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头九针结合益智方治疗小儿多动症医案举隅

Summary of medical records in treating attention deficit hyperactivity disorder by head nine needle therapy combined with Yizhi prescription
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摘要 因生活水平、环境、食品等多方面影响,目前小儿多动症发病率呈现上升趋势。此病对儿童的行为、情绪、学习、社交等均造成不同程度的影响,且男孩较女孩更容易发病。若未及时治疗,损害将持续至成年期。中医认为小儿“三有余,四不足”的生理特点与本病病机密切相关,将本病纳于“脏躁”“健忘”“失聪”等范畴。目前,西医治疗小儿多动症并未取得满意疗效,不良反应较多,限制了其在临床中的应用。中医治疗此病可达到理想效果。鄢路洲主任针药结合治疗小儿多动症,根据小儿脏腑娇嫩,为稚阴稚阳之体的特点,选用百会穴、前顶穴、囟会穴等头部九穴进行骨膜针刺法,以达到改善患者头部血液循环、提高神经细胞活性等目的。在遣方用药上,鄢路洲主任配合使用自拟小儿益智方(龙骨、牡蛎、鸡血藤等组成),紧抓小儿多动症阴虚不能制阳、脑窍失养的病机特点,着重于调神健脑、协调阴阳。研究介绍鄢路洲主任头九针结合小儿益智方治疗小儿多动症验案一则,以期为临床提供参考。 Due to the impact of living standards,environment,food and other aspects,the incidence of attention deficit hyperactivity disorder(ADHD)in children shows an increasing trend.The disease affects children’s behavior,emotion,learning and social interaction to varying degrees,and boys are more prone to the disease than girls.If left untreated,symptoms and functional impairments continue into adulthood in most children.Traditional Chinese medicine believes that the physiological characteristics of children“More than three and less than four”are closely related to the pathogenesis of the disease,and the disease is classified in the categories of dirty and impetuous,forgetfulness and deafness.At present,Western medicine has not achieved satisfactory effect in the treatment of children with ADHD,and there are many adverse reactions,which limits its clinical application.Chinese medicine treatment of this disease can achieve ideal results.YAN Luzhou,director of acupuncture and medicine combined treatment of children with hyperactivity,has achieved a good effect.According to the delicate viscera of the child and the characteristics of the body of renal Yin(阴)and renal Yang(阳),he selected nine points of the head such as Baihui point(DU20),Qianding point(DU21)and Xinhui Point(DU22)for periosteal acupuncture to improve the blood circulation of the patient’s head and improve the activity of nerve cells.In terms of prescription medicine,Director YAN Luzhou,together with the self-designed Xiaoer Yizhi prescription(小儿益智方),firmly grasp the pathogenesis characteristics of Yin(阴)deficiency in children with ADHD,which can not make Yang(阳),and brain loss,focusing on regulating the spirit and strengthening the brain,coordinating Yin and Yang.This article introduces a clinical case of treating hyperactivity in children with YAN Luzhou’s first nine needles combined with the secf-designed Xiaoer Yizhi prescription.
作者 何文霞 屈晓凤 鄢路洲 HE Wenxia
出处 《中医临床研究》 2024年第25期113-116,共4页 Clinical Journal Of Chinese Medicine
关键词 小儿多动症 头九针 骨膜针刺法 针药结合 Attention deficit hyperactivity disorder Head nine needle therapy Periosteal acupuncture Combination of acupuncture and medicine
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