通过对《黄帝内经》五志五脏理论进行梳理,总结五志伤脏的致病特点,并运用五志五脏理论对小儿抽动症进行辨证指导。小儿先天禀赋不足,五志过极是本病主要病因,五志伤脏,脏腑功能失调是主要病机,并进一步从五志伤脏角度阐明本病的发病机理。基于五志五脏理论与抽动症特点,创立调五脏,平五志的治疗法则,运用宣肺平肝法、疏肝理脾法、清心柔肝法、滋肾潜阳法,同时注重调畅日常情志,使五脏与五志得到平衡,疾病向愈。Through the analysis of the theory of five zhi and five viscera in The Inner Canon of Huangdi, the pathogenic characteristics of five zhi and five viscera were summarized, and the theory of five zhi and five viscera was used to guide the treatment of Tourette syndrome in children. The main cause of the disease is congenital deficiency of children’s endowment and excessive five wills. The main pathogenesis is the dysfunction of viscera. The pathogenesis of the disease was further elucidated from the perspective of five viscera. Based on the theory of five zhi and five viscera and the characteristics of Tourette’s disease, the treatment method of regulating the five viscera and calming the five zhi was established. The method of dispersing the lung and calming the liver, soothing the liver and regulating the spleen, clearing the heart and softening the liver, nourishing the kidney and suppressing yang were used. At the same time, the daily emotions were adjusted to balance the five viscera and five zhi, and the disease was cured.
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