从钱乙五脏辨证论治抽动障碍理论探讨

钱乙五脏辨证对儿童抽动障碍的辨治具有重要的价值。抽动障碍非一脏之病,而是"五脏同病",肝风为病机之核心,或兼肺虚受邪、外风引动内风,或兼脾虚土衰、木乘脾土,或兼心热火旺、风火相搏,或兼肾阴亏虚、水不涵木。治疗尊五脏补泻的原则,以调肝熄风为本,针对不同的病机,或清宣肺气,或扶土抑木,或清心泻火,或养阴补肾。

Theoretical Discussion of Treating Tic Disorder with Five-Zang Syndrome Differentiation of QIAN Yi

Five-zang syndrome differentiation of QIAN Yi has important value for the diagnosis and treatment of tic disorder in children. Tic disorder involves more than one zang organ,and it usually affects five zang organs at the same time. Liver wind is the core of disease mechanism,usually with lung deficiency attacked by external leading to internal wind,or with spleen deficiency leading to wood over inhibiting earth,or heart heat with wind fire,or with yin deficiency failing to nourish wood. The treatment should follow the principle of tonfiying and purging five zang organs,that extinguishing liver wind is the essential method,in combination with clearing and dispersing lung qi,or with tonifying earth and suppressing wood,or with clearing heart fire,or with nourishing yin and tonifying kidneys.