熊磊分期辨治儿童抽动障碍经验

熊磊教授认为风邪留伏、痰瘀互结、风动痰扰是抽动障碍的病机关键，其中风邪留伏是本病反复发作的夙根，临证治疗可分为急性发作期、慢性持续期。急性发作期病势急，实证为主，根据患儿风、痰、火邪的偏重程度分别予平肝息风、清热涤痰、疏风清热；慢性持续期病程长，虚证为主，根据脾虚、阴虚、血虚不同分别以健脾养肝、滋补肝肾、养血柔肝为主。同时根据抽动部位加减化裁，并注意兼顾共患病。

Experience of Professor XIONG Lei in Treating Children with Tic Disorder by Stages

Professor XIONG Lei holds that wind evil retention,intermingled phlegm and stasis,and wind stirring and phlegm disturbing are the key disease mechanism of tic disorder,in which wind evil retention is the root of repeated attack of this disease,and clinical treatment of tic disorder could be divided into acute attack stage and chronic duration stage.In the acute attack stage,the disease is acute and mainly pertains to excessive syndrome,and therefore according to the severity of wind,phlegm and fire evil,patients are treated by pacifying liver and extinguishing wind,clearing heat and clearing up phlegm,dispersing wind and clearing heat.In the chronic duration stage,the disease course is long and mainly pertains to deficient syndrome,and therefore,according to the deficiency of spleen,yin and blood,patients are treated by invigorating spleen and nourishing liver,nourishing the liver and kidney,nourishing blood and softening liver.Besides,according to tic location,the treatment should be modified.Also,the accompanied diseases should be treated.