王竹行治疗慢性抽动障碍案
The case of WANG Zhuxing Treating Chronic Motor Tic Disorder
扫 描 看 全 文
1.重庆市中医院针灸科,重庆 400021
2.重庆市中医院针灸科,重庆 400021
扫 描 看 全 文
周源, 王竹行. 王竹行治疗慢性抽动障碍案[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36181641&Fpath=home&index=0
ZHOU Yuan, WANG ZhuXing. The case of WANG Zhuxing Treating Chronic Motor Tic Disorder[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36181641&Fpath=home&index=0
周源, 王竹行. 王竹行治疗慢性抽动障碍案[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36181641&Fpath=home&index=0 DOI:
ZHOU Yuan, WANG ZhuXing. The case of WANG Zhuxing Treating Chronic Motor Tic Disorder[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36181641&Fpath=home&index=0 DOI:
病史摘要,2,患者女,9岁4月,因“反复眨眼6年,加重伴皱鼻、口歪半年”于2021年9月22日就诊。症见不自主眨眼,可自行缓解,在儿童医院诊治,行脑电图检查提示脑电图正常,诊断为抽动秽语综合征,口服硫必利及可使用乐定透皮贴片。在重庆市中医院诊断为慢性抽动障碍,口鼻症状减轻,习惯性眨眼,伴挤眉弄眼,在激动、跑步时容易出现,伴口渴,欲饮水,患儿性格内向,专注力差,学习成绩差,饮食尚可,睡眠正常,大便调。舌红,苔薄白,脉弦细。既往有幼年经常发烧病史。中医诊断 痉病(阴虚风动证)西医诊断 慢性抽动障碍干预措施 中药以疏肝息风,养阴清热通络为主要原则,核心处方用药予柴胡、黄芩、菊花、姜半夏、生地黄、鸡血藤、夏枯草、白芍、龙骨、牡蛎、川芎、白芷、粉葛、地龙。疗效转归 经治疗4月余,患者眨眼消失,口角抽动明显减少,面部抽搐极少发生,专注力改善,学习成绩提升,病情基本治愈。
Summary of case history, A female patient, aged 9 years and 4 months, was admitted to the hospital on September 22, 2021, because of "repeated blinking for 6 years, aggravation with wrinkled nose and crooked mouth for half a year". The symptoms is involuntary blinking, which improves on its own.She was diagnosed with Tourette's syndrome and treated at Children's Hospital,and was given Oral tiapride and clonidine transdermal patches,which can help her to relive the symptoms relatively。Then She was diagnosed with chronic motor tic disorder and was easy to appear habitual blinking, accompanied by winking, when she was excited and running, and always thirsty for drink, with poor concentration and poor academic performance, eat and sleep normally.Red tongue, thin white coating, pulse string. She had a history of frequent fever in childhood.,TCM diagnosis, Spasmodic disease (stirring syndrome by yin deficiency),Modern medicine diagnosis, Chronic motor tic disorder,Therapeutic methods, The main principle of Chinese medicine is to relieve the liver and calm the wind, nourish Yin and clear heat and channel the collaterals. The core prescription of Chinese medicine is bupleurum, Scutellaria baicalensis, chrysanthemum, ginger and Pinellia pinellia, Rehmanniae rehmannii, suberathia spatholobi, Rhizoma spatholobi, Radix paeoniae, ossa draconis, oyster, Rhizoma ligustici wallichii, Angelica dahurica, Kudzu root , and Digilong.,Clinical outcomes, After 4 months of treatment, the patient's eye blink disappeared, mouth twitch significantly reduced, facial convulsions rarely occurred, concentration improved, academic performance improved, and the condition was basically cured.
慢性抽动障碍中药
Chronic motor tic disorderTraditional Chinese medicine (TCM)
《中华医学会儿科学分会神经学组.儿童抽动障碍的诊断与治疗建议》.中华儿科杂志,2013,51(1):72-75.
KurlanR .Handbook of Tourette, Syndrome and Related Tic and Behavioral Disorders[M].2nd ed.New york:Maecel Dekker ,2005:155-171.
刘智胜.儿童抽动障碍诊断要点[J].中国实用儿科杂志,2012.27(7):481-485.
0
浏览量
9
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构