补肾运脾方加减治疗儿童孤独症合并银屑病个案1例
A Case of Child Autism with Psoriasis Vulgaris Treated by modified Bushenyunpi Decotion
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1.北京中医药大学东直门医院儿科,北京 100700
2.北京中医药大学,北京 100700
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陈溪, 王俊宏. 补肾运脾方加减治疗儿童孤独症合并银屑病个案1例[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363329&Fpath=home&index=0
CHEN Xi, WANG Junhong. A Case of Child Autism with Psoriasis Vulgaris Treated by modified Bushenyunpi Decotion[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363329&Fpath=home&index=0
陈溪, 王俊宏. 补肾运脾方加减治疗儿童孤独症合并银屑病个案1例[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363329&Fpath=home&index=0 DOI:
CHEN Xi, WANG Junhong. A Case of Child Autism with Psoriasis Vulgaris Treated by modified Bushenyunpi Decotion[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363329&Fpath=home&index=0 DOI:
病史摘要,2,患儿,男,9岁,主因“与人语言交流不佳7年余”就诊。患儿7年余前因语言沟通能力差、小动作多、与人对视不佳诊断为“儿童孤独症”“注意力缺陷多动症”“感统失调”,7年间完善辅助检查及量表评估,行感统训练后效不显。确诊同年上呼吸道感染后出现全身红色皮疹伴瘙痒,诊为“寻常型银屑病”,予口服及外用药物治疗后皮疹瘙痒反复发作。刻下症:语言沟通能力不佳,难以连词成句,小动作多,学习记忆能力差,情绪自控不佳,双上肢偶有新发皮疹,喜搔抓,口中有异味,挑食,眠可,大便1~2次/日,偶不成型。中医诊断 语迟(脾肾亏虚,痰瘀互结证);白疕(湿热证)西医诊断 儿童孤独症;寻常型银屑病干预措施 中药口服为主,配合推拿及感统训练。中医治以补脾益肾,豁痰祛瘀,兼清湿热,首诊以王俊宏教授自拟补肾运脾方加减,复诊予辨证调整方药。疗效转归 服药3个疗程后,患儿语言交流好转,眼神交流有所改善,模仿说话增多,与人互动增多,下肢皮疹明显减轻,仍有多动、易激惹情况。后患儿定期复诊,根据患儿病情对组方进行加减,取得了较好的疗效。
Summary of case history, A 9-year-old boy came to hospital because of "poor language communication with people for more than 7 years". The child was diagnosed with "Child autism", "Attention deficit hyperactivity disorder", and "Sensory integrative dysfunction" due to poor language communication ability, excessive small movements, and poor eye contact with others more than 7 years ago. During the 7 years, the auxiliary examination and scale evaluation were completed, but the effect of sensory integration training was not obvious. After diagnosis of upper respiratory tract infection in the same year, he developed a red rash with pruritus all over the body, which was diagnosed as "Psoriasis vulgaris". After oral and topical drug treatment, the rash and pruritus recurred. Symptoms at present: Poor language communication ability, difficulty in making up sentences, small movements, poor learning and memory ability, poor emotional self-control, occasional new skin rash on both upper limbs, like scratching, bad smell in the mouth, picky eating, sleeping, 1-2 times of defecation a day which are occasionally not forming.,TCM diagnosis, Retardation in speech (spleen and kidney deficiency, intermin-gled phlegm and blood stasis); Psoriasis (damp and heat),Western medicine diagnosis, Childhood autism; Psoriasis vulgaris.,Therapeutic methods, Internal administration of Chinese medicine, with massage and sensory integration training. Traditional Chinese medicine is to tonify the spleen and kidney, clear phlegm and remove blood stasis, and clear dampness and heat. Modified Bushenyunpi Decotion by Professor Wang Junhong was prescribed for the first visit and the prescription changed based on syndrome differentiation during the following return visits.,Clinical outcomes, After 3 courses, the child's language communication, eye contact improved, imitation of speech increased, interaction with people increased, lower limb rash significantly reduced, while still hyperactive, irritabled. The child returned to Professor Wang regularly, according to the condition, to add and reduce the herb in the prescription, and after the year of treatment, he achieved good effect.
儿童孤独症感统失调寻常型银屑病补肾运脾方
Child autismSensory integrative dysfunctionPsoriasis vulgarisBushenyunpi Decotion
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