ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (4): 336-339.doi: 10.20274/j.cnki.issn.2025.04.011

• 中医应用研究 • 上一篇    下一篇

王雪峰教授从肝肾论治注意缺陷多动障碍经验

许博雯1, 谢彬2(), 王雪峰2   

  1. 110847 沈阳,辽宁中医药大学2023级中医儿科学专业研究生(许博雯)
    110032 沈阳,辽宁中医药大学附属医院儿科(谢彬,王雪峰)
  • 收稿日期:2025-03-01 修回日期:2025-04-19 出版日期:2025-08-25 上线日期:2025-08-25
  • 通讯作者: 谢彬 E-mail:xb_color@163.com
  • 作者简介:许博雯(2000-),女,辽宁中医药大学2023级硕士研究生在读。研究方向:中医药防治小儿疾病
  • 基金资助:
    第七批全国老中医药专家学术经验继承项目(国中医药人教函〔2022〕76号)

Professor Wang Xuefeng's experience in treating attention-deficit hyperactivity disorder based on liver and kidney

Bowen XU1, Bin XIE2(), Xuefeng WANG2   

  1. 1.Liaoning University of Traditional Chinese Medicine, Shenyang 110847, China
    2.Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032, China
  • Received:2025-03-01 Revised:2025-04-19 Published:2025-08-25 Online:2025-08-25
  • Contact: Bin XIE E-mail:xb_color@163.com
  • Supported by:
    The Seventh Batch of National Old Chinese Medicine Experts Academic Experience Inheritance Project

摘要:

注意缺陷多动障碍(ADHD)的患儿逐年增长,常有共患病,病程较长,容易反复。目前西医主要的治疗方法有药物和行为疗法、心理咨询、家庭支持等非药物疗法,临床疗效不持久,尤其是对儿童长期用药的安全性和副作用需要认真对待。根据临床实践证明,中医治疗ADHD症状改善明显,疗效持久,具有独特的优势。ADHD在中医学中属于“脏躁”“躁动”“失聪”“健忘”等的范畴,王雪峰教授传承并发展辽派中医儿科“清润疗法”,根据小儿“阴常不足”体质特点及“肝常有余”“肾常不足”的生理特点,提出ADHD以肝肾失调作为重要病因,治疗重点在于调和肝肾。临床常用杞菊地黄丸、天麻钩藤饮加减从肝肾论治ADHD,常获良效。本文将对王教授从肝肾论治ADHD的病因病机及治法方药进行浅析,旨在为临床治疗ADHD提供新的思路和方法。

关键词: 注意缺陷多动障碍, 肝肾, 儿童

Abstract:

The number of children with attention-deficit hyperactivity disorder increases year by year, often accompanied by comorbidities and with longer course of disease, and it is easy to reoccur. At present, the main treatment methods in Western medicine include drug and behavior therapy, psychological counseling, family support and other non-drug therapies, but the clinical efficacy does not last long; especially, the safety and side effects of long-term drug therapy for children need to be taken seriously. Clinical practice has proved that Chinese medicine has a unique advantage in the treatment of ADHD, with significant improvement in symptoms and long-lasting curative effect. ADHD belongs to the categories of "visceral dysphoria", "agitation", "deafness", and "amnesia" in traditional Chinese medicine. Professor Wang Xuefeng has inherited and developed the "Qingren therapy" in pediatrics of Liao School of traditional Chinese medicine. Based on the physical characteristics of "Yin often being deficient" and the physiological characteristics of "liver often being excessive" and "kidney often being deficient" in children, he proposes that the disorder of liver and kidney is an important cause of attention-deficit hyperactivity disorder. Treatment focus should be to regulate the liver and kidney. Qiju Dihuang pill and Tianma Gouteng drink with modification are commonly used to treat ADHD based on liver and kidney, which often results in good effect. This article analyzes Professor Wang's treatment for ADHD based on liver and kidney, including the etiology, pathogenesis and treatment methods, aiming at providing new ideas and methods for clinical treatment of ADHD.

Key words: Attention-deficit hyperactivity disorder, Liver and kidney, Child

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