中医杂志

总结张磊教授从五脏失常辨治小儿抽动障碍的临证经验。认为小儿抽动障碍的基本病机为五脏失常，可分为心肝火旺证，浊瘀扰神证，木火刑金、肺失宣肃证，脾虚生风、肝木失荣证，脾肾不足、意弱志伤证共五种证型，分别运用达郁法、涤浊法、轻清法、运通法、固元法辨治。针对上述五个证型，分别采用自拟郁达汤、指迷茯苓丸加味、自拟谷青汤、自拟运通汤、自拟固元汤，通过调理五脏，祛除风、痰、瘀、浊等病理产物，达到治疗疾病的目的。

This paper summarized professor ZHANG Lei's clinical experience in treating pediatric tic disorder based on the dysfunction of the five zang （脏） organs. It is believed that the dysfunction of the five zang organs constitutes the fundamental pathogenesis of this condition, which can be classified into five syndrome types including vigorous heart-liver fire syndrome, turbid-stasis harassing the spirit syndrome, wood fire tormenting metal and lung qi failing to purify syndrome, spleen deficiency generating wind and liver wood failing to nourish syndrome, and liverkidney insufficiency with reflection weakness and minds damage syndrome. Correspondingly, the methods of opening constraint, removing turbidity, clearing up with light medicines, unblocking through transportation, and consolidating original qi can be used. For the five syndrome types mentioned above, self-formulated Yuda Decoction （郁 达汤）, modified Zhimi Fuling Pill （指迷茯苓丸）, self-formulated Guqing Decoction （谷青汤）, self-formulated Yuntong Decoction （运通汤）, and self-formulated Guyuan Decoction （固元汤） are used respectively. These prescriptions aim to regulate the five zang organs and remove pathological products such as wind, phlegm, stasis, and dampness, thereby achieving the goal of treating the disease.