|
|
|
| A Treatise by Cheng Jinguo, Chief Physician, on the Treatment of Tic Disorders in Children Based on Chronic Infantile Convulsions |
| Shengjin Xiang, Lewei Tang, Xiaohan Jiang, Na Tang, Jinguo Cheng |
| Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China |
|
|
|
|
Abstract Tic disorders are frequently sent first to the department of ophthalmology for consultation because of their clinical characteristics. Chief physician Cheng Jinguo believes that tic disorders in children, especially chronic tic disorders, Tourette's syndrome, and chronic infantile convulsions have the same etiology and pathogenesis in Chinese medicine. All of these have the basic pathogenesis of spleen deficiency and hyperactivity of the liver-YANG; the formation of phlegm and respiration are the main pathological manifestations. Tic disorders and convulsions are the specific forms. At the same time, Cheng Jinguo believes that the treatment of tic disorders can also be used to treat chronic infantile convulsions, either treating with a custom formula to soothe the liver and strengthen the spleen, eliminating phlegm and calming respiration, or a flexible formula based on the pathogenesis to achieve good results. This article summarizes the clinical features of tic disorders and the experience of chief physician Cheng Jinguo in treating the disease.
|
|
Received: 14 February 2020
|
|
Corresponding Authors:
Jinguo Cheng, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China (Email: 1435975193@qq.com)
|
|
|
|
| [1] |
Yang C, Zhang L, Zhu P, et al. The prevalence of tic disorders for children in China: A systematic review and metaanalysis. Medicine, 2016, 95(30): e4354. DOI: 10.1097/ MD.0000000000004354.
|
| [2] |
Kurlan R, Como PG, Miller B, et al. The behavioural spectrum of tic disorders: A community based study. Neurology, 2002, 59: 414-420. DOI: 10.1212/wnl.59.3.414.
|
| [3] |
Hirschtritt ME, Lee PC, Pauls DL, et al. Lifetime prevalence, age of risk, and genetic relationships of comorbid psychiatric disorders in Tourette syndrome. JAMA Psychiatry, 2015, 72: 325-333. DOI: 10.1001/jamapsychiatry.2014.2650.
|
| [4] |
向圣锦, 王勤美, 吴伟深, 等. 首诊于眼科小儿抽动障碍的临床特征分析. 中国实用眼科杂志, 2010, 28(10): 1128-1131. DOI: 10.3969/j.issn.1004-7484(x).2013.01.188.
|
| [5] |
Pringsheim T, Holler-Managan Y, Okun M S, et al. Comprehensive systematic review summary: Treatment of tics in people with Tourette syndrome and chronic tic disorders. Neurology, 2019, 92(19): 907-915. DOI: 10.1212/WNL.0000000000007467.
|
| [6] |
Woods DW, Piacentini J, Chang S, et al. Managing Tourette Syndrome: A Behavioral Intervention for Children and Adults Therapist Guide. New York: Oxford University Press, 2008.
|
| [7] |
Sukhodolsky DG, Woods DW, Piacentini J, et al. Moderators and predictors of response to behaviour therapy for tics in children and adults with Tourette's disorder and chronic tic disorders. Neurology, 2017, 88(11): 1029-1036. DOI: 10.1212/ WNL.0000000000003710.
|
| [8] |
Pringsheim T, Lam D, Ching H, et al. Metabolic and neurological complications of second generation antipsychotic use in children: A systematic review and meta-analysis of randomized controlled trials. Drug Saf, 2011, 34(8): 651-668. DOI: 10.2165/11592020- 000000000-00000.
|
| [9] |
Porta M, Maggioni G, Ottaviani F, et al. Treatment of phonic tics in patients with Tourette's syndrome using botulinum toxin type A. Neurol Sci, 2003, 24: 420-423. DOI: 10.1007/s10072- 003-0201-4.
|
| [10] |
Zheng Y, Zhang ZJ, Han XM, et al. A proprietary herbal medicine (5-Ling Granule) for Tourette syndrome: A randomized controlled trial. J Child Psychol Psychiatry, 2016, 57(1): 74-83. DOI: 10.1111/jcpp.12432.
|
| [11] |
向圣锦, 蔡永豪, 张宗端. 局部针刺治疗抽动障碍疗效观察. 中国针灸, 2010, 30(6): 469-472. DOI: 10.13703/j.0255- 2930.2010.06.015.
|
| [12] |
Zhao L, Li AY, Lv H, et al. Traditional Chinese medicine Ningdong granule: The beneficial effects in Tourette's disorder. J Int Med Res, 2010, 38: 169-175. DOI: 10.1177/ 147323001003800119.
|
| [13] |
Hirota T, Schwartz S, Correll CU. Alpha-2 agonists for attention-deficit/hyperactivity disorder in youth: A systematic review and meta-analysis of monotherapy and add-on trials to stimulant therapy. J Am Acad Child Adolesc Psychiatry, 2014, 53(2): 153-173. DOI: 10.1016/j.jaac.2013.11.009.
|
| [14] |
史焱, 傅海燕. 宋之前小儿惊风病名演变研究. 中医文献杂志, 2015, 33(4): 28-30. DOI: 10.3969/j.issn.1006-4737.2015.04. 009.
|
| [15] |
朱锦善. 惊风学说源流与学术争鸣(一). 中医儿科杂志, 2007, 3(2): 16-20. DOI: 10.3969/j.issn.1673-4297.2007.03.008.
|
| [16] |
聂江, 侯江红. 浅谈钱乙对小儿惊风的辨治. 内蒙古中医药, 2016, 35(6): 59. DOI: 10.16040/j.cnki.cn15-1101.2016.06.069.
|
|
|
|
