刘燕 宋月晗 陈光耀 葛肖波 徐荣谦

    [摘要] 小儿多发性抽动症是儿科常见的精神疾病之一，徐荣谦教授治疗该病经验丰富，多获良效。笔者侍诊于徐教授，对其治疗本病的学术理念进行整理，总结出：多发性抽动症小儿多素禀胆虚，因情志刺激、外邪侵袭等诱发，渐及五脏。肝风内动则抽动频繁;肺脾肾功能失调导致痰浊内生，则秽语频作;病情迁延，病久化火，则伴有情绪异常，甚则见打人等激越行为。在治疗上多以温胆汤为基础方，根据病情表现与抽动部位灵活加减，以获良效。

    [关键词] 多发性抽动症;胆虚;痰;肝风;温胆汤

    [中图分类号] R249? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)08(c)-0139-04

    [Abstract] Multiple tic disorder in children is one of the common mental illnesses in pediatrics. Professor Xu Rongqian has rich experience in treating this disease and has achieved good results. The author consults Professor Xu and summarizes the academic concept of treating this disease. Multiple tic disorder children′s congenital genetic constitution is insufficiency of gallbladder， induced by environmental stimuli， external invasion of the body′s pathogenic factors， gradually involving the organs of the body. Liver wind stirring up internal manifests as frequent tics. Lung， spleen and kidney dysfunction leads to turbidity endogenous， then slang frequently. The syndrome of liver wind stirring up internal appears to be frequent twitching. Lung spleen and kidney dysfunction lead to turbidity endogenous ......