Case Series

『傷寒論』 辨病診斷體系에 근거하여 葛根黃連黃芩湯 투여 후 호전된 성인, 소아 ADHD 4례

Case Series Reporting 4 Cases of Attention Deficit Hyperactivity Disorder (ADHD) Treated with Galgeunhwangryeonhwanggeum-tang based on Disease Pattern Identification Diagnostic System by Shanghanlun

2023 Vol. 15 No. 1

  1. 김한샘봄한의원

  2. 알면한의원

  3. 용산원한의원

  4. 대한상한금궤의학회

Hyo-joong Yun1*·Min-hwan Kim2·In-sun Doo3·Sung-Jun Lee4

  1. Kim Han-saem Bom Korean Medical Clinic

  2. Al-meyon Korean Medical Clinic

  3. Yongsan-Won Korean Medical Clinic

  4. Korean Medical Association of Clinical Sanghan-Geumgwe


Objectives : This study reports on the cases of four ADHD patients who treated with herbal medication based on Disease Pattern Identification Diagnostic System (DPIDS).

Methods : Two children and two adults were diagnosed with ADHD according to DSM-Ⅴ, and Galgeunhwangryeonhwanggeum-tang was administered. The parents of the two children completed the Korean ADHD Rating Scale (K-ARS) before and after treatment, while the other patients used the Korean ADHD Self Rating Scale (K-ASRS). The patients' somatic symptoms and other issues were evaluated through interviews.

Results : In the first case, the K-ARS scale exhibited a change from 28 to 3. The patient demonstrated improvements in attention, concentration, and social behavior, along with the elimination of self-injurious behavior. In the second case, the K-ARS scale showed a change from 41 to 9. The patient in the third case demonstrated improved chronic fatigue, increased attention, work efficiency, and enhanced social skills, leading to maintaining employment for over six months for the first time in their life after the treatments. Additionally, the patient in the fourth case demonstrated improved work concentration and relief in nocturia.

Conclusions : In this study, four patients exhibited improvements in symptoms of attention deficit, hyperactivity, and impulsivity before and after herbal treatment, leading to enhanced academic and social relationships. As the patients progressed in their health restoration, symptoms related to the genitourinary system also showed improvement.

Key words : Attention deficit hyperactivity disorder (ADHD), Disease pattern identification diagnostic system (DPIDS), Galgeunhwangryeonhwanggeum-tang, K-ARS, K-ASRS, Shanghanlun