徐氏儿科从 “五神脏” 论治儿童注意缺陷多动障碍

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李 雪军
姜 之炎
肖 臻
王 淑敏

摘要

形神关系的演变(“五脏藏神”——“五神脏”)对后世医学产生了深远影响,“五神脏”以“藏精气” 为基础,强调“神”的作用,与人的神志、思维、运动等息息相关。注意缺陷多动障碍(ADHD)是儿童期常见的神志障碍疾病,病机责之于“五脏失神”。基于“五神脏”理论,从其发展演变、与儿童 ADHD 的关联、徐氏儿科从“五神脏”辨治 ADHD、验案举隅 4 个方面系统阐述 “五神脏” 理论对儿童 ADHD 诊疗的指导意义,以期领悟 《内经》 “五神脏” 学说之真谛,升华中医经典思想辨识、辨治儿科疾病的理论价值。

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