The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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Pattern Characteristics of Symptoms for ADHD in Korean Medicine

ADHD 변증 유형별 부주의 및 과잉행동-충동성 증상 특징 연구

  • Kim, Lakhyung (Department of Neuropsychiatry, College of Korean Medicine, Woosuk University) ;
  • An, Yunyoung (Department of Neuropsychiatry, College of Korean Medicine, Woosuk University) ;
  • Kim, Miyeon (Department of Pediatrics, College of Korean Medicine, Woosuk University) ;
  • Jeong, Minjeong (Department of Pediatrics, College of Korean Medicine, Woosuk University)
  • 김락형 (우석대학교 한의과대학 한방신경정신과학교실) ;
  • 안윤영 (우석대학교 한의과대학 한방신경정신과학교실) ;
  • 김미연 (우석대학교 한의과대학 한방소아과학교실) ;
  • 정민정 (우석대학교 한의과대학 한방소아과학교실)
  • Received : 2017.10.17
  • Accepted : 2017.11.14
  • Published : 2017.11.30
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Abstract

Objectives The purpose of this study was to investigate the pattern characteristics of symptoms for ADHD, the relationship between pattern identifications in TKM and TCM and three presentations of ADHD defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Methods The pattern characteristics of symptoms for ADHD from the 13 Korean and Chinese literatures were analyzed. ADHD symptoms of each pattern were classified into 3 categories; symptoms of inattention, hyperactivity-impulsivity and others. The characteristics of patterns for ADHD in Traditional Medicine were compared with three presentations of ADHD defined in DSM-5. Results 1. The pattern of dual deficiency of the heart and spleen (心脾兩虛) showed predominant symptoms of inattention and rarely showed those of severe hyperactivity and impulsivity. This characteristic of ADHD can be related to the predominantly inattentive presentation in DSM-5. 2. The pattern of phlegm-fire harassing the heart (痰火擾心), and the pattern of deficiency of liver-yin and kidney-yin (肝腎陰虛), frequently showed symptoms of hyperactivity-impulsivity compared with those of inattention. This characteristic of ADHD can be related to the predominantly hyperactive-impulsive presentation in DSM-5. 3. The pattern of spleen weakness and liver energy preponderance (脾虛肝旺) frequently showed both symptoms of hyperactivity, and this characteristic of ADHD can be related to the combined presentation in DSM-5. Conclusions This study showed the relationship between three presentations of ADHD defined in DSM-5 and the pattern identifications of ADHD in TKM and TCM.

Keywords

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