| 刘妍琪,耿珺泽,李新民.李新民教授从气机论治小儿抽动障碍[J].浙江中医药大学学报,2023,47(4):394-396, 401. |
| 李新民教授从气机论治小儿抽动障碍 |
| Professor LI Xinmin‘s Experience in Treating Tic Disorder in Children from the Perspective of Qi Mechanism |
| DOI：10.16466/j.issn1005-5509.2023.04.011 |
| 中文关键词: 抽动障碍 气机 辛开苦降 医案 临床经验 李新民 |
| 英文关键词: tic disorder Qi mechanism pungent dispersing and bitter descending medical records clinical experience LI Xinmin |
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| 中文摘要: |
| [目的] 总结李新民教授从气机论治小儿抽动障碍的临床经验。[方法] 通过跟师侍诊，记录、整理典型病案，从病因病机、治法方药方面归纳、总结李师通过调理脏腑气机治疗小儿抽动障碍的临床经验，并附验案加以佐证。[结果] 李师认为，气机失调是小儿抽动障碍中医病机的共同环节，故治疗上重视协调气机，在辨证基础上从肝、肺、脾论治本病，多用辛散、微苦之品，辛开苦降、升降并用以恢复气机平衡，平息内风。所附验案一首诊属肝亢风动证，治以和解少阳、疏利气机，予小柴胡汤加减以平肝风，随后肺肝二脏并治，以疏风清热、协调肝肺升降，予桑菊饮加减。验案二属脾虚肝旺证，治以疏运脾胃、平肝息风，予藿香正气散加减取效。[结论] 李师从气机论治小儿抽动障碍临床疗效肯定，丰富了小儿抽动障碍的辨治体系，值得学习借鉴。 |
| 英文摘要: |
| [Objective] To summarize Professor LI Xinmin‘s experience in treating tic disorder in children from the perspective of Qi mechanism. [Methods] Through learning from the teacher， recording and sorting out typical cases， Professor LI‘s experience in treating tic disorder by regulating visceral Qi movement was analyzed and summarized from etiology， pathogenesis， therapeutic methods and prescriptions， and two medical records were attached. [Results] Professor LI advocates that the same pathogenesis of tic disorder lies in the imbalance of Qi. Therefore， Professor LI attaches importance to coordinating Qi movement and treats this disease from the Qi mechanism of liver， lung and spleen based on syndrome differentiation. The main flavors of drugs are pungent and slightly bitter， which can regulate the rise and fall of Qi to recover the disorder of visceral Qi and calm down liver wind. The patient in the first case was identified as the syndrome of liver hyperactivity and wind stirring in the first visit， the treatment included reconciling Shaoyang and dredging Qi movement， and Xiaochaihu Decoction was used. Subsequently， the lung and liver were treated together through cleaning heat， expelling wind， and coordinating the lifting and lowering of the liver and lung Qi， and Sangju Decoction was used. The patient in the second case was identified as the syndrome of spleen deficiency and liver hyperactivity， the treatment included dispersing the spleen and stomach， suppressing hyperactive liver and calming endogenous wind， and Huoxiang Zhengqi Powder was used. [Conclusion] Professor LI‘s treatment of tic disorder in children from the perspective of Qi mechanism obtains remarkable therapeutic effects and enriches the traditional Chinese medicine syndrome differentiation and treatment system in the treatment of tic disorder， which is worthy of further study and application. |
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