鲍超教授“本风标窍”思想在儿童抽动障碍 临证运用辑要

A Summary of Professor Bao Chao’s “Root Wind and Manifestation Body Orifices” Approach in the Clinical Application for Childhood Tic Disorders

摘要: 鲍超教授继承全国名中医吴旭教授从经筋论治儿童抽动障碍的经验，结合经筋学说和“调肝熄风”针法，进一步探索抽动障碍的发病本质，认为其病机核心为肝风内动，外引于窍，产生各种“窍病”的表现，发为眨眼、努嘴、皱眉、皱鼻、伸舌、清嗓等症状，形成了“本风标窍”思想。在治疗方面，运用“急则治标、标本同治”的治疗理念，提出当以“疏肝熄风为先，调窍定志为要”，丰富了“调肝熄风”针法的内容，为针灸治疗儿童抽动障碍提供行之有效的临床经验。

Abstract: Professor Bao Chao, inheriting the experience of National Master of Traditional Chinese Medicine Professor Xu Wu in treating tic disorders from the perspective of the meridian-muscle system, further explores the pathogenesis of tic disorders by integrating the meridian-muscle theory and the “Tiao Gan Xi Feng” acupuncture method. Professor Bao proposes that the core pathogenesis of children tic disorder lies in the internal stirring of Feng in liver, which externally affects the body orifices, resulting in various “body orifice disorders”, such as blinking, pursing lips, frowning, wrinkling the nose, sticking out the tongue, and throat clearing. This understanding has led to the formulation of the “root wind and manifestation orifices” approach. In terms of treatment, Professor Bao emphasizes the principle of “treating the manifestation in acute conditions and treating both the root and manifestation simultaneously”, proposing that the priority should be “regulating the liver and extinguishing wind as the foundation, and regulating the orifices and stabilizing the mind as the key”. This approach enriches the content of the “Tiao Gan Xi Feng” acupuncture method and provides effective clinical experience for the acupuncture treatment of children tic disorders.