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Huan-Yi LU1 Lung-Yuan WU1 Chin-Chuan Tsai1,2 Li-Wei Lin1*
1The School of Chinese medicine for Post Baccalaureate of I-Shou University, Kaohsiung, Taiwan
2The Department of Chinese medicine of E-DA Hospital, Kaohsiung, Taiwan
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Attention deficit hyperactivity disorder（ADHD）is one of the most common neuropsychiatric disorders in children characterized by a triad of symptoms involving age-inappropriate behaviors with attention, impulse controls and hyperactivity. The prevalence of ADHD in Taiwan is 7%-8%. A higher prevalence is often reported in males 14.9% than females 4.5%. The etiology and pathogenesis of ADHD is still unclear. Factors that may be involved in the development of ADHD include hereditary, toxic chemicals, environment and nutrition. Through literature review, the aim of this study was to summarize the most common clinical phenotypes and drugs for clinical reference.
There is no record about ADHD in classics of traditional Chinese medicine （TCM）before. According to the clinical presentations, it can belong to the“winds”, “forgetfulness” , “irritability” of TCM. The etiology and pathogenesis of ADHD in TCM can be discussed in four aspects: heart, liver, spleen and kidney.Also, the syndrome of the disease can be classified to“dual deficiency of the heart-spleen”,“phlegm-fire harassing the heart” , “liver-kidney yin deficiency”,“insufficiency of kidney essence” and “liver depression and spleen deficiency”. There are many Chinese herbs formulas used on ADHD patients such as “Gui Pi Tang”,“Huanglian Wendan Tang”, “Zhi-Bai-Di-Huang-Wan”,“Jia-Wei-Xiao-Yao-San”and“Yougui Pill”. In conclusion, TCM has benefit for ADHD treatment and may help to avoid side effect related to conventional medication.
Keywords：Attention deficit hyperactivity disorder, differential diagnosis,traditional Chinese medicine
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201.6注意力缺陷過動症之中醫文獻回顧
