自闭症的中医治疗研究进展

综述近10年来中医治疗自闭症的研究概况。自闭症的中药治疗多基于肾亏失养、脾虚痰阻、肝失疏泄、脾肾不合、心脾两虚等开展辨证论治,以口服用药为主;其非药物中医疗法有针刺、推拿、耳穴贴压等。近年来,中医基于“治未病”“整体观”“辨证论治”等原则,采用中药、针刺、推拿、耳穴贴压及相关联合疗法等治疗自闭症,在改善患儿症状等方面,取得了一定疗效。但目前中医疗法治疗自闭症研究仍存在明显不足,今后有待针对自闭症患儿病理生理特点,改进各中医疗法;尽快开展多中心、大样本的中医规范化疗法治疗自闭症的临床研究,追踪远期疗效,以提高中医治疗自闭症的有效性的证据级别。

Research Progress in Traditional Chinese Medicine Treatment of Autistic Spectrum Disorders

The research progress in the treatment of autistic spectrum disorder by traditional Chinese medicine in recent 10 years was reviewed.The internal treatment of autistic spectrum disorder with oral use of Chinese medicine was based on the syndrome differentiation of malnutrition due to kidney insufficiency,spleen deficiency with phlegm blockage,failure of liver in conveying and dispersing,incoordination between spleen and kidney,and deficiency of both heart and spleen.The non-drug traditional Chinese medicine therapies included acupuncture,massage,and auricular point seed-pressing therapy.In recent years,satisfactory efficacy has achieved in the relief of clinical symptoms of children with autistic spectrum disorder by traditional Chinese medicine therapies such as oral use of Chinese medicine,acupuncture,massage,auricular point seed-pressing therapy and their combined therapy based on the principles of preventive treatment of the disease,holism concept,and syndrome differentiation and treatment.However,obvious defects were still presented in the clinical research of treatment of autistic spectrum disorder by traditional Chinese medicine.The therapies need to be improved according to the physiopathological characteristics of the children with autistic spectrum disorder,and large-sample,multiplecenter and standardized trials with the follow-up of long-term efficacy need to carry out for providing high-level medical evidence.