中医治疗儿童孤独症谱系障碍研究进展  

Research Progress of Treating Autism Spectrum Disorder in Children with TCM

作　　者：姚雪春 李亚平[1] 李征 刘丽颖 王璐瑶 林晓璐 金永浩 YAO Xue-chun;LI Ya-ping;LI Zheng;LIU Li-ying;WANG Lu-yao;LIN Xiao-lu;JIN Yong-hao(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,China,3003811)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津300381

出　　处：《河南中医》2023年第2期299-303,共5页Henan Traditional Chinese Medicine

摘　　要：儿童孤独症谱系障碍(autism spectrum disorder, ASD)病位在脑,与心、肝、脾、肾等脏腑密切相关,病因病机总属先天禀赋不足或后天调养不当,致脑髓失充,神失所养,神机失用。中医从脏腑辨证出发,运用针灸、推拿、耳穴、康复训练等疗法,治疗ASD的核心症状及伴随睡眠障碍、情志异常、饮食困难等疗效显著。但目前中医的各种疗法多集中在改善语言及认知功能方面,对孤独症核心症状的研究较少,且多缺少远期疗效追踪。长期用药及康复治疗给家庭及社会带来较大负担,引起一些家庭矛盾及心理问题。基于此,今后的研究应更关注新的医学治疗模式:生物-心理-社会模式,在改善患儿核心症状的同时,给予患儿及养育人心理支持治疗;在目前研究的基础上进一步开展大样本、多数据、远期随访的疗效观察。Autism spectrum disorder(ASD) in children is located in the brain, and is closely related to the heart, liver, spleen, kidney and other viscera.The etiology and pathogenesis of ASD are always due to insufficient congenital endowment or improper acquired care, resulting in brain marrow insufficiency, loss of consciousness, and failure in function.TCM,based on the differentiation of viscera, uses acupuncture, massage, ear points, rehabilitation training and other therapies to treat the core symptoms of ASD and the accompanying sleep disorders, emotional disorders, eating difficulties, etc.,and the curative effects are significant.However, at present, various therapies of TCM are mostly focused on improving language and cognitive function, and there are few studies on the core symptoms of autism, and most of them lack long-term effect tracking.In addition, long-term medication and rehabilitation treatment have brought a great burden to a family and society, as well as some family conflicts and psychological problems.Therefore, future research should pay more attention to the new medical treatment model: bio-psycho-social model, which provides psychological support to children and caregivers while improving their core symptoms.On the basis of the current research, it is also needed to further carry out the efficacy observation of large sample, multiple data and long-term follow-up.

关 键 词：儿童孤独症谱系障碍 从心肝论治 从心脾论治 从肝脾论治 从肾肝脾论治 三期辨证治疗 

分 类 号：R272.949.94[医药卫生—中医儿科学]