关键词: 抽动障碍, 长程管理理念, 临证思路, 马融, 儿童

Abstract: Professor Ma Rong, based on the concept of long-term management, divides Tourette disorder into three stages: (1) Seizure stage: This stage is characterized by tic disorders, which belongs to the category of "liver wind" in traditional Chinese medicine. The syndrome differentiation is "internal movement of liver wind", and the treatment is mainly "stopping wind and movement". It is prohibited to reduce or stop medication, and it is advised to avoid participating in competitive social activities. (2) Prevention of recurrence stage: At this stage, children are mainly characterized by irritability and it belongs to the category of "liver fire" in traditional Chinese medicine. The syndrome differentiation is "vigorous liver fire", and the treatment is mainly "clearing and purging liver fire". Medication can be reduced appropriately, and it is not recommended to participate in competitive social activities. (3) Stable stage: At this stage, the main characteristic of the children is depression, and it belongs to the category of "liver depression" in traditional Chinese medicine. The syndrome differentiation is "liver depression and qi stagnation", and the treatment is mainly "soothing the liver and relieving depression". The medication can be reduced and stopped, and the child patients can participate in competitive social activities appropriately.

Key words:

Tourette disorder, Concept of long-term management, Clinical approach, Ma Rong, Children