国医大师王烈三期分治儿童妄为证经验

Experience of TCM master WANG Lie in treating child misbehavior syndrome in three stages

国医大师王烈教授针对现今多发的抽动障碍及注意力缺陷多动障碍等神经精神类疾病,提出以儿童妄为证论治,认为其病机关键在于先天肾脑不足,后天多种病因所伤。主要病位在心肝肾,根据病机特点,分为急性期、缓解期及稳定期进行辨治,认为发作期应急则治其标,平抑心肝之气,予以妄为散加减;缓解期标本兼治,疏风止动,养心安神,常用安脑饮加减;稳定期则滋补肝肾,调和阴阳,给予滋肾散加减治之。

For the tic disorder,attention deficit hyperactivity disorder and other neuropsychiatric diseases that occur frequently in the current,TCM master WANG Lie proposed to treat these diseases as symptoms of child misbehavior.He considers that the key reasons to the causes of the diseases are congenital deficiency of mind and brain.In addition to the acquired multiple causes of injury.The main locations of the disease are heart,liver and kidney,thus the treatments were divided into acute stage,remission period and stable stage according to the pathogenesis characteristics.In the stage of break out,temporary treatment for emergency,calming heart and liver qi,with appropriate dosage of presumptuous as Wangwei Powder to treat;in the stage of remission,treating both manifestation and root cause of disease,disperse the wind and quench the wind,gather the spirit to stop,commonly used appropriate amount of Annao Decoction to treat;and in the stable stage,nourishing liver and kidney,balancing yin and yang,with adding or subtracting Zishen Powder to treat.