“土虚木亢”与小儿多发性抽动症的相关性理论探讨

Theoretical Exploration of the Correlation between “Deficiency of Earth and Hyperactivity of Wood” and Pediatric Tourette Syndrome

摘要: 小儿多发性抽动症是临床常见的神经精神疾病，其病机复杂，易于复发。本文基于中医五行生克理论，探讨“土虚木亢”病机与小儿多发性抽动症的内在关联。通过对小儿“脾常不足”、“肝常有余”生理特点的分析，论证脾虚肝旺为该病核心病机。土虚则气血生化乏源，木亢则肝风内动，二者相合发为抽动。本文从理论内涵、相关性分析及诊疗启示三个方面进行论述，为该病的中医诊疗提供理论支撑。

Abstract: Pediatric Tourette syndrome (PTS) is a common clinical neuropsychiatric disorder characterized by complex pathogenesis and frequent recurrence. Based on the Five Elements (Wu Xing) theory of traditional Chinese medicine (TCM), this paper explores the intrinsic relationship between the pathogenesis of “Deficiency of Earth (Spleen) and Hyperactivity of Wood (Liver)” and PTS. Through analysis of the physiological characteristics of “spleen deficiency in children” and “liver excess in children,” this study identifies “spleen deficiency with liver hyperactivity” as the core pathogenesis of PTS. Deficiency of Earth leads to insufficient production of qi and blood, while hyperactivity of Wood results in internal stirring of liver wind; the combination of these two factors manifests as tic disorders. This article discusses the theoretical connotations, correlation analysis, and clinical implications in three aspects, providing theoretical support for TCM diagnosis and treatment of PTS.