杨旭东教授运用温胆宁神汤治疗儿童抽动障碍的经验总结
A Summary of Professor Yang Xudong’s Experience in Treating Tic Disorders in Children with Wendan Ningshen Decoction

抽动障碍(tic disorder, TD)是儿童常见的慢性精神神经性疾病，近年来，受社会环境、精神心理、饮食习惯、电子产品、遗传、免疫等诸多因素影响，使儿童TD的患病几率增大，据统计儿童TD发病率呈逐年上升趋势。杨旭东教授经长期临床经验总结，提出疏肝解郁、清心安神之法治疗儿童TD，在黄连温胆汤为底方基础上化裁，自拟温胆宁神汤，采用心、肝双治之法，调节五脏六腑，取得满意疗效。现将导师自拟温胆宁神汤治疗“儿童抽动障碍”的诊治经验小结如下，另附案例一则，以期拓展抽动障碍的治疗思路。
Tic disorder (TD) is a common chronic neuropsychiatric disease in children. In recent years, due to the influence of various factors such as social environment, psychological stress, dietary habits, electronic products, genetics, and immunity, the incidence of TD in children has increased. According to statistics, the incidence rate of TD in children is on the rise year by year. After years of clinical experience, Professor Yang Xudong proposed a method of soothing the liver and resolving depression, and clearing the heart to calm the mind for the treatment of TD in children. Based on the traditional formula Huanglian Wendan Decoction, he created a modified version called Wendan Ningshen Decoction. This approach involves treating both the heart and liver, regulating the five viscera and six bowels, and has achieved satisfactory results. The following is a summary of the diagnostic and treatment experience of the mentor’s self-created Wendan Ningshen Decoction for the treatment of “childhood TD”, along with a case study, in the hope of expanding the treatment approaches for TD.