发声性抽动的方证探讨

Study on the prescription and syndrome of vocal tics

本文基于方证相应的辨证方法,并且结合长期的临床实践经验,将儿童发声性抽动分为三根汤证(特征是咽部稍充血,扁桃体肿大,或咽后壁可见淋巴滤泡增生,常见于呼吸道感染后)、半夏厚朴汤证(特征是咽部有异物感,咽部检查可见咽后壁有痰涎附着)、息风涤痰汤证(特征是不自主喊叫,或口出秽语,咽部检查无异常)、六味地黄汤证(特征是咽干清嗓,舌红苔少,脉细数,咽部检查咽后壁暗红)4个中医证候,并相应拟方用药。其中有经验方和古代名方,并附有病案三则。

Based on the syndrome-differentiation method of prescriptions corresponding with syndromes and long-term experience in clinical practice,the vocal tics in children is classified as the following four syndromes of traditional Chinese medicine(TCM):Sangen decoction syndrome(with the characteristics of mild congestion of throat,enlarged tonsils and follicular hyperplasia on the posterior wall of throat,which is common after respiratory tract infection),Banxia Houpu decoction syndrome(characterized by sense of foreign body in throat and sputum attached to posterior wall of throat on examination),Xifeng Ditan decoction syndrome(with the characteristics of involuntary shouting or filthy speech,no abnormalities on throat examination),and Liuwei Dihuang decoction syndrome(characterized by dry throat and clearing throat,red tongue and little coating,thread and rapid pulse,and dark redness of posterior wall of throat on examination).The prescriptions are made correspondingly,which include empirical formulas and famous ancient formulas,and three cases are enclosed.