从气机论治抽动障碍

Treatment of tic disorders from qi movement

崔霞教授从气机角度论治抽动障碍,认为本病患儿大多具有脏气不平的体质基础,气机失调是病机关键,情志失和是发病的重要因素。临证时重视调畅气机、形神同调,主张疏肝理气为先、健脾平肝为重、调心安神为上、宣降肺气为佐、导引调气为辅,使气机通畅,五脏安和,收到良好疗效。文章将从气机角度对抽动障碍的病因病机和治法方药进行系统阐述,并列举验案加以说明,为临床上治疗抽动障碍等神经行为疾患提供新的辨治思路和有益借鉴。

Professor CUI Xia treats tic disorders from the perspective of qi movement and believes that most children have the physical basis of the imbalance of visceral qi,qi movement disorder is the critical pathogenesis,and emotional discomfort is an essential factor in the pathogenesis.In clinical practice,she attaches great importance to regulating qi and governing body and spirit.She advocates soothing the liver and regulating qi first,invigorating the spleen and calming the liver,regulating the heart and calming spirit,diffusing and descending lung qi,and promoting circulation of qi by Daoyin.It helps to clear the qi flow and harmonize the five internal organs,thus achieving good results.This paper systematically expounds on the etiology,pathogenesis,and treatment of tic disorders from the perspective of qi movement and illustrates it with clinical cases to provide new ideas and useful references for the clinical treatment of mental disorders such as tic disorders.