首页|期刊导航|中医药学报|基于"厥阴从化论"浅谈抽动障碍及其共患病形神失调的诊治

基于"厥阴从化论"浅谈抽动障碍及其共患病形神失调的诊治OA

Diagnosis and Treatment of Spirit-Body Disharmony in Tic Disorders and Comorbidities:A Brief Discussion Based on the"Jueyin Conghua Theory"

中文摘要英文摘要

抽动障碍常共患睡眠障碍、情绪障碍、学习障碍等身心疾病,多见形神失调表现,总体可归于厥阴风木疾患."厥阴从化论"认为厥阴风木以条达为顺,从少阳相火而化,木气顺遂则枢机和畅,相火化气于风木.崔霞教授基于厥阴从化理论,认为抽动障碍及共患病的发病关键在于厥阴枢机欠和、从化失常,病性趋向取决于厥阴相火之盛衰,偏盛则木从火气生烈风,偏衰则寒热错杂化伏风.治之当以和调厥阴枢机为核心,分期论治.抽动势急者,甚者独行宜专于调形,稍顾其神,以潜阳息风为要;抽动势缓者,间者并行当共治,须形神同调,疏养和风,调其本脏气血.同时配合调息调神、导引推拿、精神摄养等法,内外合治,综合干预.附验案1 则,以资临床参考.

Tic disorders often co-occur with sleep disorder,mood disorder,learning disorder and other physical and mental diseases,it's characterized by spirit-body disharmony,can be classified as Jueyin wind wood disease.The theory of Jueyin Conghua is believed that Jueyin wind wood is smooth and follows the Shaoyang phase fire,if the wood qi is smooth,the phase fire will transform into the wind wood.Guided by the"Jueyin Conghua theory",the professor Cui xia argues that the key to the pathogenesis of tic disorders and comorbidities lies in the compromised Jueyin pivotal mechanism and aberrant Conghua.The tendency of disease depends on the rise and fall of Jueyin phase fire.If it is too high,the wood will produce fierce wind from fire,and if it is too low,cold and heat will be mixed to generate wind In cases of acute and severe tics,the treatment must concentrate solely on regulating the body,with minor attention to the spirit,prioritizing the method of subduing yang and extinguishing wind.For chronic and mild tics presenting with comorbidity,a concurrent treatment approach is required.This entails simultaneous harmonization of both body and spirit,through dispersing stagnation and nourishing to pacify wind,thereby regulating the qi and blood of the root organ.At the same time,methods such as breath and mental regulation,daoyin(Therapeutic Exercise)and tuina(Chinese medical massage),and spiritual cultivation should be integrated to achieve a combined internal and external therapeutic strategy,enabling a comprehensive intervention for the condition.A case is attached for clinical reference.

赵靖;崔霞;刘叶;李响;葛礼秀

北京中医药大学,北京 100029北京中医药大学第三附属医院,北京 100029北京中医药大学,北京 100029北京中医药大学,北京 100029北京中医药大学,北京 100029

医药卫生

厥阴从化论抽动障碍共患病形神同调内外合治

Jueyin Conghua theoryTic disordersComorbiditiesSimultaneous treatment of the body and spiritInternal and external treatment

《中医药学报》 2026 (1)

49-53,5

国家自然科学基金项目(82374520)北京中医药大学揭榜挂帅项目(2024-JYB-JBZD-062)

10.19664/j.cnki.1002-2392.260009

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