1.Treating Attention Deficit Hyperactivity Disorder from the Lung Based on Circular Movement and Five Spirits Stored in Corresponding Viscera Theory
Zhihua YE ; Laiying ZHANG ; Duanxiu ZHANG ; Junhong WANG
Journal of Traditional Chinese Medicine 2024;65(4):428-433
It is believed that the main pathogenesis of attention deficit hyperactivity disorder (ADHD) is the abnormality of the ethereal and corporeal soul that dominate perception, behaviour and sensory functions, that is, the left liver ethereal soul ascending too much while the right lung corporeal soul failing to descend, of which lung corporeal soul restlessness and lung failing to astringe and descend is the core. By analyzing the pathogenesis of attention defects due to “heart-lung-kidney-liver four dimensions circuit failure” and hyperactivity and impulsivity due to “liver-heart-lung chief and deputy disharmony” from the perspective of circular movement and five spirits stored in corresponding viscera theory, respectively, it is believed that the lung corporeal soul plays an important role in the onset of this disease, and further summarized that “the five zang (脏) organs are correlated, and the lungs are the pivot” is the pathogenic characteristics, and “the lung corporeal soul is restless, and the lungs fail to astringe and descend” is the core pathogenesis. It is proposed that deficiencies can be treated with self-made Jingning Formula (静宁方) modification to supplement the lungs, calm the corporeal soul, and nourish the source of yin. For deficiency leading to excess, medicinals of clearing the lung, calming the liver, and dissolving phlegm in addition to Jingning Formula can be used to clear metal and calm corporeal soul, inhibit wood and calm ethereal soul, dissolve phlegm and dispel stasis, so as to establish a differentiation and treatment system of “treating syndromes of the five zang organs and focusing on regulating the lungs”, and then provide theoretical reference for clinical diagnosis and treatment.