化痰醒神法治疗阿斯伯格综合征验案一则
A case of treating Asperger syndrome with the method of resolving phlegm and refreshing the mind
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1.云南中医药大学第一临床医学院,云南 昆明 650500
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马冬梅, 贺喜盈, 杨航, 等. 化痰醒神法治疗阿斯伯格综合征验案一则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358243&Fpath=home&index=0
MA Dongmei, HE Xiying, YANG Hang, et al. A case of treating Asperger syndrome with the method of resolving phlegm and refreshing the mind[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358243&Fpath=home&index=0
马冬梅, 贺喜盈, 杨航, 等. 化痰醒神法治疗阿斯伯格综合征验案一则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358243&Fpath=home&index=0 DOI:
MA Dongmei, HE Xiying, YANG Hang, et al. A case of treating Asperger syndrome with the method of resolving phlegm and refreshing the mind[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358243&Fpath=home&index=0 DOI:
病史摘要,2,患者因“性格孤僻伴学习能力下降2年余,加重2月”于2021年07月06日就诊。2年前家长发现患儿性格较前孤僻,焦虑,情绪低落,注意力不集中,不自主笑,学习成绩下降,2月前无明显诱因上述症状加重,遂至当地医院就诊,诊断为“阿斯伯格综合征”,予阿立派唑片及氟西汀口服2周后自行停药,症状无明显缓解。现症见:性格孤僻,表情淡漠,沉默呆钝,不与他人交流,不自主的重复动作,注意力不集中,多动,时有不自主发笑,眼眶周围发青。根据患儿主症,诊断本病属于中医癫病范畴。情志不畅,气结于内;思虑过度,损伤心脾,津停痰聚,故而痰气郁结,蒙蔽神窍,证属气痰郁结证。中医治法 理气解郁,化痰醒神中医诊断 癫病(气郁痰结证)西医诊断 阿斯伯格综合征干预措施 自拟柴芍温胆汤加减(饮片)6剂,水煎服,每次200 mL,每剂服2日,每日3次。无西药治疗。疗效转归 治疗2月余,患儿由不愿与任何人交流到能与陌生人简单交流3分钟左右,由之前上课时无法安坐5分钟到能专心听讲至少30分钟。随访半年,患儿病情好转,生活及学习接近正常。
Summary of case history, The patient went to the doctor on July 06,2007, because of The character of isolation and the decline of learning ability for more than 2 years, aggravating in the February of 2021. Two years ago, the parents found that the child was more withdrawn, anxious, depressed, inattentive, unable to laugh, and had lower academic performance than before. Two months ago, the symptoms worsened, so they went to the local hospital for treatment, the patient was diagnosed as Asperger syndromeand was who given aripiprazole tablets and fluoxetine for 2 weeks. Symptoms: personality, apathy, silence dull, do not communicate with others, involuntary repetitive movements, lack of focus, hyperactivity, sometimes involuntary laughter, blue around the eyes. According to the main symptoms of children, the disease belongs to the category of epilepsy. Emotion is not free, Qi knot inside; excessive thinking, injury to the heart and Spleen, Jin stop phlegm gathering, so phlegm stagnation, Hoodwinking Shenqiao, syndrome is Qi phlegm stagnation syndrome.,TCM treatment, Regulating Qi toresolve phlegm and waking up.,TCM diagnosis, Depressive psychosis(syndrome of stagnation and binding of phlegm and qi),Western medicine diagnosis, Asperger syndrome.,Diagnostic methods, The diagnosis was made according to the main symptoms of the patient and the results of auxiliary examinations of evaluation report of children's developmental disorder in psychiatric hospital, Self-Rating Anxiety Scale and Yale-Brown Obsessive Compulsive Scale.,Therapeutic methods, Self-made ,chaishao Wendan, decoction (decoction pieces)6 doses, decoction, 200mL each time, each dose 2 days, 3 times a day. No Western medicine treatment.,Clinical outcomes, After two months of treatment, the patient changed from not wanting to communicate with anyone to being able to communicate with strangers for about 3 minutes, from not being able to sit still for 5 minutes to being able to listen attentively for at least 30 minutes. Follow-up for half a year, the child's condition becomes better,improved life and learning skills are nearly normal.
阿斯伯格综合征化痰醒神温胆汤名医经验熊磊
Asperger syndromeResolving phlegm and refreshing the mindChai Shao wen Dan decoctionClinical experience of famous doctorsXiong Lei
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