现代中医临床2024，Vol.31Issue(5)：1-4,26,5.DOI:10.3969/j.issn.2095-6606.2024.05.001
基于"以证统病"探讨抽动障碍及其共患病的辨治思路
Discussion on syndrome differentiation and treatment of tic disorder and its comorbidities based on syndrome differentiation
摘要
Abstract
Tic disorder (TD) is a neurodevelopmental disease that starts in childhood and mainly presents with tic symptoms. Its clinical manifestations are diverse and can be accompanied by a variety of comorbidities,which increase the complexity and severity of the disease. Under the guidance of the overall thought of traditional Chinese medicine,the core pathogenesis of spleen deficiency and liver hyperactivity is emphasized,and the particularity of comorbidities can be considered on the basis of overall syndrome differentiation. Spleen deficiency and liver hyperactivity often influences the lung,with qi stagnation changes,and is prone to tic and hyperactivity in clinic. Spleen deficiency and liver hyperactivity influences the heart,and has fire evil internal disturbance,which is prone to tic and anxiety in clinic. Spleen deficiency and liver hyperactivity influences the kidney,phlegm is endogenous,and is prone to tic and depression. This paper aims to provide new ideas for the diagnosis and treatment of tic disorder and its comorbidities,simplify the diagnosis and treatment thinking,and improve the understanding of TD and related comorbidities among clinicians.关键词
抽动障碍/共患病/以证统病/异病同治/脾虚肝旺Key words
tic disorder/comorbidities/syndrome based disease/homotherapy for heteropathy/spleen deficiency and liver hyperactivity分类
医药卫生引用本文复制引用
张雯,赵艾婧,余斯雅,崔霞,王素梅..基于"以证统病"探讨抽动障碍及其共患病的辨治思路[J].现代中医临床,2024,31(5):1-4,26,5.基金项目
北京中医药薪火传承"3+3"工程王素梅名医传承工作站(No.2022-SZ-C-89) （No.2022-SZ-C-89）
王素梅全国名老中医药专家传承工作室 （）
第六批北京市级中医药专家学术经验继承项目(No.京中医科字[2021]169号) （No.京中医科字[2021]169号）
