摘要
注意缺陷多动障碍是一种常见于儿童时期的行为障碍,其症状具有显著的非特异性。关于此病的具体发病机制,目前尚不完全明确。中医药治疗本病疗效确切,具有独特优势。“一气周流”理论是清代医家黄元御通过系统整合并创新性发展传统中医理论框架,构建的独具特色的诊疗体系,在临床中应用广泛。本文基于“一气周流”理论探讨儿童注意缺陷多动障碍的病机,认为中气失常是本病发生的根本,同时,肝木亢逆、肺失清肃、君相火炽等因素是本病发展的关键因素;治疗上强调以恢复中气轮转为核心,把握脾、胃、肺、肝、心、肾等脏腑气机的整体变化,并根据气机运转的动态变化分别侧重于升举清阳、降胃导浊、柔肝熄风、肃肺降逆、降火归元等治法,从多个角度促使患儿一气周流通畅,进而提高本病治疗效果。
Attention-deficit/hyperactivity disorder(ADHD)is a common behavioral disorder in children and has significant non-specific symptoms.The specific pathogenesis of ADHD remains unclear.Chinese medicine has a unique advantage in treating this disease.The"qi cycle in round"theory is a unique diagnosis and treatment system constructed by Huang Yuanyu,a Qing Dynasty physician,through systematic integration and innovative development of the theoretical framework of traditional Chinese medicine,which is widely used in clinical practice.Based on the"qi cycle in round"theory,the pathogenesis of ADHD in children was discussed,and the abnormal middle qi was proposed as the root cause of the disease,with hyperactivity of the liver,lung depletion,and fire as the key contributing factors.Guided by the"qi cycle in round"theory in the treatment of ADHD in children,the approach focuses on restoring and balancing central qi.It emphasized the understanding of the overall changes in the spleen,stomach,lungs,liver,heart,kidney,and other viscera,along with the movement of qi.Treatment focuses on methods such as lifting clear yang,reducing stomach turbidity,softening the liver and quenching the wind,suppressing the lungs and reducing the inversion,and reducing the fire and returning to the yuan.These interventions aim to promote the smooth circulation of the qi circulation from multiple perspectives,thereby facilitating recovery.
作者
张鑫业
赵月
赵奚玉
林一辰
刘康乐
赵佳安
韩斯昂
吴振起
ZHANG Xinye;ZHAO Yue;ZHAO Xiyu;LIN Yichen;LIU Kangle;ZHAO Jia′an;HAN Si′ang;WU Zhenqi(The First Clinical College of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang110031,China;Shenyang Key Laboratory of Exogenous Diseases of Traditional Chinese medicine,Shenyang 110031,China)
出处
《北京中医药大学学报》
北大核心
2025年第8期1127-1133,共7页
Journal of Beijing University of Traditional Chinese Medicine
基金
辽宁省自然科学基金项目(No.2022-YGJC-81)
沈阳市科学技术计划医工结合协同创新研究项目(No.223213219)。
关键词
一气周流
注意力缺陷多动障碍
四圣心源
儿童
qi cycle in round
attention-deficit/hyperactivity disorder(ADHD)
the heart source of the four sages
children
