针刺治疗抽动障碍的现状及思考
Current situation and thinking about acupuncture treatment of tic disorders
赵欣 1江宙蔚 2张欣 1姜科宇 1蒋思韵 1吴敏 1马碧涛1
作者信息
- 1. 上海交通大学医学院附属新华医院 上海 200092
- 2. 贵州省毕节市中医医院
- 折叠
摘要
抽动障碍(tic disorder,TD)是一种起病于儿童和青少年时期的神经发育障碍性疾病,发病率有逐年上升的趋势,严重损害儿童的认知功能和行为发育,给儿童身心健康造成了很大影响.TD作为中医优势病种,中医治疗方式丰富,针刺疗法作为中医外治法的一种,具有安全、有效、不良反应小的优势,是治疗TD的常用外治疗法.针刺疗法可通过针刺耳部、头部、躯干部等部位,利用经络循经原理,按照辨病与辨证相结合的原则制定治疗方案,但目前针刺治疗TD尚缺乏统一标准,本文从TD的疾病特点出发,通过回顾高质量临床研究文献,从针刺治疗TD的循经选穴、方式选择、治疗时间、针药联合等方面,提出针刺治疗TD的诊疗建议.
Abstract
Tic disorders (TD) is a kind of neurodevelopmental disorders that starts in childhood and adolescence,with an increasing incidence year by year. It seriously damages children's cognitive function and behavioral development,has a great impact on children's physical and mental health,and has aroused widespread concern from all walks of life. Tic disorders as a dominant disease of Chinese medicine,has a variety of treatment method. Acupuncture therapy,as one of the external treatment method in traditional Chinese medicine,has the advantages of safety,effectiveness,and minimal side effects,making it a commonly used external treatment for Tic disorders. Acupuncture therapy can be used to treat tic disorders by needling the ear,head,trunk,and other parts,utilizing the principles of meridians and combining disease and syndrome differentiation to develop treatment plans. However,there is currently a lack of unified standards for acupuncture treatment of tic disorders. This article starts from the characteristics of tic disorders,reviews high-quality clinical research literature,and proposes diagnosis and treatment suggestions for acupuncture treatment of tic disorders from the aspects of meridian selection of acupoints,method selection,treatment time,and combination of acupuncture and medicine.
关键词
抽动障碍/中医/外治法/针刺疗法Key words
tic disorders/Chinese medicine/external treatment/acupuncture therapy引用本文复制引用
基金项目
中国中药协会儿童健康与药物研究专业委员会青年医师创新发展项目(EKQNJJ-2023-14)
上海市进一步加快中医药传承创新发展三年行动计划项目(ZY2021-2023-0206-05)
上海市名中医工作室建设项目(SHGZS-202217)
出版年
2024
国家科技期刊平台
NSTL
万方数据