从脑与“五神藏”的关系浅论儿童多动症病机关键
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摘要
历代医家多基于小儿生理、病理特点,从"五神藏"理论辨证论治儿童多动症,忽视了脑的功能对本病的直接或间接影响。脑与五脏的生理、病理功能通过气、血、经络密切联系,五脏功能的正常运转离不开脑的统筹协调。脑的生理、病理状态可以直接影响本病的发生、发展,亦可以通过其与"五神藏"的密切联系在儿童多动症的进程中发挥重要作用。因此,本病病机关键的探究不仅围绕"五神藏"理论,还可以从脑的生理、病理状态及其与五脏的密切关系、对五脏功能的影响着手,更客观、更具体地探究儿童多动症的病机关键,为临床遣方用药,发挥中医药特色治疗本病提供新的思路及理论依据。
Based on the physiological and pathological characteristics of children,the doctors of the past generations have treated the children′s ADHD based on Relationship between the brain and "the Five Organs of Mentality" yet neglected the direct or indirect effects of brain function on the disease.The physiological and pathological functions of the brain and the five internal organs are closely related through gas,blood and meridians.The normal operation of the five internal organs cannot be separated from the overall coordination of the brain.The physiological and pathological state of the brain can directly affect the occurrence and development of the disease and it can also play an important role in the process of ADHD through its close connection with " the Five Organs of Mentality". Therefore,the key inquiry of the pathogenesis of this disease not only focuses on " the Five Organs of Mentality" theory,but also can start from the physiological and pathological state of the brain and its close relationship with the five internal organs,and the influence on the function of the five internal organs,and explore the children's ADHD more objectively and more specifically. The key to the pathogenesis is to provide a new idea and theoretical basis for the use of traditional Chinese medicine to treat the disease.
Based on the physiological and pathological characteristics of children,the doctors of the past generations have treated the children′s ADHD based on Relationship between the brain and "the Five Organs of Mentality" yet neglected the direct or indirect effects of brain function on the disease.The physiological and pathological functions of the brain and the five internal organs are closely related through gas,blood and meridians.The normal operation of the five internal organs cannot be separated from the overall coordination of the brain.The physiological and pathological state of the brain can directly affect the occurrence and development of the disease and it can also play an important role in the process of ADHD through its close connection with " the Five Organs of Mentality". Therefore,the key inquiry of the pathogenesis of this disease not only focuses on " the Five Organs of Mentality" theory,but also can start from the physiological and pathological state of the brain and its close relationship with the five internal organs,and the influence on the function of the five internal organs,and explore the children's ADHD more objectively and more specifically. The key to the pathogenesis is to provide a new idea and theoretical basis for the use of traditional Chinese medicine to treat the disease.
引文
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[22]张通,孙新亭.心脑共主神明:心脑一体化的认识[J].中国康复理论与实践,2016,22(3):368-370.
[23]窦志芳,张俊龙,赵琼.脑脾相关理论研究[J].山西中医学院学报,2015,16(4):6-7.
[24]宋佳,闫晓凡.缪希雍《先醒斋医学广笔记》用药特色探讨[J].中华中医药杂志,2015,30(9):3361-3364.
[25]王宁,于海波.针刺从脾论治小儿脑瘫理论探讨[J].辽宁中医药大学学报,2009,11(8):40-41.
[26]刘玉清,王俊宏,刘玲佳,等.王俊宏教授治疗气阴两虚型儿童注意力缺陷多动障碍经验[J].中医学报,2017,32(10):1902-1906.
[27]武峻艳,王杰,张俊龙.肾脑相关理论探讨[J].中医杂志,2016,57(20):1711-1714.
[28]张俊龙.脑与五脏关系论[J].山西中医学院学报,2002,3(2):7-10.
[29]刘玉清,王俊宏,杨冬妹,等.静宁方联合推拿治疗气阴两虚型儿童注意力缺陷多动障碍临床研究[J].中医学报,2017,32(11):2251-2255.
[30]倪新强,韩新民.中医药对注意力缺陷多动障碍的研究进展[J].中国中西医结合杂志,2013,33(3):428-431.
[2]SROUBEK A,KELLY M,LI X.Inattentiveness in attention-deficit/hyperactivity disorder[J].Neuroscience Bulletin,2013,29(1):103-110.
[3]韩新民,马融,雷爽,等.中医儿科临床诊疗指南·儿童多动症(修订)[J].中医儿科杂志,2017,13(5):1-6.
[4]方琼杰,王俊宏,姜思竹.从“心肝有余,脾肾不足”及“五神藏”理论辨治儿童多动症[J].中医杂志,2016,57(3):254-256.
[5]孙继超,韩新民.韩新民从肝论治儿童多动症的经验[J].时珍国医国药,2015,26(8):1996-1997.
[6]马融.多动症儿童的脑电图变化机制[J].中国临床康复,2005,9(28):158-159.
[7]ZHOU R Y,WANG J J,SUN J C,et al.Attention deficit hyperactivity disorder may be a highly inflammation and immune-associated disease(Review)[J].Mol Med Rep,2017,16(4):5071-5077.
[8]刘莎莎,马融,张喜莲,等.佐金平木法在儿童肝系疾病治疗中的应用[J].中医杂志,2015,56(7):618-619.
[9]李京民,滕晶.浅谈“五神藏”的中医心理学意义[J].河南中医,2012,32(4):407-408.
[10]常克.儿童多动症中医认识与病因病机进展[J].中国中西医结合儿科学,2016,8(5):468-469,460.
[11]任昕昕,王俊宏,方琼杰,等.温胆汤治疗儿科神经精神系统疾病探析[J].环球中医药,2017,10(3):318-320.
[12]李玮.从痰论治儿童多动症[J].中医药学刊,2006,24(8):1527-1528.
[13]王朝晖.辨证治疗儿童注意缺陷多动综合征62例[J].辽宁中医杂志,2005,32(3):208-209.
[14]张喜莲,唐温,马融.马融教授“从肾论治”小儿脑病学术思想研究[J].中华中医药杂志,2010,25(12):2237-2242.
[15]谢洪武,陈日新,徐放明,等.基于经络循行的假设——脑内经脉[J].时珍国医国药,2012,23(8):1988-1990.
[16]周立华,卢依平,杜娟,等.状态医学与心脑同治[J].中医学报,2011,26(10):1185-1187.
[17]蔡向红,梁昕,申霖来.心与脑表里配合关系之探讨[J].中国中医基础医学杂志,2013,19(2):131-133.
[18]徐雅,李澎涛,李卫红,等.再论“心主神明”与“脑主神明”[J].中医杂志,2009,50(3):268-270.
[19]张金生.郁病与肝脑相关的探讨[J].新中医,2008,40(7):106.
[20]侯俊林,刘永,李宁,等.“肝失疏泄致脑老化”假说初探[J].时珍国医国药,2018,29(3):659-660.
[21]程南方,谭峰.中风病“肾-肝-脑”轴及针刺督脉治疗研究[J].世界科学技术——中医药现代化,2014,16(8):1824-1826.
[22]张通,孙新亭.心脑共主神明:心脑一体化的认识[J].中国康复理论与实践,2016,22(3):368-370.
[23]窦志芳,张俊龙,赵琼.脑脾相关理论研究[J].山西中医学院学报,2015,16(4):6-7.
[24]宋佳,闫晓凡.缪希雍《先醒斋医学广笔记》用药特色探讨[J].中华中医药杂志,2015,30(9):3361-3364.
[25]王宁,于海波.针刺从脾论治小儿脑瘫理论探讨[J].辽宁中医药大学学报,2009,11(8):40-41.
[26]刘玉清,王俊宏,刘玲佳,等.王俊宏教授治疗气阴两虚型儿童注意力缺陷多动障碍经验[J].中医学报,2017,32(10):1902-1906.
[27]武峻艳,王杰,张俊龙.肾脑相关理论探讨[J].中医杂志,2016,57(20):1711-1714.
[28]张俊龙.脑与五脏关系论[J].山西中医学院学报,2002,3(2):7-10.
[29]刘玉清,王俊宏,杨冬妹,等.静宁方联合推拿治疗气阴两虚型儿童注意力缺陷多动障碍临床研究[J].中医学报,2017,32(11):2251-2255.
[30]倪新强,韩新民.中医药对注意力缺陷多动障碍的研究进展[J].中国中西医结合杂志,2013,33(3):428-431.