国医大师王烈以“妄为证”论治儿童精神行为异常疾病经验

Wang Lie's experience in the treatment of children's mental and behavioral abnormalities with the theory of syndrome of reckless behavior

探讨国医大师王烈教授以“妄为证”论治儿童精神行为异常疾病经验。“妄为证”是王烈教授于20世纪70年代所提出的病名,用以概括儿童精神行为异常的临床综合征。该类疾病的发生以小儿先天的生理特征为根本,加之后天因素影响。根据临床表现、病证特点,将妄为证分为三期论治,发作期清心平肝、佐以滋阴,方选妄为散加减;缓解期养心安神、益肾填精,方选安脑饮加减;稳定期补肾益脑、固本防复,方选滋肾散加减。

This article explores the experience of Professor Wang Lie,National Chinese medicine master,in the treatment of children with mental and behavioral disorders with the theory of syndrome of reckless behavior.The name"syndrome of reckless behavior"was proposed by Professor Wang Lie in the 1970s to summarize the clinical syndrome of mental and behavioral abnormalities in children.The occurrence of this type of disease is based on the congenital physiological characteristics of children,combined with the influence of acquired factors.According to the clinical manifestations and characteristics of the disease,syndrome of reckless behavior is divided into three stages for treatment.During the attack stage,treatment should be given to clear the heart and calm the liver,accompanied by nourishing yin,while the prescription is chosen to be modified Wangwei power.During the remission stage,treatment should be given to nourish the heart and tranquilize mind,and invigorate the kidney and supplement essence,while the prescription is chosen to be modified Annao Decoction.During the stable stage,treatment should be given to tonify the kidneys and invigorate the brain,and consolidate body resistance and prevent recurrence,while the prescription is chosen to be modified Zishen Powder.