The new idea of children with tic syndrome: regulating the five Zang-organs with spleen and stomach system as the center

Kai Zhang*

Acupuncture and Physiotherapy Department,Tianjin Public Security Hospital,Tianjin,China.

Abstract

Key words: Children with tic syndrome,Spleen and stomach system,Acupuncture,Children's massage

Background

Children's aspiration is characterized by chronic,volatile,multiple muscle twitches,or involuntary laryngeal abnormal vocalization and obscenity.It is a clinical syndrome in childhood,involving psychological,behavioral and neuropsychiatric disorders.A few children spontaneously relieve from adolescence,but some children still have some symptoms after reaching adulthood,which affects the growth and development of patients,and even their physical and mental health is greatly affected [1].Western medicine has no clear understanding of its pathogenesis,which may be related to heredity,central nervous system structure,dysfunction and disease [2-5].From the perspective of Chinese medicine,the disease belongs to convulsions,slow spleen,abnormal blinks,etc [6-10].

Spleen and stomach theory plays an important role in the dialectics and treatment of pediatric diseases.Compared with children's demand for qi and blood,the function of spleen is relatively insufficient.In addition,the spleen belongs to soil in the five elements,while the liver belongs to wood and wood subjugating soil.Moreover,the physiological characteristics of children is that the liver is often more than enough,so the spleen is restricted by the liver in later period,and it is prone to spleen deficiency [11,12].Therefore,regulating spleen and stomach plays an important role in the dialectical treatment of pediatric diseases,no matter from the function of spleen and stomach or its relationship with other organs.Based on the functional characteristics of the spleen and stomach in middle jiao,the author puts forward the new concept of treating spleen and stomach in middle jiao first and regulating the five Zang-organs for children with tic syndrome,and discusses it with colleagues.

The relationship between children with tic syndrome and five Zang-organs

Most of tic disorder belong to asthenia in origin and asthenia in superficiality,which is related to the dysfunction of five Zang-organs.

Tic disorder and heart,lungs,spleen

In Treatise on Typhoid Fever,there is a saying that "Liver disease affects spleen and stomach function".According to the Five Elements Theory,wood subjugating soil,liver subjugating spleen.Stagnation of liver qi,endogenous liver wind,upper hyperactivity of liver yang all can cause the spleen and stomach movement to change the abnormal,dampness endogenous,liver wind carries phlegm to disturb the brain,It causes some symptoms such as head shaking,frequent blinking,grotesque voices in the throat,etc.Spleen is the source of phlegm,overeating greasy and sweet food,raw and cold food,unclean diet,can also damage the spleen and stomach,leading to abnormal spleen and stomach movement,dampness endogenous.The spleen governs the limbs.If the spleen and stomach are not in harmony,the weakness of the spleen and stomach will cause the symptoms of limb weakness.Heart is the monarch of five Zang-organs and six Fu viscera,which has the leading role.It controls mental and emotional activities,if there is heart yin deficiency,exuberance of heart fire and restlessness,it will lead to symptoms of tic disorder such as head shaking,frequent blinking,limb twitching,etc.Lung is the prime minister,has the function of regulating and controlling,and is in charge of breathing.If there is imbalance of lung qi,lung Yin is insufficient,then the gas athwart,and the lung is the phlegm storage device,appear syndrome of wind-phlegm invading upward,across the meridian,causing Yang hyperactivity and depletion of Yin,then Yin and Yang movement imbalance,lead to disease.

Tic disorder and liver and kidney

The characteristic of tic disorder is recurre nt local twitching.It is recorded in Su Wen that" all wind with vertigo and shaking is ascribed to the liver",that is,the patients' head shaking,frequent blinking,limb twitching and so on,are all problems of liver wind.If congenital deficiency or acquired maladjustment,insufficient blood,liver pulse lost in support,or children lack of care,or parents are too strict with the child,often beat and scold the child; some parents have bad feelings,often quarrel,domestic atmosphere is nervous,also can pass nervous mood to the child,leading to children's liver qi stagnation,liver stagnation,pattern of liver depression transforming into fire,nutrient qi and yin fluid being damaged,bring about liver Yin deficient,Yin deficient criterion excess of yang,excess of yang criterion stirring wind,induce liver wind.The main tendons of the liver and the internal movement of the liver wind cause symptoms such as limb twitching.When the wind is disturbed by the head,there are symptoms such as shaking his head and abnormal blinking [13-15].The kidney being congenital origin,insufficient body kidneyqi deficiency and kidney-yin deficiency,due to kidney storing essence,liver storing blood,homogeny of liver and kidney,homogeny of essence and blood,so kidney yin deficiency leads to liver yin deficiency,hyperactivity of yang due to yin deficiency,endogenous liver wind,there is twitching,and it blinks frequently.The disease is mostly caused by emotional,stimulating or aggravating,indicating that it is related to yin deficiency of liver and kidney and malnutrition of the tendons and channels.

In the regulating of the spleen and stomach system as the first,the treatment of the five Zang-organs

According to the physiological characteristics and functions of the spleen and stomach in middle jiao,the author puts forward the guiding ideology of “treating the spleen and stomach system as the center and regulating the five Zang-organs” and dialectically treating children with tic syndrome.Lung has the function of regulating and controlling,and is in charge of breathing play a certain role in the onset of childhood convulsion.Spleen as the mother of the lung,spleen deficiency leads to lung gas deficiency,striae of the skin and muscles being loose,easy to feel exogenous pathogens,exogenous pathogens attack and healthy qi deficiency leads to pulmonary dysfunction.Children's inappropriate diet,stagnation gastrointestinal,long-term damage to the spleen and stomach,resulting in weakness of the spleen and stomach,transport fatigue,it is easy to lead to food accumulation.Indigestible food stagnation gastrointestinal,on the one hand,it causes disorder of qi movement,on the other hand,it causes accumulation of stomach and sausage.The former will lead to obstruction of the internal organs and Qi,blocking the Qi machine,the lung and the large Intestine are interior-exteriorl,up against the gas,can offend the lung.Lung involvement,body fluid is not distributed,hyperactivity of yang due to yin deficiency,syndrome of yin-yang disharmony,disorder of qi,regulation dysfunction of lung management,then the disease occurs.Wood subjugating soil,spleen deficiency will lead to liver flourishing,there are excessive free coursing and upper hyperactivity of liver yang and other symptoms.In addition,if the abnormal movement of spleen and stomach leads to the obstruction of large intestine conduction and obstruction of large intestine,which affects the movement of Qi,it will aggravate the stagnation of liver-qi.In the treatment,the spleen and stomach should be regulated first,so that the Qi and blood flow of viscera are unobstructed,then can solve the problem of endogenous liver wind.

The logic,theorem,prescription,acupoints,method of acupuncture and pediatric massage to the treatment of children with tic syndrome.

Acupuncture and pediatric massage is the dominant therapy to Children's tic syndrome,In summary,the pathogenesis of this disease is most closely related to the spleen and stomach system.Under the guidance of the theory of spleen and stomach system,take recuperate this system as a center,rest and treat five organs,therapy with syndrome differentiation,which can achieve the treating both manifestation and root cause of disease.The treatment principle of this disease is to cure the symptoms in an emergency,then solve the key.When patient's conditions are serious,therapies circle on Zhengan Xifeng,Yunpi Huatan,Ningxin Anshen,Qingfei Xiehuo,assist with Ziyin Bushen.If the symptoms of the recovery period have been alleviated,Zishen Bugan are the main ones,and the Ningxin Dingzhi and Pinggan Xifeng are supplemented.

Acupuncture method: the main points selection of acupuncture: Baihui (DU 20),Yintang (EXHN 3),Taiyang (EX-HN 5),Fengchi (GB 20),Zhongwan (RN 12),Shangwan (RN 13),Jianli (RN 11),Liangmen (ST 21),Shuifen(RN 9),Tianshu(ST25),Qihai (RN6),Wailing (ST 26),Huaroumen (ST 24),Hegu (LI 4),Taichong (LR 3),Xingjian (LR 2),Sanyinjiao (SP 6),Xuehai (SP 10),Neiguan (PC 6),Taixi (KI 3),Zusanli (ST 36),Fonglong(ST40),Gongsun (SP 4),Baihui (DU 20),Yintang (EX-HN 3),and Taiyang (EX-HN 5) select parts for the locality and calm the mind.Fengchi(GB 20) Zhengan Xifeng and stop spasm.Zhongwan(RN 12),Shangwan (RN 13),Jianli (RN 11),Liangmen (ST 21),Shuifen (RN 9),Tianshu (ST 25),Qihai (RN 6) make spleen and stomach healthy,regulate and remove gas,adjust the airlifting and lifting,Wailing (ST 26),Huaroumen (ST 24) called the belly four,adjustable Yangming when the blood is abundant,the joints of the limbs are smooth.Because of blood and self-destruction,Sanyinjiao (SP 6),Xuehai (SP 10),Neiguan (PC 6),Hegu (LI 4),Taichong (LR 3) and other acupuncture points for qixue circulation were chosed.Hegu (LI 4) and Taichong (LR 3) were the Siguan points,Hegu (LI 4) points were the original points of the hand-yangming large intestine.One of the four total points,Taichong (LR 3) Point is the acupoint and original point of the foot-ankle-yin liver.The name comes from the acupuncture doctor Dou Hanqing of the Jinyuan era,and the composition of the acupuncture and moxibustion is: That is,two valleys,two Tai Chong is also.Taixi (KI 3) point nourish liver and kidney,Zusanli (ST 36) and Fonglong (ST 40) acupoints spleen and phlegm.Gongsun (SP 4) is the foot of the Taiyin spleen and the acupoints of the spleen.along with the foot of the Yangming stomach.It is one of the eight veins of the meeting.It passes through the rushing vein and is connected with the Neiguan (PC 6) of the heart-envelope through the Yinwei vein.Effecting air machine,rational lifting,help the spleen and stomach.Attention is not concentrated with Sishencong (EX-HN 1),Daling (PC 6),irritability with Xinshu (BL 15),blinking,shrugging shoulders with Sizhukong (SJ 23),Sibai (ST 2),Yingxiang (LI 20),mouth twitching with Dicang (ST 4),Jiache (ST 6),unclear pronunciation and proverbs plus with Lianquan (RN 23),Jinjin,Yuye (EX-HN 12),obvious limb symptoms,with Jianli (RN 11),Shiguan (KI 18),Yinjiao (RN 7),are Renmai acupoints,can make the blood circulation,Ren vein and Du vein connect with each other,the Du blood is abundant,then the tendons are raised,the wind spirits are hard to do.The acupuncture method adopts rapid needle insertion,and the light hand method is used to fill the diarrhea.When the symptoms are heavier,the wind pool,Fengchi (GB 20),Hegu (LI 4),Taichong (LR 3),Xingjian (LR 2),and Fonglong (ST 40) use the diarrhea method,and the large-scale high-frequency insertion and transformation method,all acupuncture points Leave the needle for 20 minutes.

Pediatric massage acupuncture points and operation,open the Tianmen: push Kangong for 1 to 2 minutes,lick the Taiyang (EX-HN 5)(2 to 3 minutes),lick the bone back of ears,put the two thumbs or middle finger at the hole,rub three times and pinch one time each hole,operating fifty times.Yun Dantian: Point Qihai (RN 6) or Guanyuan (RN 4) 10 times,push the belly for 2 to 3 minutes,squat for 2 minutes,shake with palm for 30 to 60 seconds,and heat the place (transporting the spleen and stomach,warming the kidney).Invigorate the spleen,replenish the lungs,and tonify the kidney (1 to 3 minutes each,replenish the spleen and lungs,and spread the water in the body),transport the soil into the water (100 times,nourish the kidney),open the Xuanji (RN 21) (50 times,balanced spleen and stomach),within the Bagua (2 to 3 minutes,Yiqi Shengyang),push the Shangsanguan (3 to 5 minutes,raise the Yangqi,warm the cold water),point Zusanli (ST 36),Sanyinjiao (SP 6) (transport spleen and stomach,Yiqiguse),clearing the liver for 3-5 minutes,clearing the heart for 3-5 minutes,rub Erma(2-3 minutes),rub Neilaogong (PC 8) (1-2 minutes),tapping Fengchi (GB 20),Sanyinjiao (SP 6),Xuehai(SP10),Neiguan (PC 6),Taixi (KI 3),Zusanli (ST 36),Fonglong (ST 40) 1 minute each acupoint,pinch spine 10-20 times,the acupoints above give healthy spleen and stomach,ZhenganXifeng,clear heart and fire,Huotankaiqiao.

Typical Case

Patient Wang,male,11 years old,chief complaint: intermittent blinking for 6 months.Current medical history: Parents told that due to parental family conflicts 6 months ago,then blinking,repeated attacks after stress and mood swings each time,he was treated in a number of general hospitals,diagnosed as "child abnormal blinking",in a traditional Chinese medicine hospital treatment,given by Chinese medicine decoction and acupuncture treatment,but still intermittent episodes of blinking symptoms,current symptoms: blinking,eyes are prone to fatigue,eyesight,poor sleep,easy to wake up after sleep,piss still,dry stool,3 to 5 days a time,red tongue,thin yellow fur,slippery pulse.Diagnosis: Children's tic syndrome,the card is spleen deficiency and liver,and the heart is full of fire.Treatment with phlegm and blood stasis,clearing the heart,releasing fire,and opening the sputum,mainly for the treatment of pediatric massage,acupuncture points and operation of pediatric massage: open the Tianmen: push Kangong for 1 to 2 minutes,lick the Taiyang (EX-HN 5)(2 to 3 minutes),lick the bone back of ears,put the two thumbs or middle finger at the hole,rub three times and pinch one time each hole,operating fifty times.Yun Dantian: Point Qihai (RN 6) or Guanyuan (RN 4) 10 times,push the belly for 2 to 3 minutes,squat for 2 minutes,shake with palm for 30 to 60 seconds,and heat the place (transporting the spleen and stomach,warming the kidney).Invigorate the spleen,replenish the lungs,and tonify the kidney (1 to 3 minutes each,replenish the spleen and lungs,and spread the water in the body),transport the soil into the water (100 times,nourish the kidney),open the Xuanji (RN 21) (50 times,balanced spleen and stomach),within the Bagua (2 to 3 minutes,Yiqi Shengyang),push the Shangsanguan(3 to 5 minutes,raise the Yangqi,warm the cold water),point Zusanli (ST 36),Sanyinjiao (SP 6) (transport spleen and stomach,Yiqiguse),clearing the liver for 3-5 minutes,clearing the heart for 3-5 minutes,rub Erma (2-3 minutes),rub Neilaogong (PC 8) (1-2 minutes),tapping Fengchi (GB 20),Sanyinjiao (SP 6),Xuehai (SP 10),Neiguan (PC 6),Taixi (KI 3),Zusanli (ST 36),Fonglong (ST 40) 1 minute each acupoint,pinch spine 10-20 times,the acupoints above give healthy spleen and stomach,Zhengan Xifeng,clear heart and fire,Huotan Kaiqiao.After three months of treatment,the symptoms disappeared.No obvious symptoms were observed during the three months of follow-up.

Conclusion

"The liver is often more than enough","the spleen is often insufficient",is the physiological characteristics of children,the spleen is the foundation of the body growth,the source of Qique biochemistry,the spleen and stomach are transported abnormally,the phlegm is endogenous,the liver wind is turbid and disturbed.Disturbing the mind.The main pathogenesis of tic syndrome in children is spleen deficiency,liver qi dysfunction,liver and kidney deficiency,heart and nerves,lung and gas are unfavorable,clinical syndrome should be spleen and phlegm,Pinggan Xifeng,Ningxin Anshen,nourishing liver and kidney in main treatment rule for this disease.Clinical practice has confirmed that the application of traditional Chinese spleen and stomach theory in the treatment of multiple tic syndrome in children can play a role in both the symptoms and the root causes [16-18].