中医药研究论丛

231.15 儿童发育迟缓中医治疗显效案例
TJ TCM.23(1) : 185-196, 2020
DOI : 10.6516/TJTCM.202003_23(1).0015
儿童发育迟缓中医治疗显效案例
Traditional Chinese Medicine in the Treatment of Developmentally Delayed Children: A Case Report
俞馨媛1 杨成湛1,2*
1佛教慈济医疗财团法人花莲慈济医院中医部,花莲,台湾
2 慈济大学学士後中医学系,花莲,台湾
【摘要】
案童四岁五个月时,因鼻过敏症状合并食欲差,到本院接受中医内科治疗。106/12/21 案童5 3 个月时,经幼儿园老师发觉其右手粗动作不利与左脚无力,且发展筛检未过(语言、职能、认知),故至西医复健科检查,诊断为混合型发展迟缓。经中医四诊,则诊断该童小儿发展迟缓之对应病名为五迟、五软。自107/01/18 起中医除了用宣通肺卫与补气健脾之科学中药之外,也加上针刺与小儿推拿治疗,另加强卫教跳绳运动。至108/09/26 为止,共治疗两年六个月,其粗动作不利与左脚无力症状及语言职能评估已正常,食欲改善五成,鼻过敏改善三成。目前西医复健科治疗已停止,固定一周一次回诊中医,已无发展迟缓之迹象。
【关键词】中医、小儿发展迟缓、五迟、五软
Hsin-Yuan Yu1Cheng-Chan Yang1,2*
1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
2The School of Post Baccalaureate Chinese Medicine, Tzu Chi University, Hualien Taiwan
【Summary】
A 7 year-old male patient has visited our Chinese Medical Department for Allergic rhinitis and poor appetite since the age of 4. He was found that he had insufficient gross motor skills at age of 5, especially at throwing, catching with right upper extremity and having weaker left lower extremity. Under the diagnosis of Allergic rhinitis and Mixed development disorder (on language and gross motor movement) which in Chinese medicine is correlative to “five retardations” and “ five flaccidity” the boy was treated by with chinese medicine, acupuncture and tuina to enhance defence qi of lung, tonify spleen and stomach. After 30-monthtreatment,all of his language, gross motor skill, and appetite have magnificently
improved. However, he still suffered from Allergic rhinitis when the weather changed dramatically.
Keywords Chinese medicine, developmental delay, five retardations, five flaccidity