基于“肾藏志”理论对补肾法调控儿童注意缺陷多动障碍下丘脑-垂体-肾上腺轴的探究

Discussion on regulating attention deficit hyperactivity disorder’s HPA axis of kidney-tonifying method based on the theory of“kidney controlling aspiration”

基于“肾藏志”理论阐释儿童注意缺陷多动障碍(ADHD)的发生发展,认为肾精亏虚,脑失所养为其关键病机,从传统医学、现代医学角度阐述ADHD患儿下丘脑-垂体-肾上腺(HPA)轴功能低下与肾虚为本的关联性,并在结构与功能上探讨“肾-髓-脑-志”通路与HPA轴的共通点,阐述HPA轴功能紊乱作为中医学肾虚本质的科学依据,结合各家经验以期为探索ADHD中医理论补充现代医学内涵。“肾藏志”理论指导下应用补肾法可调整ADHD患儿HPA轴紊乱,减轻疾病严重程度,以期为补肾法贯穿治疗ADHD提供新的思路。

Based on the theory of“Kidney controlling aspiration”explains the occurrence and development of ADHD,and it is believed that the deficiency of kidney essence and brain insufficiency are the key pathogenesis of ADHD children.Expounds on the correlation between HPA axis dysfunction and kidney deficiency in ADHD children from traditional and modern medicine perspectives.In terms of structure and function discussed the common points between the HPA axis and“kidney essence,Medullary,brain and Aspiration”in traditional Chinese medicine,expounded the scientific basis of HPA dysfunction as the essence of kidney deficiency in traditional Chinese medicine,and combined with various experiences in order to supplement the connotation of modern medicine for exploration of ADHD traditional Chinese medicine theory.The application of the tonifying kidney method under the guidance of the“Kidney controlling aspiration”theory could adjust the disorder of the HPA axis in children with ADHD and reduce the severity of the disease.In order to provide new ideas for the kidney tonic method throughout the treatment of ADHD.