Clinical thoughts for the treatment of tic disorders in children with triangular herbs

Qiang ZHANG; Ting SUN; Ning ZHANG; Jinglong YU; Yurou YAN; Tiying LYU; Junhong WANG

doi:10.3969/j.issn.2095-6606.2022.04.010

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Clinical thoughts for the treatment of tic disorders in children with triangular herbs

更新时间：2022-07-28

- Clinical thoughts for the treatment of tic disorders in children with triangular herbs
- Modern Chinese Clinical Medicine Vol. 29, Issue 4, Pages: 50-54(2022)
- 作者机构：
  
  北京中医药大学东直门医院　北京　100700
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2022.04.010
  CLC： R272
- Published：30 July 2022，
  
  Received：16 January 2022，
- 稿件说明：
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Qiang ZHANG, Ting SUN, Ning ZHANG, et al. Clinical thoughts for the treatment of tic disorders in children with triangular herbs. [J]. Modern Chinese Clinical Medicine 29(4):50-54(2022)
DOI：

Qiang ZHANG, Ting SUN, Ning ZHANG, et al. Clinical thoughts for the treatment of tic disorders in children with triangular herbs. [J]. Modern Chinese Clinical Medicine 29(4):50-54(2022) DOI： 10.3969/j.issn.2095-6606.2022.04.010.

摘要

抽动障碍是一种临床以不自主、反复、突发、快速的，重复、无节律性的1个或多个部位运动抽动和/或发声抽动为主要特征的神经精神障碍性疾病，多见于儿童。儿童抽动障碍在中医学归属于“肝风”等范畴，病位在肝，与脾关系密切，肝风内动为基本病机，风痰阻络是其难愈之因，木郁土壅是其病进之因。角药是利用中药性味归经的特点，将3味中药合理配伍、联合使用的药物组合模式，在儿童抽动障碍的治疗中应用广泛。治疗儿童抽动障碍时，根据肝风内动、风痰阻络、木郁土壅的病机分别立调肝息风以止抽动、息风豁痰以通经络、运脾疏肝以调气机的治法，依法配伍中药形成固定角药。治疗时把握整体病因病机，辨病辨证相结合，灵活运用角药组方。结合验案对角药在儿童抽动障碍中的临床应用进行介绍。

Abstract

The tic disorders are neuropsychiatric disorders characterised by involuntary

repetitive

sudden

rapid

recurrent and nonrhythmic motor tics and/or phonic tics in one or more parts of the body

and they often occur in children. In traditional Chinese medicine

the tic disorders in children are classified as liver wind

located in the liver and closely related to the spleen. The basic pathogenesis is the liver wind stirring

the wind phlegm obstructing collaterals is the reason why this disease is difficult to cure

and the liver depression and spleen obstruction are the resason for its progression. Triangular herbs are a combination of three herbs

which are formulated according to the property

flavor

and meridian of the herb. Triangular herbs are widely used in the treatment of the tic disorders in children. According to the pathogenesis

three methods are formulated in treating children with the tic disorders

namely

regulating the liver and calming wind to stop tics

calming wind and expelling phlegm to dredge meridians and transporting the spleen and soothing the liver to regulate

. Therefore the fixed triangular herbs are formed accordingly. In terms of treatment

triangular herbs are used flexibly to form a traditional Chinese medicine prescription based on the holistic dialectics and the combination of disease differentiation and syndrome differentiation. Combined with clinical case

this paper introduces the clinical application of triangular herbs in children with the tic disorders.

关键词

抽动障碍儿童角药肝风

Keywords

tic disorderschildrentriangular herbsliver wind

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