张喜莲教授从肝脾分期论治儿童抽动障碍验案

Proved Cases of Professor Zhang Xilian in Treating Tic Disorder in Children from Liver and Spleen Staging Treatment

介绍张喜莲教授从肝脾分期论治儿童抽动障碍经验。张喜莲教授立足小儿生理特性及体质特点,认为抽动障碍病位以肝、脾为主,临证以肝脾为切入点,分期动态论治。治疗时根据脾虚、肝旺孰轻孰重以抓主要矛盾。肝旺明显者以天麻钩藤饮加减,治以平肝潜阳、息风止动;脾虚明显者,以六君子汤为基础方加减,治以扶土抑木、豁痰止动,临床收效显著。并附验案1则,以资佐证。

This paper introduced Professor Zhang Xilian’s experience in treating children with tic disorder from liver and spleen staging treatment.Based on the physiological and physical characteristics of children,Professor Zhang Xilian believes that the tic disorder is mainly caused by liver and spleen,and the clinical syndrome takes liver and spleen as the entry point.According to the spleen deficiency or liver hyperactivity,treatment should pay attention to the main contradiction.The liver-yang hyperactivity patients were treated with Tianma Gouteng drink,and treatment is suppressing hyperactive liver and subsiding yang,calming endogenous wind.In patients with obvious spleen deficiency,Liujunzi decoction is used as the basis,and the treatment is supporting soil to suppress wood,eliminating phlegm to stop movement,and the clinical effect is significant.