Lee Jihong
Department of Korean Pediatrics, College of Korean Medicine, Daegu Haany University, 136 Sinchendong-ro, Suseong-gu, Daegu 42158, Republic of Korea.
Children (Basel). 2023 Aug 31;10(9):1490. doi: 10.3390/children10091490.
To alleviate the symptoms of attention deficit/hyperactivity disorder (ADHD) in children and reduce the side effects of psychostimulants, parents are opting for complementary and alternative medicine as a therapeutic option. Korean medicine (KM) has been used by Korean medicine doctors (KMDs) to treat ADHD with herbal medication and acupuncture. This study aimed to conduct a cross-sectional survey on the clinical practice patterns of KM for ADHD in children targeting KMDs. The questionnaire included aspects related to patient characteristics, diagnosis, treatment modalities, and perceptions regarding KM. Questionnaires were distributed to all KMDs via e-mail, and the online surveys were conducted from 1 to 15 February 2023. A total 2.1% of KMDs ( = 537/25,574) completed the survey. The predominant diagnostic pattern identification employed was "depressed liver qi transforming into fire" (19.8%). Herbal medicine (HM) was the most common treatment (44.2%). The most frequently used HM prescriptions were Ondam-tang (16.9%), Eokgan-san (15.7%), and Sihogayonggolmoryeo-tang (14.4%). KMDs recognized HM as the most effective among the KM treatments (54.3%). The results of this study elucidate the current clinical practice patterns of KM for ADHD. Based on these findings, a treatment protocol can be developed to provide optimized KM treatment services to patients with ADHD.
为缓解儿童注意力缺陷多动障碍(ADHD)的症状并减少精神兴奋剂的副作用,家长们选择补充和替代医学作为一种治疗选择。韩医(KM)医生一直使用草药和针灸来治疗儿童ADHD。本研究旨在针对韩医(KM)医生开展一项关于儿童ADHD韩医临床实践模式的横断面调查。问卷包括与患者特征、诊断、治疗方式以及对韩医的看法等方面。问卷通过电子邮件分发给所有韩医(KM)医生,并于2023年2月1日至15日进行在线调查。共有2.1%的韩医(KM)医生(n = 537/25,574)完成了调查。所采用的主要诊断模式识别为“肝郁化火”(19.8%)。草药(HM)是最常见的治疗方法(44.2%)。最常用的草药方剂是温胆汤(16.9%)、益肝散(15.7%)和四和加味六味地黄汤(14.4%)。韩医(KM)医生认为草药(HM)是韩医治疗中最有效的(54.3%)。本研究结果阐明了韩医(KM)治疗儿童ADHD的当前临床实践模式。基于这些发现,可以制定治疗方案,为ADHD患者提供优化的韩医治疗服务。