Pathogenesis and Differentiated Treatment Strategies of Childhood Tic Disorders Based on WANG Xugao's “Thirty Methods of Treating the Liver”
10.13288/j.11-2166/r.2024.02.006
- VernacularTitle:基于王旭高“治肝三十法”探析儿童抽动障碍的病机和辨治思路
- Author:
Rui ZHAI
1
;
Juan DUAN
2
;
Yuan LI
1
;
Yanlin JIANG
1
;
Congxiao ZHOU
1
;
Zhenhua YUAN
1
;
Da LI
1
;
Junhong WANG
3
Author Information
1. Beijing University of Chinese Medicine， Beijing， 100029
2. Guang'anmen Hospital， China Academy of Chinese Medical Sciences
3. Dongzhimen Hospital， Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
tic disorders;
WANG Xugao;
liver wind;
liver qi;
liver fire
- From:
Journal of Traditional Chinese Medicine
2024;65(2):149-153
- CountryChina
- Language:Chinese
-
Abstract:
Based on WANG Xugao's “thirty methods of treating the liver”， it is believed that the occurrence and development of childhood tic disorders follow the dynamic progression from liver qi disease to liver fire disease and then liver wind disease. The basic pathogenesis of three stages are characterized by binding constraint of liver qi， liver fire hyperactivity， and internal stirring of liver wind. Moreover， liver-blood deficiency and stagnation， and malnutrition of liver yin as the main point in terms of the imbalance of liver qi， blood， yin， and yang should be considered， as well as the imbalance relationship of the five zang organs such as the involvement of other organs and the gradually reach of the other organs. Guided by the principles of “thirty methods of treating the liver”， the treatment of tic disorders in liver qi stage should focus on soothing the liver and rectifying qi， soothing the liver and unblocking the collaterals， using Xiaochaihu Decoction （小柴胡汤） and Sini Powder （四逆散）. The treatment of tic disorders in liver fire stage involves clearing， draining and resolving liver heat， using Longdan Xiegan Decoction （龙胆泻肝汤）， Xieqing Pill （泻青丸）， Danggui Longhui Pill （当归龙荟丸）， and Huagan Decoction （化肝煎）. The treatment of tic disorders in liver wind stage involves extinguishing wind and subduing yang， using Lingjiao Gouteng Decoction （羚角钩藤汤） and Liuwei Dihuang Pill （六味地黄丸）. Throughout the treatment process， attention should be paid to harmonizing the liver's qi， blood， yin， and yang， as well as addressing the pathology of other organs.
