首页|史正刚教授运用菖蒲郁金汤加减治疗小儿抽动障碍经验

史正刚教授运用菖蒲郁金汤加减治疗小儿抽动障碍经验

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史正刚教授认为小儿抽动障碍病位多在心、肝,病理因素为痰、火、风,基本病机为痰火引动肝风,上扰心神,其中痰火是宏观因素,风动为微观因素。治以清热化痰、平肝息风、止痉安神,方予菖蒲郁金汤加减,临床取得了满意疗效。史教授综合了中医的"宏观辨证"思想和西医的"微观打靶"的治疗,指出从宏观角度上调节机体的状态,也就是外环境等同于体质,使得机体的"痰化、火息",以达到平息肝风的目的。再针对一系列风象症状,即是更精准地针对疾病症状变化和理化指标,进行精准化的祛外风、息内风的治疗。附案例1则,以资验证。
Professor SHI Zhenggang's experience in treating pediatric tic disorders with modified Changpu Yujin Tang(菖蒲郁金汤)
Professor SHI Zhenggang believes that pediatric tic disorders primarily affect the heart and liver,with pathological factors including phlegm,fire,and wind.The basic pathogenesis involves phlegm-fire stirring up liver wind,which disturbs the mind.Among these,phlegm-fire is the macro factor,and wind movement is the micro factor.The treatment focuses on clearing heat,resolving phlegm,calming the liver and stopping wind,soothing convulsions,and calming the nerves,using a modified Changpu Yujin Tang(菖蒲郁金汤),which has achieved satisfactory clin-ical efficacy.Professor SHI integrates the"macro-dialectical"thinking of traditional Chinese medicine(TCM)with the"micro-targeting"treatment of Western medicine,emphasizing the regulation of the body's state from a macro perspective,where the external environment is equivalent to constitution,allowing the body to"resolve phlegm and extinguish fire"to achieve the purpose of calming liver wind.Furthermore,he targets a series of wind-related symp-toms,which involves a more precise approach to changes in disease symptoms and physicochemical indicators,for targeted treatment to drive out external wind and calm internal wind.A clinical case is attached for verification.

pediatrictic disordersmodified Changpu Yujin Tang(菖蒲郁金汤)clinical experienceSHI Zhenggang

郭佩、李夏丽、史正刚

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甘肃中医药大学中医临床学院,甘肃 兰州 730101

儿童 抽动障碍 菖蒲郁金汤加减 临床经验 史正刚

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(6)