从“脾肺母子同治”论治儿童慢性抽动障碍

Treatment of child’s chronic tic disorde based on the theory of simultaneous treatment of spleen-lung"mother-child"

慢性抽动障碍多由肝旺风动,外风袭肺、引动肝风,脾虚痰凝、风痰胶结等所致,其病程日久,正气必虚,累及脾、肺两脏;治疗上应重视对肺脾的调理,增强患儿体质,调整阴阳平衡。以“扶正祛邪,脾肺母子同治”理论贯彻治疗全程,强调分辨新病、久病及急性、慢性期的重要性。新病注重运脾,久病健脾与运脾同重。久病患儿复感外邪,初期应以扶正祛邪,息风止动为主;而后应以培土生金,熄风止动为主。

Chronic tic disorder is mainly caused by excessive liver-qi causing stirring of endogenous wind,exogenous wind attacking lung,activating liver-wind,spleen-deficiency with coagulated phlegm,intermingled wind and phlegm,etc.The disease is with a long course of disease and vital qi deficiency,and involved in spleen and lung both zang-organs.In the treatment,the attention should be paid to regulating lung and spleen,strengthening constitution of children patients and adjusting balance of yin and yang.The theory of strengthening healthy qi to eliminate pathogens and simultaneous treatment of spleen-lung"mother-child"is carried out throughout the treatment,and the importance of distinguishing new disease,pre-existing disease,acute and chronic stage is emphasized.New disease should be paid attention to activating the spleen,while pre-existing disease should be paid attention to strengthening the spleen and activating the spleen at the same time.If the children patients with pre-existing disease relapse into exogenous pathogens,it should mainly focus on strengthening healthy qi to eliminate pathogens and calming endogenous wind to stop tic in the early stage;after that,it should mainly focus on reinforcing earth to generate metal and calming endogenous wind to stop tic.