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从肝郁探讨宁心止动汤治疗儿童抽动障碍

Exploring the treatment of childhood tic disorder with Ningxin Zhidong Tang(宁心止动汤)from the perspective of liver stagnation

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儿童抽动障碍由五脏功能失调引起,病位主要在肝,与心、脾、肺、肾相关.通过探讨肝郁的理论基础和小儿肝郁的特点,阐述小儿肝郁与抽动障碍发病的关系,认为儿童抽动障碍的病机以肝郁为本,风、痰阻络,扰乱心神为标,治宜疏肝解郁以治其本,化痰息风、定惊安神、通络止痉以治其标,予宁心止动汤,随症加减,疗效显著.附案例1则,以资验证.
Childhood tic disorder arises from the dysfunction of the five internal organs,with the primary focus on the liver and its relationship with the heart,spleen,lungs,and kidneys.By exploring the theoretical basis of liver stagnation and the characteristics of pediatric liver stagnation,this paper elaborates on the relationship between pedi-atric liver stagnation and the onset of tic disorder.It is argued that the pathogenesis of childhood tic disorder is root-ed in liver stagnation,manifested by wind and phlegm blocking the meridians and disturbing the mind.Therefore,the treatment should focus on soothing the liver and resolving stagnation to address the root cause,while also eliminating phlegm,calming wind,tranquilizing the mind,promoting blood circulation to remove obstruction,and stopping spasms to address the symptoms.The application of Ningxin Zhidong Tang(宁心止动汤),with modifications based on individual symptoms,has yielded significant therapeutic effects.A case study is presented for verification.

tic disorderchildrenliver stagnationNingxin Zhidong Tang(宁心止动汤)

张涛、王佛、郝文、马晶莹、彭燕

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南阳市中医院儿七科,河南 南阳 473000

抽动障碍 小儿 肝郁 宁心止动汤

河南省中医药拔尖人才培养项目

豫卫中医函[2021]15号

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
年,卷(期):2024.20(5)