中医儿科杂志2024,Vol.20Issue(2) :12-15.DOI:10.16840/j.issn1673-4297.2024.02.04

董幼祺教授运用温胆汤治疗小儿抽动-秽语综合征痰热型经验

Professor DONG Youqi's experience in treating pediatric Tourette syndrome of phlegm heat type with Wendan Tang(温胆汤)

王亚芳 张雪 曹嘉丹 姜雨婷 章蕾 董幼祺
中医儿科杂志2024,Vol.20Issue(2) :12-15.DOI:10.16840/j.issn1673-4297.2024.02.04

董幼祺教授运用温胆汤治疗小儿抽动-秽语综合征痰热型经验

Professor DONG Youqi's experience in treating pediatric Tourette syndrome of phlegm heat type with Wendan Tang(温胆汤)

王亚芳 1张雪 1曹嘉丹 1姜雨婷 1章蕾 1董幼祺
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作者信息

  • 1. 浙江中医药大学第三临床医学院,浙江 杭州 310053
  • 折叠

摘要

抽动-秽语综合征病因复杂,临床表现多样,董幼祺教授认为本病病因病机为无形之痰,郁而化火,痰火上扰,蒙蔽心神,引动肝风,从而发病.其中无形之痰为本病反复发作的关键病因.董教授强调辨证为先,灵活施治,遵循祛痰为先、辅以和胃,痰气同治、同疏胆肝,清胆平心、胆心同降,治病求本、量证施药,调整心态、劳逸结合的治疗原则,方予温胆汤灵活加减,临床取得了满意疗效.附案例 1则,以资验证.

Abstract

Tourette's syndrome has a complex etiology and diverse clinical manifestations.Professor DONG Youqi believes that the etiology and pathogenesis of this disease are intangible phlegm,which transforms into fire due to depression.Phlegm fire disturbs the mind and triggers liver wind,leading to the onset of the disease.Invisible phlegm is the key cause of recurrent episodes of this disease.Professor DONG emphasized the principle of prioritiz-ing syndrome differentiation and flexible treatment,following the principles of dispelling phlegm first,supplementing with to harmonise the stomach,treating phlegm and qi together,dredging the gallbladder and liver,clearing the gall-bladder and calming the heart.The treatment should focus on the root cause,apply medication according to the ap-propriate dosage,regulate mentality,and balance work and rest.Wendan Tang(温胆汤)can be flexibly modified and has achieved satisfactory clinical efficacy.One case is presented for verification.

关键词

小儿/抽动-秽语综合征/痰热型/温胆汤/临床经验/董幼祺

Key words

children/Tourette's syndrome/phlegm heat type/Wendan Tang(温 胆 汤)/clinical experience/DONG Youqi

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基金项目

董幼祺国医名师传承工作室建设项目(GZS2021014)

浙江省中医药科学研究基金(A类)(2014ZA099)

出版年

2024
中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
参考文献量9
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