北京中医药大学学报2024，Vol.47Issue(8)：1075-1080,6.DOI:10.3969/j.issn.1006-2157.2024.08.008
基于"象-气化"理论从风探析抽动障碍五风辨治体系
Analysis of five-wind differentiation and treatment system of tic disorder based on the "manifestation-qi transformation" theory
摘要
Abstract
Tic disorder (TD) is a neurodevelopmental disorder. According to the core symptoms,it can be classified as "liver wind","wind syndrome",and "concurrent". The clinical syndrome of TCM is based on wind,and the pathogenesis is based on the liver. However,the clinical symptoms of this disease are relatively complicated. Based on the " manifestation-qi transformation" theory,this study further explores the liver wind,lung wind,heart wind,spleen wind,and kidney wind from the pathological basis of intrinsic wind rash movement and proposes that the liver wind caused by hyperactivity of liver yang is the main cause of intrinsic wind rash movement in TD,and the lung wind caused by lung loss is the main cause. The liver is related to the heart,spleen,and kidney. Together,the five-wind affect the onset,development,and outcome of TD. Based on this understanding of the pathogenesis,it is necessary to identify the specific syndromes of the patients. The five-wind differentiation and treatment system uses the method of calming the liver and dispelling the lungs to treat the root of the internal wind rash movement. Xiaochaihu Decoction,Sangju Decoction,Cang'erzi Powder,and other prescriptions can be used with modification and subtract and use method of controlling heart fire,transporting spleen soil,and nourishing kidney water to treat derived images. Meanwhile,Xieqing Pill,Daochi Powder,Yigong Powder,Erchen Decoction,Liuwei Dihuang Pill,and other prescriptions can be used with modification.关键词
风/象/五风/五脏/抽动障碍Key words
wind/manifestation/five-wind/five viscera/tic disorder分类
医药卫生引用本文复制引用
刘文博,史文丽,马丙祥,田潇阳,李宇迪,温盈盈..基于"象-气化"理论从风探析抽动障碍五风辨治体系[J].北京中医药大学学报,2024,47(8):1075-1080,6.基金项目
国家自然科学基金项目(No.81904252) （No.81904252）
河南省科技厅科技发展计划项目(No.22102310454) （No.22102310454）
2023年度河南省中医学"双一流"创建科学研究专项(No.HSRP-DFCTCM-2023-8-28) （No.HSRP-DFCTCM-2023-8-28）
河南省中医药科学研究专项(No.2023ZY2057,No.2023ZY2036)National Natural Science Foundation of China(No.81904252) （No.2023ZY2057,No.2023ZY2036）
