diagnosing and treating children with tic disorder
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摘要 文章总结了胡天成教授诊治儿童抽动障碍的临床经验。胡教授认为抽动障碍临床多见内风致病特点,多夹痰,或夹热,或夹郁,或夹虚。核心病机为肝风内动,夹杂痰、热、郁、虚,上扰官窍,流窜经络,导致头面官窍肢体肌肉筋脉拘急驰纵引发抽动。病性虚实夹杂,实多虚少。病位主要在肝、脾,涉及心、肺、肾。治疗本病主张病因辨证与脏腑辨证相结合,着眼风与痰,兼顾热、郁、虚,首辨新久,次辨轻重,三辨兼病,立足肝脾,五脏并调。 This paper summarizes the clinical experience of professor HU Tian-cheng in the diagnosis and treatment of children with tic disorder.Professor HU believes that the clinical characteristics of tic disorders are more internal wind pathogenic,more with phlegm,or heat,or depression,or deficiency.The core pathogenesis is internal movement of liver wind,with phlegm,heat,depression and deficiency,up to disturbance of official orifices,channelling channels and collandals,leading to the spasmodic contraction of head and face of official orifices and limbs muscles and muscles,causing twitch.The nature of the disease includes deficiency and excess,more excesses and less deficiencies.The disease site is mainly in the liver and spleen,involving the heart,lung and kidney.The treatment of this disease advocates the combination of etiology differentiation and syndrome differentiation and differentiation of zang-fu organs,focusing on wind and phlegm,taking into account heat,stagnation and deficiency,first distinguishing new and long,second distinguishing severity,third distinguishing concurrent disease,based on the liver and spleen,regulating five-zang organs together.
作者 周江 胡思樱 魏玉苹 杨翠玲 贾雪 ZHOU Jiang;HU Si-ying;WEI Yu-ping;YANG Cui-ling;JIA Xue(Hospital of Chengdu University of TCM,Chengdu 610075,China;School of Clinical Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2022年第4期2017-2019,共3页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 科技部国家重点研发计划课题四(No.2018YFC1704104)。
关键词 儿童抽动障碍 抽动症 中医 病因 病机 辨证论治 胡天成 临证经验 Children with tic disorder Tic disorder Traditional Chinese medicine Etiology Pathogenesis Treatment based on syndrome differentiation HU Tian-cheng Clinical practice experience
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