韩新民教授治疗儿童抽动障碍经验
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摘要
韩新民教授临床辨治儿童抽动障碍,强调病的诊断遵从西医,证的诊断依从中医。首重虚实辨证,实证多为风痰证,虚证多为肝肾阴虚证。治疗以中医药为主,着重辨证论治,随症加减。重视家庭调护,自拟息风涤痰汤治疗风痰证,以六味地黄丸治疗肝肾阴虚证,每获良效。附案例1则,以资验证。
When it comes to syndrome differentiation and treatment for children with tic disorder in clinic,professor HAN Xinmin emphasizes that diagnosis of the disease abides by the Western medicine,while the diagnosis of syndrome complies with TCM.He first attaches importance to deficiency-excess syndrome differentiation,the excess syndrome is mostly wind-phlegm syndrome,while the deficiency syndrome is mostly deficiency of liver-yin and kidney-yin.The treatment gives priority to traditional Chinese medicine,emphasizing symptom differentiation and treatment, and adding or subtracting according to symptoms.Attention should be paid to family nursing, self-made Xifeng Ditan Tang(息风涤痰汤) was used to treat wind-phlegm syndrome,and Liuwei Dihuang Wan(六味地黄丸) was used to treat deficiency of liver-yin and kidney-yin,with marked effect in each case.One case is attached for verification.
When it comes to syndrome differentiation and treatment for children with tic disorder in clinic,professor HAN Xinmin emphasizes that diagnosis of the disease abides by the Western medicine,while the diagnosis of syndrome complies with TCM.He first attaches importance to deficiency-excess syndrome differentiation,the excess syndrome is mostly wind-phlegm syndrome,while the deficiency syndrome is mostly deficiency of liver-yin and kidney-yin.The treatment gives priority to traditional Chinese medicine,emphasizing symptom differentiation and treatment, and adding or subtracting according to symptoms.Attention should be paid to family nursing, self-made Xifeng Ditan Tang(息风涤痰汤) was used to treat wind-phlegm syndrome,and Liuwei Dihuang Wan(六味地黄丸) was used to treat deficiency of liver-yin and kidney-yin,with marked effect in each case.One case is attached for verification.
引文
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[4]孙聪玲,韩峰,刘美英,等.中医药治疗小儿多发性抽动症的研究进展[J].中国医药导报,2014,11(36):162-165.
[5]徐雯,赵俊秀,孙锦华.抽动障碍的行为治疗研究进展[J].中国临床心理学杂志,2018,26(2):417-420.
[2]Freeman R D,Fast D K,Burd L,et al.International perspective on Tourette syndrome:selected findings from 3 500 individuals in 22 countries[J].Dev Med Child Neurol,2000,42(7):436-447.
[3]徐鑫,林忠东,胡颖,等.儿童抽动障碍82例分析[J].中国实用医药, 2010,5(18):56-57.
[4]孙聪玲,韩峰,刘美英,等.中医药治疗小儿多发性抽动症的研究进展[J].中国医药导报,2014,11(36):162-165.
[5]徐雯,赵俊秀,孙锦华.抽动障碍的行为治疗研究进展[J].中国临床心理学杂志,2018,26(2):417-420.