基于“脏腑理论”从肺肝脾论治儿童抽动障碍

Treating children's tic disorder based on"visceral theory"from lung,liver and spleen

儿童抽动障碍的发病与脏腑功能失调密切相关,尤以肺、肝、脾三脏最为显著。脏腑致病主要体现在:肺卫受邪为本病主要诱因;肝风亢动为病机关键;脾虚风痰为病理基础。同时,肺、肝、脾三脏相互生克制约,互为影响,主要表现在:肺脏受邪则木气刑金;脾虚肝亢则土虚木乘。基于对脏腑致病、脏腑生克相关理论的认识,注重辨别脏腑病因病机,从肺、肝、脾三脏辨证论治儿童抽动障碍,脏腑兼顾,常可获得较好疗效。

The pathogenesis of tic disorder in children is closely related to the dysfunction of the internal organs,especially the lung,spleen and liver.The main causes of tic disorder caused by visceral disorders are as follows:lung guard is the main cause of the disease,liver wind is the key to the pathogenesis and spleen deficiency and wind phlegm are the pathological basis.At the same time,the lung,liver,and spleen are mutually restrictive and affect each other.The main manifestations are that if the lung is affected by evil,the wood will punish the gold;if the spleen is insufficiency and the liver is hyperactive,the earth deficiency will be leading to over-restriction by wood.Based on the understanding of the related theories about viscera's disease and viscera's generation,we pay attention to distinguish the etiology and pathogenesis of the viscera,and we treat tic disorders based on syndrome differentiation of lung,liver and spleen with curative effect.