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A brief analysis of the pathogenesis and syndrome differentiation of
autism spectrum disorders from the "brain-spleen and kidney
correlation"
CHEN Xi, PENG Yaqi, LI Wei, YANG Hongsheng, WANG Junhong
Chinese Pediatrics of Integrated Traditional and Western Medicine
2024, 16 (1):
88-92.
DOI: 10.3969/j.issn.1674-3865.2024.01.021
Autism spectrum disorders(ASD) is characterized by sustained impaired
social ability, repetitive behaviors or interests, and stereotyped behavior. It
is a common pediatric neuropsychiatric disease with great harm in TCM
pediatrics, and in 2020, the domestic incidence has reached 7‰. The optimal treatment period
is often missed due to delayed diagnosis, limited treatment measures, failure
to adhere to treatment, improper parental care and so on. The "Original
Spirit" of ASD is damaged, and the lesion is in the brain. This paper analyzes
the correlation between brain and spleen and kidney from the material basis,
structural basis, operational basis and pathological connection, and concludes
that the deficiency of spleen and kidney is the fundamental pathogenesis of
ASD, and phlegm and blood stasis is the important pathological factors of ASD.
Professor Wang Junhong thinks that the physiological and pathological
characteristics of children should be considered clinically, and the basic
treatment should be to tonify the kidney and spleen, eliminate phlegm and
remove blood stasis. At the same time, there should be no improper
tonification, and the focus is to regulate the whole body movement and chemical
function of children. In the treatment, the classic prescription Liuwei Dihuang
pills and Liujunzi decoction are selected as the main prescription of Bushen
Yunpi Yizhi prescription. According to the viscus syndrome, the treatment
combines comprehensive analysis of the four examination methods and achieves
good effects. Based on clinical cases, this article introduces the key points
of syndrome differentiation, treatment and medication experience of Bushen
Yunpi Yizhi prescription in the treatment of children with ASD.
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