中醫治療自閉症兒童語言發展遲緩之病例報告

本病例報告描述治療一位七歲自閉症男孩伴有語言發展遲緩之案例。患者自三歲（2016年）時被發現有語言遲緩情形，西醫診斷為自閉症，依丹佛發展篩檢量表（Denver Developmental Screening Tests, DDST）評估後，此病患在精細動作及適應能力、語言方面皆有發展遲緩的現象。自診斷後即持續接受復健科職能治療和語言治療至今。四歲多時開始有眠淺易醒的症狀，六歲多時開始有食慾不佳及挑食的情形。本案例之特色在於，以一週一次的頻率給予中藥和頭部針灸治療，中藥以導赤散或香砂六君子湯、竹葉石膏湯為主方，清熱養陰、益氣和胃，並酌加茯神、夜交藤養心安神；針灸穴位選用：百會穴、四神聰、上星穴、神庭穴、雙側承光穴，留針20分鐘。治療一個半月後，患者眠淺易醒的症狀改善八成，食慾不佳及挑食的情形改善六成，持續治療兩個月後，丹佛發展篩檢量表（Denver Developmental Screening Tests, DDST）語言的項目中，和中醫初診時相比較，能夠多達成五個項目。對此治療過程作一介紹和討論。

關鍵字

自閉症；語言遲緩；中醫

並列摘要

This case report describes the treatment of a seven-year-old boy with autism accompanied by delayed language development. The patient was found to have speech delay since he was three years old, and was diagnosed with autism. After evaluation by the Denver Developmental Screening Tests (DDST), the patient had slow development in fine movements, adaptability and language. Since the diagnosis, he has continued to receive functional treatment and speech therapy in the rehabilitation department until now. He began to have symptoms of light sleep and easy to wake up when he was four years old, and began to have poor appetite and picky eating six months ago. The characteristic of this case is that after giving Chinese medicine and head acupuncture once a week for one and a half months, the patient's symptoms of light sleep and easy to wake up improved by 80%, poor appetite and picky eating improved by 60%. After two months of continuous treatment, five more projects can be achieved in the language of Denver Developmental Screening Tests (DDST). We give Traditional Chinese Medicine including Dao Chi San or Xiangsha Liujunzi Decoction, Zhuye Shigao Decoction as the main prescription to the patient, clearing away heat and nourishing yin, replenishing qi and stomach, and adding Fushen and Yejiaoteng to nourish the heart and soothe the nerves. We also choose acupuncture points: Baihui, Fourth Shencong, Shangxing, Shenting, bearing light on both sides for the patient, and keep the needles for 20 minutes.