Name: Bao.

Sex: Male.

Age: 3 years.

Chief Complaint: Absent mind and dull wit for 1 week.

History of Present Illness: One week ago, the boy was led out for having fun by his grandmother because it was very hot. After be came back, he became absent minded and dull-witted. He stood there without crying and noise, his wit became dull, if called and teased, there was no response from him. He sit there quietly  and  apathetically  or  he  was  lethargic.  Then  his grandmother led him to the local hospital for treatment, the illness was diagnosed as "Common Cold" and "Sunstroke," the boy was treated by intravenous dripping antibiotic. After 1 week of the above treatment, there was no effect on him, the boy became more and more absent minded. Then they came to our hospital for treatment on September 10,1996.

Physical Examination:  The patient was lethargic with a normal general condition. The face was dark yellow and blue in colour. The superficial venule of index finger was dark blue too. If called and teased, there was no response from him. There wasn't other abnormal sign.

Diagnosis: Infantile Neurosis.

Differentiation: This diease, in TCM, is called "ManPiFeng"

(chronic splenic wind-syndrome). It was caused by deficiency of spleen-Yang and attack of exogenous pathogenic summer heat dampness or being frightened by something, which caused the spirit couldn't be supported normally and the mind couldn't be effectively governed by spleen. So that the patient became absent-minded and dull witted.

Therapeutic Principle: Invigorating spleen-Yang and dispersing liver-wind, eliminting damp phlegm and removing obstruction in the channels, wakening spirit and restoring consciousness.

Recipe:

     GouTeng, Hooked Uncaria 6g

     BaiJiangCan,Batryticated Silkworm 6g

     YuanZhi,Polygala Root 10g

     ShiChangPu,Grassleaved Sweetflag Rhizome 10g

     DangShen,Pilose Asiabell Root 15g

     BaiZhu,Bighead Atractylodes Rhizome 9g

     FuShen,Poria with Hostwood 10g

     GanCao,Liquorice Root 6g

    All the above drugs were to be decocted in water for oral taking. 2 doses were prescribed.

Effect Observation: After taking the decoction, the boy became clever and naughty as before. After 3 months of follow-up, the sickness didn't recur. Then it's ending.