基于异病同治干预语言发育迟缓合并多动个案1例
增强出版One Medical Case: Treatment of Language Retarded with Hyperactivity Based on the Theory of Treating Different Diseases with the Same Method
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1.北京中医药大学第三附属医院 100029
2.北京中医药大学第三临床医学院 100029
3.北京中医药大学东方医院 100078
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崔霞, 王瀚东, 王素梅. 基于异病同治干预语言发育迟缓合并多动个案1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918890&Fpath=home&index=0
CUI Xia, WANG Handong, WANG Sumei. One Medical Case: Treatment of Language Retarded with Hyperactivity Based on the Theory of Treating Different Diseases with the Same Method[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918890&Fpath=home&index=0
崔霞, 王瀚东, 王素梅. 基于异病同治干预语言发育迟缓合并多动个案1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918890&Fpath=home&index=0 DOI:
CUI Xia, WANG Handong, WANG Sumei. One Medical Case: Treatment of Language Retarded with Hyperactivity Based on the Theory of Treating Different Diseases with the Same Method[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918890&Fpath=home&index=0 DOI:
病史摘要,2,患者王某某,男,9岁,主因“语言发育缓慢6年余”于2021年11月8日至王素梅教授门诊就诊。6年前患儿出现语言发育缓慢、与人对视少,后于外院就诊,完善相关检查后考虑发育迟缓,孤独症谱系障碍不除外,未予明确诊断。间断行感觉系统训练治疗,配合中药口服,语言发育略有改善。现为求进一步改善,欲求中医系统诊治。四诊信息 缺少主动语言,与人对视少,不听从指令,情绪易激惹,注意力不集中,多动,夜卧不安。舌偏红,苔黄厚腻,中有剥脱,脉滑。中医诊断 五迟-语迟,脾肾亏虚证;脏躁,痰火扰神证。西医诊断 语言发育迟缓待查,社交(语用)沟通障碍可能性大,孤独症谱系障碍不除外;注意缺陷与多动障碍。干预措施 中药颗粒剂口服治疗为主,配合行为康复训练。疗效转归 用药半年后患者交流能力、注意力等均有改善。
Summary of case history ,Wang, male, 9 years old, went to Professor Wang Sumei's clinic on November 8th, 2021 because of "slow language development for more than 6 years". More than 6 years ago, he presented with slow language development and less eye contact, and was later treated in another hospital. After completing relevant examinations, developmental delay was considered, including autism spectrum disorder, and no definite diagnosis was given. After intermittent sensory integration training and oral treatment with Traditional Chinese medicine, his language development was slightly improved. For the further improvement, his parents want TCM treatment. Symptoms and signs: the patient lacked active language, made little eye contact, did not follow instructions, was irritable, inattentive, hyperactive and restless at night. The tongue was red, the moss was yellow and thick and greasy, and the pulse felt slippery.,TCM diagnosis ,five kinds of retardation-language retardation, deficiency of the spleen and kidney; hysteria, phlegm-fire agitating the mind.,Western medicine diagnosis ,language development delay to be checked, social (pragmatic) communication disorder is likely, autism spectrum disorder is not excluded; attention deficit and hyperactivity disorder.,Therapeutic methods ,Traditional Chinese medicine granule oral treatment mainly, with behavioral rehabilitation training.,Clinical outcomes ,After six months of medication, the patient's communication ability and attention was improved.
中医神经发育障碍社交(语用)沟通障碍孤独症谱系障碍
Traditional Chinese Medicineneurodevelopmental disorderssocial (pragmatic) communication disorderautism spectrum disorder
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