小儿抽动障碍外风引动证病例报告1例
One Case Report of Tic Disorder Induced by External Wind
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1.北京中医药大学东方医院儿科,北京 100078
2.北京市大兴区中西医结合医院,北京 100076
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陈自佳, 韩枝彤, 王素梅. 小儿抽动障碍外风引动证病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640603&Fpath=home&index=0
CHEN Zijia, HAN Zhitong, WANG Sumei. One Case Report of Tic Disorder Induced by External Wind[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640603&Fpath=home&index=0
陈自佳, 韩枝彤, 王素梅. 小儿抽动障碍外风引动证病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640603&Fpath=home&index=0 DOI:
CHEN Zijia, HAN Zhitong, WANG Sumei. One Case Report of Tic Disorder Induced by External Wind[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640603&Fpath=home&index=0 DOI:
病史摘要,2,患儿闫某某,男,6岁。因“间断眨眼、耸鼻子伴清嗓子3年,加重2个月”就诊。曾先后于外院行血常规、血生化、脑电图、脑涨落图等检查,均未见明显异常,诊断为“抽动障碍”,予感统训练、口服静灵口服液、益生菌等,但疗效欠佳,自行停用。为求进一步治疗,于2020年8月27日至我科就诊。四诊信息:形体正常,面色少华,眨眼频繁,耸鼻子,清嗓子,耸肩,鼓肚子,甩头,咽红,舌偏红,苔薄白,脉浮数。中医诊断 肝风证,外风引动证。西医诊断 西医诊断:抽动障碍,Tourette综合征。干预措施 予疏风解表、搜风通络之法,方以荆防达表汤加减。疗效转归 经治疗,患儿抽动基本缓解,中药逐渐减量中。
Summary of case history,: Yan, male, 6 years old. Due to "intermittent blinking, nose shrugging and throat clearing for 3 years,aggravated for 2 months", no obvious abnormality was found in blood routine examination, blood biochemistry, EEG, brain fluctuation diagram and other examinations in other hospitals successively. He was diagnosed as "tic disorders", and given sensory training,Jing Ling oral liquid,probiotics, etc. However, the curative effect was poor and stopped using it on his own. For further treatment, he went to our department on August 27, 2020. Four diagnostic information: normal body, pale complexion, frequent blinking, shrugging nose, clearing throat, shrugging shoulders, tummy, shaking head, red pharynx, red tongue, thin white fur, floating pulse.,TCM diagnosis,: Liver wind syndrome, external wind induced syndrome.,Western medicine diagnosis,: tic disorders, Tourette Syndrome.,Therapeutic methods,: Jing Fang Da Biao Tang was used to disperse wind, relieve exterior, search wind and dredge collaterals.,Clinical outcomes,: After treatment, tic symptoms were basically relieved, and Chinese medicine was gradually reduced.
小儿抽动障碍外风引动疏风解表、搜风通络
ChildrenTic disordersExternal Wind inducedDisperse wind relieve exterior search wind and dredge collaterals
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