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当前位置：国际中医药研究 > 2025年 5卷 (4)期

Open Access Article

International Research in Chinese Medicine. 2025; 5: (4) ; 6-12 ; DOI: 10.12208/j.ircm.20250036.

Connotation analysis of Soil-Reinforcing and Wind-Settling therapy for Tic Disorder from the perspective of Circular Motion Theory
圆运动视域下培土宁风法治疗抽动障碍的内涵探析

作者： 何逵¹, 何云长² *

1 成都中医药大学四川成都

2 大理白族自治州中医医院云南大理

*通讯作者：何云长,单位：大理白族自治州中医医院云南大理；

云南省科学技术厅中医联合专项重点项目（项目编号：202301AZ070001-013）大理州科学技术局重点研发计划（项目编号：20242903B030001）

发布时间: 2025-12-20 总浏览量: 43

PDF 全文下载引用本文

摘要

抽动障碍是一种常见的神经系统疾病，其发病率逐年增高，严重影响患儿的身心健康。中医认为肝脾失调是抽动障碍核心病机，临床上多表现为脾虚肝旺。圆运动理论由白族医家彭子益提出，该理论注重从气机周流角度阐释疾病本质，认为中气是人体气机之枢轴，脾胃功能的盛衰与疾病的发生发展密切相关。培土宁风法始于清代医家王旭高，其认为肝风内动乃木旺乘土所致，治疗上须温养脾胃。现创新性地将培土宁风法在圆运动观下进行分析，并结合现代医学关于抽动障碍的生物学研究基础，为培土宁风法提供更完备的理论支撑，进一步丰富抽动障碍的中西医协同治疗策略。

关键词： 抽动障碍；圆运动；培土宁风；脾虚肝旺；神经递质失衡

Abstract

Tic Disorder (TD) is a prevalent neurological disorder characterized by chronic motor and vocal tics, with rising global incidence and significant impacts on children’s physical and psychological well-being. Traditional Chinese Medicine (TCM) identifies Liver-Spleen Disharmony as the core pathogenesis of TD, clinically characterized by Spleen Deficiency with Liver Hyperactivity. The Circular Motion Theory, proposed by Dr. Peng Ziyi, a renowned physician of the Bai ethnic group, interprets disease mechanisms through the lens of Qi dynamic circulation. This theory emphasizes the pivotal role of Middle Qi as the central axis of human physiological activities, asserting that the functional state of the Spleen-Stomach system profoundly influences disease onset and progression. The Soil-Reinforcing and Wind-Settling Method, pioneered by Dr. Wang Xu-gao during the Qing Dynasty, posits that Internal Stirring of Liver Wind arises from Wood Overacting on Earth and advocates Warming and Nourishing the Spleen-Stomach as the therapeutic principle. This study innovatively integrates the Soil-Reinforcing and Wind-Settling Method with the Circular Motion Theory framework, while incorporating modern biomedical research on the neurobiological mechanisms of TD. The findings provide robust theoretical validation for this TCM approach and advance integrative strategies combining TCM and Western medicine in TD management.

Key words： Tic Disorder; Circular Motion Theory; Soil-Reinforcing and Wind-Settling method; Spleen Deficiency with Liver Hyperactivity; Neurotransmitter imbalance

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引用本文

何逵, 何云长, 圆运动视域下培土宁风法治疗抽动障碍的内涵探析[J]. 国际中医药研究, 2025; 5: (4) : 6-12.

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