孙申田针灸治疗抽动秽语综合征临床经验荟萃

SUN Shen-tian’s clinical experience in treating Tourette’s syndrome with acupuncture

介绍孙申田教授针灸治疗抽动秽语综合征(TS)的临床经验。认为TS属心身疾病,病机核心为血虚生风,病位在心、肝。依据大脑皮层功能定位指导选穴,抽动障碍首选锥体外系区,行为障碍首选情感区。治疗重在多法调神,包括手法调神,采用经颅重复针刺法;多穴调神,取百会、内关、神门、大钟。针对TS患儿腹部抽动和精神症状,针刺选取腹一区和腹三区。采用局部取穴、首尾取穴、同名经取穴强化治“标”(目标症状)。采用中药柴胡加龙骨牡蛎汤合四物汤加减疏肝养血息风。结合TS疾病特点和目标症状,选择毫针、揿针、中药、心理治疗等方法序贯治疗。

To introduce the clinical experience of professor SUN Shen-tian in treatment of Tourette’s syndrome(TS)with acupuncture.TS is a psychosomatic disease and the core pathogenesis refers to blood deficiency producing internal wind.The disease is located in the heart and liver.Acupoints are selected according to the functional orientation of the cerebral cortex.The extrapyramidal system area is preferred for tic disorder,and the emotional area is for behavioral disorder.The treatment focuses on regulating the mind by multiple methods,including manual needling technique used the transcranial repeated acupuncture,and regulating the mind by taking multiple acupoints,Baihui(GV 20),Neiguan(PC 6),Shenmen(HT 7)and Dazhong(KI 4)are stimulated.For abdominal twitching and mental symptoms of TS children,the first and third abdominal areas are selected.The target symptoms(biao)are treated specially by local acupoints,the combination of the starting and ending acupoints of the affected meridian,or the acupoints of the meridians with same name.The modified chaihu longgu muli decoction and siwu decoction are prescribed to sooth liver,nourish blood and soothe wind.In association with the characteristics and target symptoms of TS,the sequential therapy is used with filiform needling,intradermal needling,Chinese herbal medication and psychotherapy.