Diagnosis and treatment of pediatric ADHD

  Pediatric ADHD; ADHD Oral Liquid Pediatric ADHD is the most common childhood behavior problem, mainly manifested by age-inappropriate distractibility, excessive activity and emotional impulsiveness regardless of the occasion.  1, seeking pathology, dissolving the five organs and the internal organs identification in one furnace “Su Wen? The six sections of the Tibetan elephant theory: “the five divine organs”. Su Wen? Xuanming five qi chapter” also cloud: “the heart collects the spirit, the lungs collect the spirit, the liver collects the soul, the spleen collects the intention, the kidneys collect the will”. This means that the spiritual consciousness and thinking activities of the human body are based on the essence of the five organs. Prof. Zhang Piao believes that if the essence of the five organs of the child is abundant, the balance of yin and yang is coordinated, then the mind is clear, the emotion is stable, the behavior is normal, and the movement is coordinated, which is called “yin and yang are secret, and the spirit is cured”; on the contrary, the mind is not guarded, the soul is restless, the spirit is uncertain, the intention is not well thought out, and the will is not firm, and various pathologies of the mind are manifested. The child’s form is soft, the internal organs are delicate, the yin and yang are young and weak, the body is not perfect, the spirit is not yet full, so its God appears to be childish, easy to change, prone to bias, and there is “liver often surplus”, “kidney often deficiency” of the internal physiological characteristics, the above characteristics are very different from adults The above characteristics are very different from those of adults, thus becoming the intrinsic cause and quality basis for children’s susceptibility to ADHD. If the congenital endowment is inadequate, and the acquired conditioning is inappropriate (such as dietary inappropriate, emotional disorder, etc.), it is more likely to promote the disease. From the above, we can see that children’s internal organs are delicate, the shape of Qi is not yet full, as well as the unique physiological characteristics of the internal organs of the kidney is often deficient, the liver often has surplus, and successive many adverse factors, the above causes intertwined as a problem, and finally lead to the kidney Yin deficiency, liver Yang floating hyperactive, mind and spirit, thus presenting a school of Yin loss of internal control, Yang restlessness outside the image.  The clinical symptoms of paediatric ADHD are complex and diverse, and are disorganized. The symptoms of paediatric hyperactivity seem to be many and varied, but they do not exceed the four ends of God, will, emotions and sex. (1) God: God should be safe and secure, not lax. The child with this disease is manifested as his god is unstable, the spirit is not focused, inattentive, hyperactive and restless. (2) Chi: Chi should be constant and firm, not changeable. Children with the disease are characterized by their will to change without constancy, the heart is ape and horse, the consideration of things without purpose and persistence, and often change from one day to the next, with changing interests. (3) emotions: emotions should be stable and quiet, not impulsive. The child shows erratic emotions, impulsive behavior, words and actions are often arbitrary, do not avoid relatives, regardless of the occasion. (4) Sex: It is better to be calm than to be violent. The child may be impatient or violent, childish and capricious or secluded, difficult to get along with children of the same age.  3, sparse prescriptions, focus on nourishing the kidneys, pacifying the liver and yin and Yang Rationalization of the statutory, to the law of the unified formula. Based on the understanding of the etiology and pathogenesis of pediatric hyperactivity and the characteristics of Chinese medicine, the basic pathological mechanism of pediatric hyperactivity is deficiency of kidney yin, hyperactive liver yang, and imbalance of yin and yang; the basic clinical evidence is kidney deficiency and hyperactive liver; nourishing the kidney, pacifying the liver, and harmonizing yin and yang is the basic treatment for this disease. According to the basic treatment method, we have developed a special formula for the treatment of pediatric hyperactivity, and named it as: Multi-activity Oral Liquid [2]. The basic composition of this formula is: Radix Rehmanniae Praeparata, Mother of Pearl, Radix Paeoniae Alba, Radix Angelicae Sinensis, Tribulus terrestris, Radix et Rhizoma Polygonati, Fructus Schisandrae, Fructus Schisandrae, Fructus He Shou Wu, Fructus Phellodendron, etc., filled in 10ml ampoules (each ml contains 0.256g of the original medicine). Dosage: 10ml/dose, 2-3 times/day (2 times/day for those under 6 years old, 3 times/day for those over 6 years old). In this formula, Shu Di Huang nourishes the kidney and nurtures Yin, Bai Shao nourishes Yin and softens the liver as the ruler, Tribulus terrestris, Mother of Pearl and Hooked Vine pacify the liver and subdue Yang, Zhi Mu and Huang Bai clear heat and diarrhea fire as the subjects, Angelica sinensis and Shou Wu nourish blood and educate the mind, Pai Zi Ren and Wu Wei Zi nourish the mind and calm the mind as the adjuvants, and licorice harmonizes the herbs as the ambassadors, all the herbs work together to nourish the kidney and pacify the liver, nourish the mind and benefit the intelligence, and harmonize Yin and Yang.  4. The patient’s family has repeatedly received rafter effect Wang, male, 8 years old, was first diagnosed on July 12, 2008. The child has been inattentive since 2 years ago, cannot sit quietly while doing homework, plays while writing, and is careless and careless, and needs parents to supervise repeatedly to finish. The symptoms include: hyperactivity, looking to the right and left, sitting on the stool and twisting his buttocks around, talking a lot, grabbing and interrupting, sometimes being absent-minded and seemingly listening, disobedience to parental management, impulsive and capricious, meat-loving, dry stools, or even like sheep stool, night sweats, short yellow urine, red and dry tongue, and thin and counted pulse. Finger-nose test and hand-turn test are positive. Second diagnosis on July 26: all the symptoms were greatly reduced, but it was difficult to slow down the sexual urgency. The effect is not easy to string, so I beat the drum again, and instructed the parents to improve the education method and appropriately lower the goal of the child’s academic performance. 26th August, the third diagnosis: the symptoms were stable. Of course, it was difficult to give up the effective formula, so I asked for more progress and took it for 3 months. Suddenly, one day, the parents came with a happy face to tell us that the child’s symptoms had disappeared and he looked like a normal person!