Li Yirui's Experience in Treating Tic Disorders and Comorbidities in Children Based on the Pathogenesis of Liver-Spleen Disharmony and Five-Zang-Organ Correlation Theory
10.13359/j.cnki.gzxbtcm.2025.10.029
- VernacularTitle:李宜瑞基于"肝脾失调-五脏相关"论治儿童抽动障碍及其共患病经验
- Author:
Shanchang LI
1
;
Meirong JIANG
;
Shuoshuo GAO
;
Hua LIU
;
Xiaogang CHEN
;
Donglan LAI
Author Information
1. 广东省妇幼保健院,广东 广州 510010
- Keywords:
tic disorder in children;
comorbidities;
liver-spleen disharmony;
five-zang-organ correlation;
wind-phlegm disturbance;
four liver-regulating methods;
four spleen-regulating methods;
self-formulated Fupi Xifeng Decoction;
Li Yirui
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(10):2564-2571
- CountryChina
- Language:Chinese
-
Abstract:
Tic disorders in children refer to the neurodevelopmental disorders usually occurring in childhood and adolescence.Guided by the theory of five-zang-organ correlation,Professor Li Yirui approaches the treatment of tic disorders in children and comorbidities primarily from the perspective of liver-spleen disharmony,and points out that the pathogenesis is due to liver-spleen disharmony,wind-phlegm disturbance,and mutual involvement of the five zang organs.In clinical practice,Professor Li established the therapeutic principle of regulating the liver and spleen,extinguishing wind,and resolving phlegm,and adopted the four liver-regulating methods(calming liver,soothing liver,clearing liver,and softening liver)to extinguish wind and stop tics,as well as the four spleen-regulating methods(replenishing spleen,activating spleen,awakening spleen,and dredging spleen)to strengthen body resistance and support healthy qi.The self-formulated Fupi Xifeng Decoction(composed of Pseudostellariae Radix,Atractylodis Macrocephalae Rhizoma,Poria,Glycyrrhizae Radix et Rhizoma,Bupleuri Radix,Paeoniae Radix Alba,Uncariae Ramulus cum Uncis,Gastrodiae Rhizoma,Pinelliae Rhizoma Praeparatum,Citri Reticulatae Pericarpium,Os Draconis,etc.)serves as the basic formula,herbs directing to the affected regions were flexibly used,and insect drugs were occasionally adopted for refractory cases.The treatment for tic disorders in children focus on simultaneous regulation of the five zang-organs by modified use of herbs for dispersing wind and benefiting lung,tranquilizing heart and calming spirit,and supplementing liver and kidney to address comorbidities and secondary symptoms.Additionally,integrated internal-external treatment,relieving the discomforts physically and mentally,and family-centered comprehensive care are also taken into account to achieve optimal outcomes.
