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자폐 스펙트럼 장애 환아 1례에 대한 증례 보고

A Clinical Study of Treating Autism Spectrum Disorder in Childhood

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초록

Objectives The purpose of this study is to report the effectiveness of Korean medicine on treating autism spectrum disorder (ASD) in childhood. Methods We treated an 8-years-old patient who was diagnosed with autism (grade Ⅱ) with herbal medicine, acupuncture and electric moxibustion. Every 11 months, Korean-Childhood Autism Rating Scale (K-CARS) was used to assess the patient’s symptom progression. Results After 21 months of Korean medicine treatment, the child's overall health was improved. Moreover, language ability, emotional control, memory and cognitive abilities got better, as well as anxiety, agitation, and aggressive behavior related to ASD were also decreased. K-CARS score at the initial stage of the treatment was 39.5 points, which can be considered as severe autism. After 11 months of the treatment, the K-CARS score was 34.5 points which is mild-moderate autism. Conclusions Korean medicine treatment can be effective in improving symptoms of ASD. However, further studies are needed to demonstrate the treatment benefits to ASD.

Abstract

Objectives The purpose of this study is to report the effectiveness of Korean medicine on treating autism spectrum disorder (ASD) in childhood. Methods We treated an 8-years-old patient who was diagnosed with autism (grade Ⅱ) with herbal medicine, acupuncture and electric moxibustion. Every 11 months, Korean-Childhood Autism Rating Scale (K-CARS) was used to assess the patient’s symptom progression. Results After 21 months of Korean medicine treatment, the child's overall health was improved. Moreover, language ability, emotional control, memory and cognitive abilities got better, as well as anxiety, agitation, and aggressive behavior related to ASD were also decreased. K-CARS score at the initial stage of the treatment was 39.5 points, which can be considered as severe autism. After 11 months of the treatment, the K-CARS score was 34.5 points which is mild-moderate autism. Conclusions Korean medicine treatment can be effective in improving symptoms of ASD. However, further studies are needed to demonstrate the treatment benefits to ASD.

참고문헌 (43)

  1. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders", pp.50~ (2013), American Psychiatric Association
  2. Autism and Developmental Disabilities Monitoring Network Surveillance Year 2002 Principal Investigators, "Prevalence of autism spectrum disorders--autism and developmental disabilities monitoring network, 14 sites, United States, 2002", MMWR Surveill Summ, 56(1), pp.12~ (2007)
  3. Baxter AJ, "The epidemiology and global burden of autism spectrum disorders", Psychol Med, 45(3), pp.601~ (2015)
  4. Kim YS, "Prevalence of autism spectrum disorders in a total population sample", Am J Psychiatry, 168(9), pp.904~912 (2011)
  5. Hong KE, "Korean textbook of child psychiatry", pp.145~162 (2014), Hak Ji Publishing Co
  6. Maglione MA, "Nonmedical interventions for children with ASD: recommended guidelines and further research needs", Pediatrics, 130(Suppl2), pp.S169~S178 (2012)
  7. Kim KB, "Hanbangsoacheongsonyeonuihak (ha)", pp.35~ (2015), Ui Sung Dang Publishing Co
  8. 장지혜, "비전형자폐 소아 환자 치험 2례 보고", 대한한방소아과학회지, 19(2), pp.85~97 (2005), 대한한방소아과학회
  9. Lee SJ, "A case report of autistic disorder patient with aggression and impulse control problem", J Korean Med Assoc Clin Sanghan-Geumgwe, 3(1), pp.63~68 (2011)
  10. 이지나, "藿香正氣散合六味地黃湯加味方을 처방한 자폐스펙트럼장애 환아 7례", 대한한방소아과학회지, 29(1), pp.50~59 (2015), 대한한방소아과학회
  11. 김윤희, "아스퍼거 증후군 환아 증례 보고", 대한한방소아과학회지, 20(2), pp.1~9 (2006), 대한한방소아과학회
  12. Schopler E, "Toward objective classification of childhood autism : Childhood Autism Rating Scale(CARS)", J Autism Dev Disord, 10(1), pp.91~103 (1980)
  13. Kim TR, "Childhood Autism Rating Score guide" (1985), Special Education
  14. Muhle R, "The genetics of autism", Pediatrics, 113(5), pp.e472~e486 (2004)
  15. Amaral DG, "Neuroanatomy of autism", Trends Neurosci, 31(3), pp.137~145 (2008)
  16. Hazlett HC, "Early brain development in infants at high risk for autism spectrum disorder", Nature, 542(7641), pp.348~351 (2017)
  17. National Oriental Medical College Neuropsychological Textbook Compilation Committee, "Haneuisingyungjungsingwahak", pp.38~40 (2016), Jip Moon Dang Publishing Co
  18. National Oriental Medical College Sasang Constitution Medicine Class, "Sasanguihak", pp.205~207 (2004), Jip Moon Dang Publishing Co
  19. Lee JM, "Donguisusebowon", pp.6~35 (1994), Seo Moon Dang Publishing Co
  20. Hwang MW, "Sasanguihakgangseol", pp.99~ (2012), Gun Ja Publishing Co
  21. National Oriental Medicine College Sanghanlon Textbook Compilation Committee, "Sanghanlonjeonghae", pp.74~76 (2003), Il Jung Publishing Co
  22. National Oriental Medicine College Collaborative Textbook Compilation Committee, "Herbalogy", pp.389~ (2011), Young Lim Publishing Co
  23. Ha H, "Analytical studies of constituents of Antlers", J Korean Soc Food Nutr, 25(2), pp.279~282 (1996)
  24. Heo J., "Donguibogam", pp.96~ (2014), Nam San Dang Publishing Co
  25. Seo SH, "The literature study of Ondamtang, Guibitang, Soyosan & their Gagambang recording in Dong-Eui-Bo-Gam", Korean J Orient Med Res Institut, Daejeon Univ, 14(1), pp.129~140 (2005)
  26. 박은경, "총명탕, 원지, 석창포가 베타아밀로이드로 유발된 학습과 기억장애에 미치는 영향", 대한한방내과학회지, 29(3), pp.608~620 (2008), 대한한방내과학회
  27. Chung IW, "The effect of polygalasaponins in Polygalae Tenuifolia on apomorphine-induced hyperlocomotions in mice", Clin Psychopharmacol Neurosci, 11(3), pp.254~261 (2000)
  28. Seol G., "Boyeongchoalyo", pp.95~ (1991), Shanghai Ancient Books Publishing Co
  29. Jung JH, "Neuroprotective effects of Ukgansan on the Parkinson’s disease model", Doctor, pp.2011
  30. Lim SM, "A case study of tremor patient with Yeokgansan-gamibang", Korean J Orient Int Med, 24(4), pp.1062~1066 (2003)
  31. 이정훈, "風池(GB20) 抑肝散 약침이 국소 뇌손상으로 유발된 흰쥐의 인지장애에 미치는 영향", Journal of Acupuncture Research, 33(3), pp.101~116 (2016), 대한침구의학회
  32. 조문영, "CoCl2로 유도된 C6 신경교세포의 사멸에 대한 抑肝散의 보호 효과", 대한한방내과학회지, 34(2), pp.178~191 (2013), 대한한방내과학회
  33. Wake R, "Effects of Yokukansan, a Japanese kampo medicine for symptoms associated autism spectrum disorder", CNS Neurol Disord Drug Targets, 15(5), pp.551~563 (2016)
  34. Park SG, "Cheobangjaehyeonghak", pp.347~348 (2006), Young Lim Publishing Co
  35. 이선행, "小兒의 한약 복용 순응도와 영향 요인", 대한한방소아과학회지, 24(3), pp.16~25 (2010), 대한한방소아과학회
  36. Um SH, "Experimental study on the effects of Gami-ondamtang on sleep time", J Jehan Orient Med Acad, 8(3), pp.1~11 (1983)
  37. Kim CD, "Studies on central depressive action of Ondamtang aqueous extracts", Korean J Pharmacogn, 12(1), pp.66~ (1981)
  38. Yan YF, "Treatment of abnormal behavior of autistic children by Gami-ondamtang combined with teaching and training in 25 cases", Chin J Tradit Chin Med, 48(3), pp.244~ (2007)
  39. Kim KB, "Hanbangsoacheongsonyeonuihak", pp.31~ (2015), Ui Sung Dang Publishing Co
  40. National Oriental Medicine College·Graduate school of Oriental Medicine Meridians, "Details of meridians & acupoints (volume Ⅱ): a guidebook for college students", pp.762~ (2012), Jongryeonamu Publishing Co
  41. Richdale AL, "Sleep problems in autism spectrum disorders : prevalence, nature, & possible biopsychosocial aetiologies", Sleep Med Rev, 13(6), pp.403~411 (2009)
  42. Zhou NY, "Clinical observation of supplemented Lizhong decoction in treating children autism", J New Chin Med, 47(6), pp.200~202 (2015)
  43. Jiang XY, "Combined treatment of children with autism with modified Yinhuo decoction and therapeutic interventions", China J Tradit Chin Med Pharm, 31(10), pp.4322~4324 (2016)

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