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CL Wong and VCN Wong

Study Children with Autism Spectrum Disorders Using Symptom Differentiation of Traditional Chinese Medicine (TCM). CL Wong and VCN Wong Department of Paediatrics and Adolescent Medicine, the University of Hong Kong. Presentation Outline. Prevalence of Autism Spectrum Disorders (ASD)

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CL Wong and VCN Wong

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  1. Study Children with Autism Spectrum Disorders Using Symptom Differentiation of Traditional Chinese Medicine (TCM) CL Wong and VCN Wong Department of Paediatrics and Adolescent Medicine, the University of Hong Kong

  2. Presentation Outline • Prevalence of Autism Spectrum Disorders (ASD) • Our research - objectives - method - findings • 2 cases

  3. Epidemiology • 1960s- “classical autism”- 4/10 000 • 1985- “ASD”- 62.6/10 000 in UK • 71/10 000 in Sweden • 61/10 000(3-10yr) in USA • 2000- “ASD”- 60/10 000 • Male:Female 4.3(mean) • 46. Fombonne E. Epidemiology of pervasive developmental disorders. Trends in Evidence-Based Neuropsychiatry 2003;5(1):29–36. • Merrick J et al.Trends in autism.Int J Adolesc Med Health.

  4. Epidemiology • 2006- autism- 1.8 million cases in China (13.9/10 000) • >10 000 cases in Shanghai (6.2/10 000) • prevalence in China is largely unknown • SHanghai Daily News reported in China View - www.chinaview.cn 2005-11-29 viewed April 2006 • "Epidemiologic Research on Autism in China"2006 U.S. National Institutes of Health

  5. Previous research • Diagnosis • TCM symptom differentiation • Patients too irritated during acupuncture

  6. Objectives • TCM symptom differentiation of ASD • TCM treatment for ASD • Minimal acupuncture points

  7. Method • Diagnosis by paediatricians, neurologists, autism specific assessment teams • CARS, ADOS • Symptom differentiation by TCM practitioner • Videos and photos

  8. Subjects • DKCH & QMH paediatric neurology clinic • n=19+ • Autism/ Autism Spectrum Disorders (ASD)/ Asperger’s Syndrome

  9. ResultsPatients can appear as a combination of problems

  10. Tongue

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  15. Case 1 • M/ 20y • Autism, MR, Epilepsy • No meaningful single word • Difficulty in protruding his tongue • Poor imitation • Placid • Seldom appears temper tantrums • TCM: Phlegm obstruction

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  23. Acupuncture points • DU15 啞門 • HT5 通裏 • Jin’s 3 Needling 舌三針 • Chiu’s Head scalp acupuncture 焦氏頭皮針－言語二、三區

  24. Case 2 • M/ 11y • Asperger Sx, Oromotor dyspraxia, Obesity • Normal IQ, read a lot of book • Unwilling to communicate verbally • Poor articulation • Poor eye contact • Difficulty in protruding and moving his tongue • Poor temper, special fear to sand • Deep slippery pluse • TCM: Phlegm obstruction

  25. Tongue

  26. Tongue

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  28. Acupuncture points • Jin’s 3 Needling 舌三針

  29. Future research • More cases • Duration of effect • Course of treatment • Extent of improvement • Different acupuncture point • Well designed clinical trial

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