中药伏龙肝改善退行性自闭症临床证候及合并症1例

Dongrui Zhou, Mengjie Li, Zhimao Bai, Na Li, Zhiqing Zhu, Yangyang Dong, Honglin Zhang
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摘要

退行性自闭症的发生与免疫功能紊乱和肠道菌群紊乱密切相关。肠道菌群在维持人体免疫系统的平衡中起着重要作用,并调节中枢神经系统的活动。土壤是一个微生态环境,包含了大多数已知的微生物物种。在人类粪便中发现的物种数量大约是土壤中发现的物种数量的1/10。因此,土壤可以看作是微生物的“种子库”。我们之前的研究表明,日常生活环境过于清洁,再加上缺乏与土壤的接触,导致大量微生物的流失,而食用土壤增加了小鼠肠道微生物的多样性和免疫功能。伏龙干是一种特殊的土壤,是一种安全的中药,在临床上已经使用了1500年。我们在此报告一例4.5岁男性退行性自闭症,同时伴有食物过敏、变应性鼻炎和便秘。用扶龙肝治疗12个月,年龄52个月~ 63个月。在服用扶龙肝的第一个月,他还接受了过敏药物欣古拉(孟鲁司特)。服药后5天便秘消失,4个月变应性鼻炎消失,停止治疗后食物过敏消失。此外,根据格塞尔发展量表-中文修订版和自闭症行为检查表,语言技能、社交技能和情绪均有明显改善。目前,孩子已经回到幼儿园。本报告提出了一种治疗退行性自闭症和合并症的新方法,包括食物过敏、变应性鼻炎和便秘。该治疗方法安全有效,值得作为退行性自闭症或过敏性疾病的一种替代方法。
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Traditional Chinese Medicine Fulonggan (Terra Flava Usta) Improves the Clinical Syndrome and Comorbidity of Regressive Autism: A Case Report
The occurrence of regressive autism is closely related to the disturbance of immunity and intestinal microbiota. The intestinal microbiota plays an important role in maintaining the balance of the human immune system, and also regulated central nervous system activity. Soil is a micro-ecological environment that contains the majority of all known microbial species. The number of species found in human feces is around 1/10 times of that found in soil. Therefore, soil can be considered as the microbial “seed bank”. Our previous research indicated that everyday living environments are too clean, which, combined with the lack of contact with soil, results in the loss of a large number of microorganisms, and eating soil increased the gut microbial diversity and immune function in mice. As a special soil, Fulonggan (Terra Flava Usta) is a safe traditional Chinese medicine that has been used in the clinic for 1500 years. Here we report a case of 4.5-year-old male regressive autism with comorbidities of food allergy, allergic rhinitis, and constipation. Fulonggan was used to treat for 12 months from the age of 52 months to 63 months. For the first month of taking Fulonggan, he was also receiving the allergy medicine Singulair (montelukast). The constipation disappeared 5 days after taking Fulonggan, the allergic rhinitis disappeared 4 months later, and the food allergy disappeared after the treatment was stopped. Furthermore, the language skills, social skills, and mood were obviously better according to the Gesell Developmental Scale–Chinese Revised Version and Autism Behavior Checklist. At present, the child has returned to kindergarten. This report proposes a new method for the treatments of regressive autism and comorbidities including food allergy, allergic rhinitis, and constipation. The therapeutic method is effective and safe, and worth to be an alternative for regressive autism or allergy diseases.
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