抑肝扶脾法治疗儿童抽动障碍1例
增强出版A Case of Tic Disorder in Children Treated with the Method of Suppressing the Liver and Supporting the Spleen
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1.云南中医药大学第一临床医学院,昆明 650000
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曹婷, 崔洁琼, 马冬梅, 等. 抑肝扶脾法治疗儿童抽动障碍1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640587&Fpath=home&index=0
CAO Ting, CUI Jieqiong, MA Dongmei, et al. A Case of Tic Disorder in Children Treated with the Method of Suppressing the Liver and Supporting the Spleen[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640587&Fpath=home&index=0
曹婷, 崔洁琼, 马冬梅, 等. 抑肝扶脾法治疗儿童抽动障碍1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640587&Fpath=home&index=0 DOI:
CAO Ting, CUI Jieqiong, MA Dongmei, et al. A Case of Tic Disorder in Children Treated with the Method of Suppressing the Liver and Supporting the Spleen[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640587&Fpath=home&index=0 DOI:
病史摘要,2,患儿岳某,男,12岁,因“发现挤眼、喉中异声1年余”就诊。患儿因反复挤眼、喉中异声于2019年8月8日至外院就诊,查脑电图及颅脑CT等未见明显异常,诊断为“抽动障碍”,予可乐定透皮贴治疗后未见明显好转,自行停药。为求中医治疗,2021年3月14日就诊于我处。刻下症:反复挤眼,咧嘴,喉中“哦哦”声,偶有秽语,吐痰涎,时有右侧肢体不自主抖动,情绪激动时明显,平素性情乖戾,注意力欠集中,学习成绩中等偏下,纳少,眠欠安,易惊醒,二便调。查体:生命体征正常,一般情况可,面色少华,双眼周发青,结膜充血,心肺腹未见异常。舌淡红,苔薄白腻,脉弦细。中医诊断 抽动障碍;脾虚肝旺证。西医诊断 儿童抽动障碍(抽动秽语综合征)。干预措施 给予青龙止动方加减口服。疗效转归 患儿抽动症状好转,耶鲁综合抽动严重程度量表(YGTSS)评分降低。
Summary of case history ,Yue, a 12-year-old boy, presented to the hospital with "eye squeezing and voice in the throat for more than 1 year". He was diagnosed with "tic disorder" and was treated with Colistin transdermal patch without any significant improvement. After treatment with Colistin transdermal patch, no significant improvement was observed. The symptoms were: repeated squeezing of the eyes, grinning, "oh-oh" sound in the throat, occasional obscenities, spitting and salivation, involuntary shaking of the right side of the limbs, which was obvious when he was agitated. He has normal vital signs and is in good general condition, with a pale complexion, blue around the eyes, conjunctival congestion, and no abnormalities in the heart, lungs or abdomen. The tongue is light red, with a thin, white, greasy coating and a thin, stringent pulse.,TCM diagnosis, Tic disorder; evidence of spleen deficiency and liver exuberance.,Western medicine diagnosis, Tic disorder in children (Tourette's syndrome).,Therapeutic methods ,The Chinese herbal medicine Qing Long Stop Motion is given orally with addition and reduction.,Clinical outcomes ,The child's tic symptoms improved and the Yale General Tic Severity Scale (YGTSS) score decreased.
儿童抽动障碍中医药青龙止动方名医经验熊磊
Tic disorder in childrenChinese medicineQinglong Stop Tic FormulaFamous doctors' experienceXiong Lei
LECKMAN JF,RIDDLE MA,HARDIN MT, et al. The Yale Global Tic Severity Scale: Initial Testing of a Clinician-Rated Scale of Tic Severity[J]. Journal of the American Academy of Child & Adolescent Psychiatry, 1989, 28(4): 566-573.
刘智胜,秦炯,王家勤,等.儿童抽动障碍诊断与治疗专家共识(2017实用版)[J].中华实用儿科临床杂志,2017,32(15):1137-1140.
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