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林寶華醫師 臨床短札
網址：http://www.lph.com.tw
A.請注意：(1)依法令規定，禁止轉錄本網址之內容供人點閱；但以網路搜尋或超連結方式，進入本醫療機構之網址直接點閱者，不在此限。
(2)所有文章僅提供醫藥護同道參考用。
B.緣起：在2011/10/30，一位素未謀面的三軍總醫院神經外科主治醫師稱讚我對妥瑞氏症(Tourette syndrome)的貢獻，他的主任推薦「天使的鬼臉」，經閱讀後，有很深刻的啟發。當時我頗訝異，因我是學教育，半路轉進中醫師特考，歷經多位老師指導後，幸運地能幫助妥瑞病人。
所有已出版的書，其內容都是舊聞，醫學書籍也是如此；但醫學觀念技術日新月異，若醫者及時提出近日臨床研究狀況，對醫療可能有助益。
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2013/05/21
中藥湯劑救回妥瑞氏症嚴重病人的健康生活
~ 書泉出版社:天使的鬼臉P187 ~
(1)台灣有三個電視台在2006年9月24日，七家報紙在次日，共同報導中醫治療妥瑞氏症有效。這類新聞很少見，為什麼？
(2)因為，西醫承認西藥治療無效、控制也無效的妥瑞氏症嚴重病人，由中醫湯劑救回病人的健康，過正常生活。
(3)妥瑞氏症病人，第一次住院後的出院病歷摘要。(2004年9月第二次住院)
入院日期：2003年11月○日，共七天。
入院診斷：Intractable Tourette syndrome.
出院診斷：Principle Diagnosis：.
(1) Intractable Tourette syndrome.
(2) R/O obsessive compulsive disorder
This 12 years old male patient was quite well before. According
to parent's statement, the child was too active and could concentrate
on one thing since childhood. Involuntary hand movement was first
noted since 3＋ years ago. Then twitching of his upper trunk and
head was noted. He tried to stop the movement but in vain. Then
the condition progressed. He was brought to Dr.○○○'s OPD and Tourette
syndrome was impressed. He received medication treatment and OPD
folow-up. Unfortunately, involuntary tongue protruding movement,
hit the wall with his head and suicide tendency were noted since
mid September. He had ever admitted for controlling these symptoms.
These symptoms became improved during hospitalization and lasted
for about one week. However, they recurred thereafter. Medications
were adjusted,.but in vain. The patient had poor drug compliance.
The symptoms progressed. Self-injured or invasive behavior occurred.
So today, he was admitted again for further evaluation and treatment.
Torrette syndrome for 3＋ years with medication control and OPD
follow up. → involentory upper trunk, head, hand twitching, tongue
protruding, hit wall with his head, Beat his mother, shouting.
