One Medical Case:
增强出版Longsha paste zi prescription combined withLongsha Opening-closing Six Climate Factors Needling Therapy in treating Pediatric Autistic Spectrum Disorder based on the Yun-qi Theory
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1.Department of Pediatrics, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518000, China
2.No.4 Clinical College, Guangzhou University of Chinese Medicine, Shenzhen, 518000, China
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YU Minfeng, MA Yongyi. One Medical Case:
YU Minfeng, MA Yongyi. One Medical Case:
病史摘要,2,患者李某,男,8岁8月,因“交流困难、注意力不集中10月余”于2021年12月4日至我院门诊就诊,患儿10月前发现与人语言交流障碍,,多用单个词语或简单句子与人沟通,缺乏目光交流,呼其名常缺乏应答,常通过喊叫表达需求和不满,伴注意力不集中,多动,不喜坐,手总是喜欢把玩各种物品。3月前于深圳市某医院检查韦氏智商提示:85,中下水平。儿童孤独症行为量表(ABC)评分70分,诊断“孤独症谱系障碍、注意缺陷多动障碍”,予口服哌甲酯(专注达)治疗,3个月后出现语言迟缓,遂停药,并来我院就诊。刻下症见:简单回答对话,缺乏目光交流,平素情绪急躁,汗出较多,纳食可,睡眠可,时有遗尿,1~2次/周,大便干稀不调。面色少华,舌淡红,苔薄白,脉沉细。各系统查体均未见明显异常。中医诊断 五迟(髓海不足,心肾两虚)西医诊断 1. 孤独症谱系障碍;2. 注意缺陷多动障碍干预措施 患者自2021年12月至2022年4月期间3次于我院门诊就诊,予以龙砂膏滋方以益精填髓,补益心肾,加之龙砂开阖六气针法针刺太阴、太阳、少阴、百会、四神聪、额五针等。嘱患儿减少麸质及酪蛋白的摄入,同时注意补充叶酸、维生素D等微量元素。疗效转归 经3次门诊治疗后,患者言语增多,反应速度较前提升,注意力较前更加集中,情绪更加稳定,现已无遗尿,大便成型。复查儿童孤独症行为量表(ABC)提示评分68分。
Summary of case history,: A boy aged 8 years and 8 months surnamed Li, went to the pediatric clinic of our hospital on December 4, 2021 due to Communication difficulty and difficulty in concentrating for over 10 months. The child was found to be difficult to communicate with people verbally 10 months ago, he often use a single word or simple sentence to communicate with people, and with no eye contact, lack of response when being called, and he expressed his needs and dissatisfaction by shouting. He was hyperactive and have difficulty in concentrating, he did not like to sit, and couldn't help to stop his hands from playing with toys, he took the C-WISC test in a hospital of Shenzhen, revealed a score of 85, middle and lower levels. Children's Autism Behavior Checklist (ABC) suggested a score of 70. He was diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder. After 3 months of oral methylphenidate treatment, he developed language delay. So he discontinued the drug and visited our hospital. Diagnostic information: Simple dialogue, Speech retardation, and without eye contact. He had an irritable mood, and sweat a lot, he had a good appetite and slept well. He had enuresis, 1~2 times a week, sometimes the stool was dry, sometimes loose. He looked dim-complexioned, his tongue was pink and the moss is white, and had a sunken and weak pulse. No obvious abnormality was found in the physical examination of each system.,TCM diagnosis,: Five Retardations with syndrome of marrow sea deficiency and deficiency of heart and kidney,Western medicine diagnosis,:1.Autistic spectrum disorders; 2.Attention Deficit Hyperactivity Disorder,Therapeutic methods,: From December 2021 to April 2022, The patient visited the outpatient department of our hospital three times, and was given ,Longsha paste zi ,prescription to enrich the essence and fill the marrow, nourish the heart and kidney, with ,Longsha Opening-closing Six Climate Factors Needling, Therapy (Acupuncture prescription: Taiyin, Taiyang, Shaoyin, Baihui, Sishencong, Frontal-five-needle, etc). And instructed family members to reduce the intake of gluten and casein, and pay attention to supplementing trace elements such as folic acid and vitamin D.,Clinical outcomes,: After three sessions of outpatient treatment, the patient's speech increased, the reaction improved, the attention was more concentrated, and mood was more stable than before. Now he has no enuresis and stool issues. The Child Autism Behavior Checklist (ABC) revealed a score of 68.
孤独症谱系障碍注意缺陷多动障碍五迟龙砂开阖六气针法龙砂膏滋方运气学说神经内科中医儿科中医脑病科
Autistic Spectrum DisordersAttention Deficit Hyperactivity DisorderFive RetardationsLongsha Opening-closing Six Climate Factors Needling TherapyLongsha paste zi prescriptionDoctrine on Yunqi
李洪华,单玲,杜琳,等.儿童孤独症谱系障碍的治疗研究进展[J].中国当代儿科杂志,2015,17(8):886-892.
朱秀峰,邓艳梅,李月琴.儿童孤独症谱系障碍的诊断与管理的临床进展[J].医学理论与实践,2021,34(8):1297-1299.
李晓萌,张劲松.注意缺陷多动障碍与孤独症谱系障碍共病诊断新进展[J].中国儿童保健杂志,2015,23(3):275-277.
郝宏文,刘奕,卫利,等.王素梅治疗儿童自闭症经验[J].中医杂志,2016,57(1):19-21.
许毅,曹和欣.夏翔治疗儿童自闭症临床经验[J].辽宁中医杂志,2015,42(7):1204-1206.
贾永男,顾建辉,景玉珍,等.近5年针刺治疗儿童孤独症谱系障碍临床研究进展[J].中医儿科杂志,2022,18(2):97-101.
张婕,刘晓艳.五运六气理论在中医临床中的应用现况[J].长春中医药大学学报,2020,36(4):829-832.
韩海伟,柳成刚.«三因司天方»剖析[J].天津中医药,2020,37(11):1261-1264.
高艳华,韩金凤.韩金凤教授应用龙砂开阖六气针法验案举隅[J].中西医结合研究,2020,12(5):358-360.
闫海虹,张喜莲,戎萍,等.中西医治疗儿童孤独症谱系障碍的临床研究进展[J].中华中医药杂志,2022,37(2):933-938.
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