study children with autism spectrum disorders using symptom differentiation of traditional chinese...
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Study Children with Autism Spectrum Study Children with Autism Spectrum Disorders Using Symptom Disorders Using Symptom
Differentiation of Traditional Chinese Differentiation of Traditional Chinese Medicine (TCM)Medicine (TCM)
Study Children with Autism Spectrum Study Children with Autism Spectrum Disorders Using Symptom Disorders Using Symptom
Differentiation of Traditional Chinese Differentiation of Traditional Chinese Medicine (TCM)Medicine (TCM)
CL Wong and VCN WongCL Wong and VCN WongDepartment of Paediatrics and Adolescent Department of Paediatrics and Adolescent
Medicine, the University of Hong Kong Medicine, the University of Hong Kong
Presentation Outline• Prevalence of Autism Spectrum
Disorders (ASD)• Our research - objectives - method - findings• 2 cases
Epidemiology• 1960s- “classical autism”- 4/10 000• 1985- “ASD”- 62.6/10 000 in UK• 71/10 000 in Sweden• 61/10 000(3-10yr) in USA• 2000- “ASD”- 60/10 000• Male:Female 4.3(mean)
• 46. Fombonne E. Epidemiology of pervasive developmental disorders. Trends in Evidence-Based Neuropsychiatry 2003;5(1):29–36.
• Merrick J et al.Trends in autism. Int J Adolesc Med Health.
Epidemiology• 2006- autism- 1.8 million cases in China
(13.9/10 000)• >10 000 cases in Shanghai (6.2/10 000)• prevalence in China is largely unknown
• SHanghai Daily News reported in China View - www.chinaview.cn 2005-11-29 viewed April 2006 • "Epidemiologic Research on Autism in China" 2006 U.S. National Institutes of Health
Previous research
• Diagnosis• TCM symptom differentiation• Patients too irritated during
acupuncture
Method• Diagnosis by paediatricians, neurolog
ists, autism specific assessment teams
• CARS, ADOS• Symptom differentiation by TCM prac
titioner• Videos and photos
Subjects• DKCH & QMH paediatric neurology cli
nic• n=19+• Autism/ Autism Spectrum Disorders
(ASD)/ Asperger’s Syndrome
ResultsPatients can appear as a combination of problems
Type Manifestation N
Phlegm obstruction
Problem with speech and communication, poor social interaction, obsessive behavior, poor eye contact
19
Obstruction of Liver Qi
Emotional problems 12
Qi Deficiency
(Kidney, Spleen)
Congenital problem, developmental delay
Case 1• M/ 20y• Autism, MR, Epilepsy• No meaningful single word• Difficulty in protruding his tongue• Poor imitation• Placid• Seldom appears temper tantrums• TCM: Phlegm obstruction
Acupuncture points• DU15 啞門• HT5 通裏• Jin’s 3 Needling 舌三針• Chiu’s Head scalp acupuncture 焦氏
頭皮針-言語二、三區
Case 2• M/ 11y• Asperger Sx, Oromotor dyspraxia, Obesity• Normal IQ, read a lot of book• Unwilling to communicate verbally• Poor articulation• Poor eye contact• Difficulty in protruding and moving his tongue• Poor temper, special fear to sand• Deep slippery pluse• TCM: Phlegm obstruction