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1、-------浙江中医药大学学报2015年4月第39卷第4期宣桂琪教授治疗小儿多发性抽动症经验浅谈徐贤达1陈健宣晓波2宣桂琪(指导)21.浙江中医药大学第一临床医学院杭州3100532.浙江中医药大学附属第一医院摘要:[目的]探析宣桂琪教授治疗小儿多发性抽动症的临床经验。[方法]通过跟随宣教授临诊,从病因病机、治则方药等方面总结宣桂琪教授治疗小儿多发性抽动症的经验与思想,并附验案举隅。[结果]宣桂琪教授认为小儿抽动症病因虽与外感六淫、情志因素、饮食因素及先天禀赋不足有关系,但主要与外感风邪有关。病
2、位在五脏,主要在肝。治疗主要以疏风宣肺、平肝祛风为治则,佐以化痰、消食、活血通络,临床取得显著疗效。[结论]宣桂琪教授以外风立论治疗小儿多发性抽动症疗效显著,其经验及用药值得临床推广应用。关键词:小儿抽动症;疏风宣肺;平肝祛风;宣桂琪;名医经验;医案中图分类号:R720.5文献标识码:A文章编号:1005-5509(2015)04-0262-03DOI:10.16466/j.issn1005-5509.2015.04.005ProfessorXuan’sExperienceinTreatingTo
3、uretteofChildrenXuXianda,ChenJian,XuanXiaobo,etal1.ZhejiangUniversityofTraditional122ChineseMedicine,TheFirstClinicalMedicalFacultyGraduateDepartment,Hangzhou(310053),China;2.ZhejiangUniversityofTraditionalChineseMedicineAbstract:[Objective]Toresearch
4、professorXuan’sexperienceintreatingtouretteofchildren.[Method]ByfollowingprofessorXuandiagnosis,itsummarizesprofessorXuan’sexperienceintreatingtouretteofchildrenfromtheaspectsofthereasonandmechanism,treatingrulesandformula,aswellasliststwoprovencases.
5、[Result]ProfessorXuanconsiderstheetiologyofpediatrictouretteconnectedwithsixexogenous,emotionalfactors,dietaryfactorsandcongenitaldeficiency,primarilyassociatedwithexogenouspathogenicwind.LiverispossessedofthemajorityinthelocationsofthediseaseinFiveza
6、ngorgans.Heholdsthatexpellingwind,dispersinglung,calmingliverwindaretheprimarytreatmentprinciples,andsupportedbydissolvingsputum,eliminatingindigestionandpromotingbloodcirculation.Allthesetherapeuticmethodsobtainsignificanteffect.[Conclusion]Professor
7、Xuan’sclinicalexperienceandherbsusedintreatingtouretteofchildrenfromexogenouspathogenicwindiswellworthextendinginclinicforitalwayshassignificanteffect.Keywords:tourettesyndrome;expellingwindanddispersinglung;calminglivertoremovewind;XuanGuiqi;famousdo
8、ctor’sexperiences;medicalcases宣桂琪教授是全国名老中医药专家学术经验继时散,故常常一组症状缓解后又出现另一组抽动症承指导老师,浙江省名中医,在治疗小儿多发性抽动状,变化无常。在临床上多数抽动患儿常有鼻炎、扁桃症、儿童哮喘、急惊风等疾病方面有着独特的经验。体炎及反复呼吸道感染,不少患儿是过敏体质。有的宣老长期从事中医药治疗小儿多发性抽动症的研患儿以喉中异声为主证,无其他抽动症状。在邪与风、究,对此病的治疗有独特见解,疗效显著,现将宣老痰有关,在脏与肝、肺