从肝脾论治抽动障碍临证经验

[关键词］抽动障碍；肝脾论治；二陈汤；抑肝散；抑木扶土

[中图分类号］R249 [文献标志码]A [文章编号]0256-7415（2025）18-0077-06

DOI：10.13457/j.cnki.jncm.2025.18.014

Clinical Experience in Treating Tic Disorders from Liverand Spleen

LI Ke1 ，CHE Zhiying²

HenanGeneralHospital，ZhengzhouHenan450o2，China；2.HenanUniversityofChineseMedicine，ZhengzhouHenan450046，C

Abstract：The occurrence of tic disorders is closely related to the five zang organs，mainly the liver and the splen．The two organs restrict each otherphysiologicallyand impact each other pathologicall，and jointly regulateqi andbloodof human body.Thepathogenesisof ticdisordersismostlytheinternal stiringof liver windandinternal accumulation of phlegm turbidity.Whether the liver function and spleen function are strong or weak has a certain correlation with the stateof healthyqi inhuman．Inclinical practice，thecombination use ofmodified Erchen Tang and Yigan San or acupuncture can achieve the purpose of treating tic disorders bycalming liver and extinguishing wind and fortifying the spleen and resolving phlegm.

Keywords：Tic disorders；Treatment from liver and spleen；Erchen Tang；Yigan San；Inhibiting liver and invigorating spleen

抽动障碍是一种起病于儿童时期，以抽动为主要表现的神经精神疾病，其特点是突然、快速、反复、无节奏的运动或发声，包括一些简单的形式，如眨眼、皱眉、做鬼脸、清嗓子、嘴、摇头、耸肩等；还有一些复杂的形式，如身体扭曲、秽亵言语（如脏话）或重复别人的词或短语[1-3]。（剩余8579字）