史正刚教授运用菖蒲郁金汤加减治疗小儿抽动障碍经验
Professor SHI Zhenggang's experience in treating pediatric tic disorders with modified Changpu Yujin Tang(菖蒲郁金汤)
郭佩 1李夏丽 1史正刚
作者信息
- 1. 甘肃中医药大学中医临床学院,甘肃 兰州 730101
- 折叠
摘要
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.
Abstract
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.
关键词
儿童/抽动障碍/菖蒲郁金汤加减/临床经验/史正刚Key words
pediatric/tic disorders/modified Changpu Yujin Tang(菖蒲郁金汤)/clinical experience/SHI Zhenggang引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据