「注意力缺失過動症」中醫古籍研究

Attention Deficit Disorder; A Research into Ancient Literature

曾綺華(Qi-Hua Zeng)

《台灣中醫臨床醫學雜誌》 13卷2期 (2007/06) Pp. 153-162

https://doi.org/10.6968/TJCCM.200706.0153

摘要

「注意力缺失過動症」近十年來逐漸被西方醫學所重視，用藥則以中樞神經刺激劑為主，然而因為有食慾不振及睡眠障礙的副作用，讓病患及家長會因此而卻步。我們在中醫門診發現過動兒除了注意力差，專注力不足外，多數的孩子（80%左右）有怕熱、便秘、手心流汗及坐不住的現象，並且多數合併有鼻子過敏、鼻塞或者氣喘的現象，有的孩子則有夜晚抽搐或夢遊，有的孩子則有夜尿或尿床的情形。因此我們嘗試藉由古籍研究，企圖讓醫療界明白「注意力缺失過動症」的主要問題應是在「胃熱」而不是在大腦。

關鍵字

注意力缺失過動症 ； 胃熱 ； 脾氣虛 ； 腎氣虛 ； 肝風內動

並列摘要

In the past few decades attention deficit disorder (ADD) has become an increasingly important topic of discussion in the world of Western medical science. Treatment consists primarily of drugs that stimulate the central nervous system. Because these drugs have side affects such as a decrease in appetite and sleep difficulties, both patients and their families become reluctant to continue treatment. In our Chinese medicine clinic we discovered that aside from difficulty with maintaining concentration, roughly 80% of the children with ADD were afraid of heat, had constipation, sweaty palms and could not sit still. In addition most had signs of allergic rhinitis, nasal congestion or asthma. Some children also suffered from nocturnal muscle twitching or sleepwalking, while some had problems with bed-wetting or nocturnal enuresis. We have attempted to use ancient medical sources to clarify to that the principal factor associated with attention deficit disorder lies in “stomach heat” and not in some problem with the brain.

並列關鍵字

attention deficit disorder ； stomach heat ； spleen qi deficiency ； kidney qi deficiency ； liver wind stirring internally