摘要
本文基于文献研究对儿童多动症的中医证型分类、治法及用药的情况进行梳理。循证依据分析显示,心脾两虚及痰火内扰证为各类文献均有证型。儿童多动症的治疗多以调和阴阳为基本法则,治法多选用清心宁神、滋肾平肝、健脾化痰等法。文献记载的儿童多动症的中成药有知柏地黄丸、人参归脾丸、柏子养心丸等经典方药,有小儿黄龙颗粒、静灵口服液等专用药,也有体现异病同证同治理论的菖麻熄风片、熄风止动片及补肾健脑胶囊。多数中成药均偏重肝肾阴虚、心脾两虚证,而临床较为常见的心肝火旺证、肝风夹痰证的中成药则相对较少。通过本研究可为多动症的辨证选药及中成药的进一步研发提供指导。
This paper has teased out the TCM syndrome classification, treatment methods and medication of ADHD in children based on literature. Evidence-based analysis shows all kinds of literature include the following two syndromes：heart and spleen deficiency and internal disturbance syndrome of phlegm fire. The basic rule of treatment is regulating Yin and Yang. The treatment includes these methods：to be relaxed,to nourish kidney and relieve liver, and to tonify spleen and reduce phlegm. Chinese patent medicines for children with ADHD include classic prescriptions, special medicines and other medicines which are based on theory of same treatment for different diseases, all recorded in literature. The classic prescriptions include Zhibo Dihuang pills, Renshen Guipi pills and Baizi Yangxin pills. Special medicines include Xiaoer Huanglong granules and Jingling oral liquid. The other medicines include Changma Xifeng tablets,Xifeng Zhidong tablets and Bushen Jiannao capsules. Most of Chinese patent medicines focus on liver and kidney Yin deficiency and heart and spleen deficiency. The heart and liver fire syndrome and the wind-phlegm syndrome, which are common syndrome types in clinics, have no corresponding Chinese patent medicine. This study can provide guidance for syndrome differentiation, drug selection and further research and development of Chinese patent medicine for ADHD.
出处
《中国中西医结合儿科学》
2016年第5期470-472,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
儿童多动症
辨证论治
中成药
Attention deficit hyperactivity disorders Syndrome differentiation and treatments Chinese patent medicine
