儿童抽动障碍痰火扰神证的中药治疗

文章信息/Info

• Title:儿童抽动障碍痰火扰神证的中药治疗

• 卷期:2024年22卷14期

• 作者:姜依铭1，冯严娇1，吕义良1，张葆青2*

• 1.山东中医药大学第一临床学院中医儿科学 山东 济南250014；2.山东中医药大学附属医院儿科 山东 济南250014

• Author(s):Jiang Yiming, Feng Yanjiao, Lv Yiliang, Zhang Baoqing

• 1.Shandong University of Traditional Chinese Medicine, Jinan Shandong 250014, China; 2.Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan Shandong 250014, China

• 关键词抽动障碍；痰火扰神证；中药

• Keywords:Tic disorder; Phlegm - fire disturbing the spirit; Traditional Chinese medicine

• 摘要:儿童抽动障碍是一种慢性反复性神经精神发育障碍性疾病，由于其发病率有逐年升高趋势，所以越来越受到医学研究与社会关注。近年中药治疗儿童抽动障碍成为更多患者的选择，其病因病机研究亦愈加深入，多数共识认为风、痰是贯穿本病的重要病理因素，因小儿特殊病理、生理特点，儿童抽动障碍以痰火扰神证为常见证型，本文对该证型中药治疗进行综述。                                                                                                                                                                                

• AbstractChildren's tic disorder is a chronic and recurrent neuropsychiatric disorder, which has attracted more and more medical research and social attention due to its increasing incidence year by year. In recent years, traditional Chinese medicine treatment of children's tic disorder has become the choice of more patients, its etiological mechanism research has become more and more in-depth, most of the consensus believes that wind, phlegm is an important pathological factor throughout the disease, due to the special pathological and physiological characteristics of children, children's tic disorder to phlegm - fire disturbing the spirit as a common evidence, this article reviews the treatment of this type of Chinese medicine.

  抽动障碍（Tic disorder，TD）是起病于儿童或青少年时期的，以运动性和（或）发声性抽动为特征的一种神经精神发育障碍性疾病，男女比例为（3-5）∶1[1]，抽搐严重程度的峰值通常发生在10至12岁之间[2]。目前，其病因和发病机制尚不完全明确，一般认为是遗传因素、精神心理因素和环境因素等共同起作用的慢性疾病。按病程和临床表现，本病临床分为三个亚型：短暂性抽动障碍（TTD）、持续性（慢性）运动或发声抽动障碍（CTD）及Tourette综合征（TS）。