Case Study:
A 13-year-old boy diagnosed with ADHD presented with:
- Difficulty concentrating in school, leading to declining grades.
- Frequent stomachaches, fatigue, and excessive yawning.
- Prolonged time falling asleep and involuntary twitching in his hands and legs.
TCM Evaluation
In Traditional Chinese Medicine (TCM), symptoms like poor focus, restless limbs, and digestive complaints often point to imbalances in the Spleen and Heart systems. The Spleen governs digestion and nutrient absorption (“the root of postnatal Qi”), while the Heart houses the mind (“Shen”). His dietary habits and manifestation suggested Spleen Qi deficiency, leading to poor energy production (“Qi deficiency fatigue”) and damp accumulation. Simultaneously, restless sleep and twitching hinted at Heart Fire agitation disrupting mental calmness.
Treatment Plan
A dual approach was tailored to Strengthen Spleen Qi and calm the Shen (Mind):
- Dietary adjustments: Regular warm meals with easily digestible foods (e.g., warm, cooked meals), reduced sugary/cold foods.
- Herbal formula: to boost digestion and Qi.
Outcomes at 6-Week Follow-Up
Academic focus: Teachers noted improved attention in class; grades rose as a result.
Physical symptoms: Stomachaches resolved, energy levels stabilised, and limb twitching reduced.
Sleep: Falls asleep faster and no more constant yawning.
TCM Perspective
This case highlights TCM’s foundational principle: “Treat the root, not just the branches.” By addressing Spleen Qi deficiency and Heart Fire—rather than solely targeting ADHD behaviours, the boy’s digestion, sleep, and energy improved, creating a stable foundation for mental clarity. Diet and herbs worked synergistically to transform “dampness” from poor digestion into Qi. His Shen is anchored to reduce restlessness.
Discussion
For children with ADHD, TCM emphasizes balancing the body’s internal environment to support both physical and emotional well-being. As this case shows, even small, consistent changes in diet and targeted herbal therapy can yield profound shifts in focus, behavior, and overall health.
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