马丙祥从“肝风”论治儿童抽动障碍经验
MA Bingxiang's Experience on Treating Children's Tic Disorder From “Liver Wind“
DOI:10.13192/j.issn.1000-1719.2021.04.016
扫 描 看 全 文
1.河南中医药大学第一附属医院,河南 郑州 450000
2.河南中医药大学,河南 郑州 450046
扫 描 看 全 文
张建奎, 马丙祥, 史文丽, 等. 马丙祥从“肝风”论治儿童抽动障碍经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.04.016
Jiankui ZHANG, Bingxiang MA, Wenli SHI, et al. MA Bingxiang's Experience on Treating Children's Tic Disorder From “Liver Wind“[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.04.016
张建奎, 马丙祥, 史文丽, 等. 马丙祥从“肝风”论治儿童抽动障碍经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.04.016 DOI:
Jiankui ZHANG, Bingxiang MA, Wenli SHI, et al. MA Bingxiang's Experience on Treating Children's Tic Disorder From “Liver Wind“[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.04.016 DOI:
抽动障碍是一种起病于儿童时期、以抽动为主要表现的神经精神疾病。现代医家多从肺金、肝木、肾水、心火、脾土等为切入点治疗抽动障碍。马丙详教授结合古籍文献记载及个人临床经验,认为抽动障碍病位主要在肝,“肝风内动”是本病的主要病机。“风邪”是多发性抽动症发病的关键。临床上把抽动障碍分为风邪犯肺、肝亢风动、痰热动风、脾虚肝亢及阴虚阳亢5个证型,治疗上从肝制动,以平肝、疏肝、清肝、扶土、柔肝之法对应抽动症不同证型。用药时灵活变通,久病辅以养心安神、补血活血之品,“治风先治血,血行风自灭”,并重视动物药的应用,根据具体抽动症状及时加减变化,疗效显著。
Tic disorder is a kind of neuropsychiatric disease which starts in childhood and mainly manifested by tics.Most modern doctors treat tic disorder from lung metal, liver wood, kidney water, heart fire, spleen earth and so on.Professor MA Bingxiang, combined with the ancient literature and personal clinical experience, thinks that tic disorder is mainly located in the liver, and “liver wind internal movement“ is the main pathogenesis of the disease. “Wind evil“ is the key to the onset of multiple tic.Clinically, tic disorder can be divided into five types:wind evil attacking lung, liver hyperactivity, phlegm-heat inducing wind, spleen deficiency and liver hyperactivity, Yin deficiency and Yang hyperactivity.In the treatment, the methods of calming liver, soothing liver, clearing liver, supporting spleen earth and softening liver were used to treat different syndrome types of tic.The treatment should be flexible, supplemented with the drugs of nourishing heart, calming the nerves, tonifying blood and activating blood flow for the long-term disease. “Treating the wind first and then letting the wind go by itself“ .It should also pay attention to the application of animal medicine, and timely add and subtract changes according to specific tic symptoms.
马丙祥抽动障碍肝风
MA Bingxiangtic disordersliver wind
中华医学会儿科学分会神经学组.儿童抽动障碍诊断与治疗专家共识(2017实用版)[J].中华实用儿科临床杂志,2017,32(15):1137-1140.
王江,张膘.张骠教授治疗儿童抽动障碍经验举要[J].中国中医急症,2016,25(3):438-460.
刘智胜.儿童抽动障碍诊断要点[J].中国实用儿科杂志,2012,27(7):481-484.
史文丽,马丙祥.马丙祥基于钱乙五脏辨证理论治疗儿童抽动障碍的学术思想探讨[J].辽宁中医杂志,2018,45(2):294-296.
薛小娜,卫利,刘奕,等.从痰瘀论治小儿多发性抽动症[J].环球中医药,2019,12(5):739-742.
王芳芳,马丙祥,史文丽,等.马丙祥经方治疗儿童抽动障碍经验[J].辽宁中医杂志,2019,46(7):1384-1386.
张海华,汤琛,李知行,等.儿童抽动障碍的中医药治疗研究进展[J].中华中医药杂志,2018,11(3):5061-5065.
任燕.马丙祥教授辨证论治小儿多发性抽动症经验[J].中医研究,2011,24(5):74-75.
杨江.从五脏论治多发性抽动症[J].江西中医药,2018,49(1):19-20.
郑宏,王素梅.王素梅从肝脾论治小儿多发性抽动症经验[J].辽宁中医杂志,2017,44(11):2284-2285.
宋淑芬,杨亚丽.马丙祥教授治疗脾虚肝亢型多发性抽动症经验[J].中医研究,2013,26(4):44-46.
赵丽娜,马丙祥,潘焕焕.马丙祥教授治疗小儿多发性抽动症临床经验[J].光明中医,2013,28(5):909-910,917.
马丙祥,史文丽.马丙祥教授辨治小儿多发性抽动症经验[J].中外妇儿健康,2011,19(8):311.
于作洋,王基鑫.儿童抽动障碍的中医药治疗研究进展[J].中日友好医院学,2006,20(2):124.
俞婉静,阮红明,韩新民.韩新民从风痰论治儿童抽动症经验[J].浙江中医药大学学报,2017,41(1):69-71.
0
浏览量
8
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构