120例孤独症谱系障碍患儿中医证候学研究

Study on TCM Syndromes of 120 Children with Autism Spectrum Disorders

目的:探讨孤独症谱系障碍患儿中医症状分布特点,为临床治疗提供理论依据。方法:收集120例孤独症谱系障碍患儿,观察患儿性别、年龄分布、病程长短、可能病因等,运用中医理论对其临床症状进行证候学研究。结果:在性别分布上,患儿无明显偏倚。年龄分布最广的为学龄前阶段(3~6岁)。所有患儿均表现有交流障碍、兴趣狭窄;半数以上患儿存在眼不识人、行为怪异、语言重复、发音困难、任性固执、五软、骨骼痿软;舌脉象方面,超过60%的患儿表现为淡红舌、苔薄白,细数脉,指纹淡紫。结论:本病发病与心、肝、脾、肾等多个脏腑有关。

Objective： To discuss the distribution characteristics of TCM symptoms in children with ASD, and to provide theoretical basis for clinical treatment. Methods： A total of 120 cases of children with ASD were collected and the sex, age, course of disease and possible etiology were observed. The sex, age, course of disease and possible etiology were observed, to study the clinical symptoms by Chinese Medicine theory. Resuits： There was no significant bias in the sex distribution. Age （3-6 years old） distribution is the most widely. All patients show communication obstacles and narrow interests; More than half of the patients have Illiterate people, bizarre behavior, language repetition, pronunciation difficulties, headstrong and so on. More than 60% patients showed pink tongue, thin white fur, thin weak performance and purply infantile hand venule. Conclusion： The pathogenesis of ASD is related to many viscera, such as heart, liver, spleen and kidney.