摘要
抽动障碍是一种神经精神疾病,以运动抽动和发声抽动为主要临床表现。除了抽动症状本身之外,抽动障碍患儿多存在不良的情绪状态或心理行为问题。基于“形神合一”理论,抽动障碍当属形神共病,神不宁、形不静为其临床特征,情志失调、神不御形为其发病关键,因此,治疗当形神兼顾,重在治神。“鬼穴”为调神之要穴,兼有治形之功,故可将其用于治疗抽动障碍。于抽动障碍而言,针刺鬼穴既可以平衡阴阳、调畅情志以安神,又可调畅气血、舒筋息风以治形,发挥“形神共调”之效,令神安而形定,防治抽动症状。本文通过阐述“鬼穴”在抽动障碍中的作用机制和临床应用,有助于为抽动障碍的针刺穴位组方提供新的视角。
Tic disorder is a neuropsychiatric disease,which is mainly characterized by motor and/or vocal tics.In addition to tic symptoms,most patients have negative emotion or psychological and behavioral problems.As the theory of"the unity of body and spirit"suggests,tic disorders belong to the category of psychosomatic comorbidities,the typical clinical characteristics of which are mental and physical restlessness.Emotional discomfort and failure of the spirit to maintain control of the body is an essential factor in the pathogenesis.Therefore,the treatment should give consideration to both the body and spirit,especially healing the spirit."Ghost points"are the key points for the treatment of the spirit,and they also have the effect of regulating the body.Therefore,these points can be used to treat tic disorders.In terms of tic disorders,acupuncture at the ghost points can harmonize yin and yang,regulating emotions,and also promote qi and blood circulation,treat the body by relaxing sinew and extinguishing wind,which can calm the spirit and body,and prevent and control tic symptoms.By elaborating on the mechanism and clinical application of the ghost points in tic disorders,this article helps to provide a new perspective for acupoint combination for tic disorders.
作者
陈倩
马宁
张晶晶
郭简宁
白雪
崔霞
CHEN Qian;MA Ning;ZHANG Jingjing;GUO Jianning;BAI Xue;CUI Xia(Beijing University of Chinese Medicine,Beijing 100029;Department of Pediatrics,Beijing University of Chinese Medicine Third Affiliated Hospital)
出处
《现代中医临床》
2023年第5期84-88,共5页
Modern Chinese Clinical Medicine
基金
第四批全国优秀中医临床人才项目(国中医药办人教函[2017]124号)。
关键词
抽动障碍
形神合一
鬼穴
针灸
tic disorders
unity of body and spirit
ghost points
acupuncture
