中药联合推拿治疗儿童孤独症谱系障碍1例
增强出版A Case Report of Autism Spectrum Disorder Treated by Chinese Medicine Combined with TuiNa
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1.北京中医药大学东直门医院, 北京100700
2.北京中医药大学第一临床医学院,北京 100700
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王俊宏, 魏槃. 中药联合推拿治疗儿童孤独症谱系障碍1例[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745928&Fpath=home&index=0
WANG Junhong, WEI Pan. A Case Report of Autism Spectrum Disorder Treated by Chinese Medicine Combined with TuiNa[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745928&Fpath=home&index=0
王俊宏, 魏槃. 中药联合推拿治疗儿童孤独症谱系障碍1例[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745928&Fpath=home&index=0 DOI:
WANG Junhong, WEI Pan. A Case Report of Autism Spectrum Disorder Treated by Chinese Medicine Combined with TuiNa[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745928&Fpath=home&index=0 DOI:
患儿,男,5岁,主因“社交及语言障碍2年,加重半年”就诊。2年前家长发现患儿言语落后,不喜社交,就诊于多家医院诊断为“儿童孤独症”,经教育训练及生物补充剂治疗后进步尚不明显。刻下症见:言语交流缺乏逻辑,坐立不安,易烦躁,偶有冲动、打人行为,喜拍手喊叫,乏力汗出,纳差,眠欠安,偶有遗尿,形体瘦弱,四肢软而无力,面色萎黄,舌质淡暗,苔白稍腻,脉沉弦细。中医诊断:呆病(脾肾亏虚证);西医诊断:儿童孤独症。治法:运脾化痰,补肾益智。运用中药联合推拿进行干预,首诊以运脾补肾方药配合揉膻中、摩腹、揉四神聪、捏脊等推拿手法治疗,患儿情绪亢奋及睡眠好转。二诊加枸杞子、五味子以补肾固精,语言交流进步,冲动行为基本消失。三诊去牡丹皮,加夏枯草、南沙参以疏肝行气,养阴清热,推拿处方加揉风池、擦八髎。后续患儿仍坚持服用中药结合推拿进行治疗,后期随访患儿社交意愿增强,可与同龄儿童进行少量交流,表达欲望较高,病情平稳。
The patient, male, 5 years old, was hospitalized for social and language disorders for 2 years, aggravating for half a year. Two years ago, the parents found that the child's speech was backward and he did not like to socialize. He was diagnosed as childhood autism spectrum disorder in many hospitals. After rehabilitation training and biological supplement treatment, the progress was not obvious. The following symptoms are that the child's language lack of logic, restlessness, irritability, occasional impulsive and beating behavior, like clapping and shouting, fatigue and sweating, poor appetite, poor sleep, occasional enuresis, thin body, soft and weak limbs, pale yellow face, the tongue is pale and dark, the coating is white and greasy, and the pulse is wiry, sunken and thin. TCM diagnosis isdementia belonging to deficiency of spleen and kidney; Western medicine diagnosisis autism spectrum disorder in children. Treatment is administrated as transporting the spleen to remove phlegm, invigorating the kidney and benefiting the intellect. Traditional Chinese medicine combined with massage was administratedfor intervention. The first diagnosis was to use the prescription of spleen and kidney tonifying combined with massage manipulation such as rubbing Danzhong, rubbing the abdomen, rubbing the Sishencong and kneading the spine. The children's mood was excited and their sleep improved. In the second diagnosis, Gouqi and Wuweizi were added to replenish the kidney and strengthen the essence. The language communication was improved, and the impulsive behavior basically disappeared. The third diagnosis is to remove the Mudanpi, add Xiakucao and Nanshashen to soothe the liver and Qi, nourish the Yin and clear the heat, and the massage prescription is to rub Fengchi and rub the Baliao.The follow-up children still insisted on taking traditional Chinese medicine combined with massage for treatment. In the later follow-up, the children's social willingness was enhanced, and they could communicate with children of the same age, with high expression desire and stable condition.
孤独症谱系障碍脾肾亏虚运脾补肾中药推拿
autism spectrum disorderdeficiency of spleen and kidneyinvigorating the spleen and kidneytraditional Chinese medicinemassage
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