中医辨治小儿厌食症体会  

Experience in treating infantile anorexia based on syndrome differentiation

作　　者：程玉聪[1] 靳晓霞[1] 丛聪[1] 

机构地区：[1]北京中医药大学东直门医院东区儿科,北京101100

出　　处：《中华中医药杂志》2016年第1期161-162,共2页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：小儿厌食症是指较长期的食欲减退或消失,多发于1-6岁儿童,是儿科常见病、多发病,城市发病率高于农村,一年四季均可发病,以夏末秋初多见。小儿厌食症是儿科常见疾病之一,对儿童生长发育有着较大影响。小儿厌食症是多种因素共同作用的结果,喂养不当是主要原因。其发病机制可能与喂养调节机制紊乱、血清瘦素的降低、锌的缺乏、甲状腺激素水平下降等因素有关。从中国传统医药的角度来看,脾胃虚弱是引发小儿厌食症的一个重要因素。在保证合理喂养的基础之上,医治小儿厌食症的中国传统医药的方法包括施治,外治,和采取恰当的中药进行治疗。文章总结分析运用消食助运、益气健脾进行分期论治经验,以期获得更好临床疗效。Infantile anorexia,a pediatric common and frequently encountered disease,refers to a longer-term poor appetite or even loss of appetite.It mainly occurs in the children aged 1 to 6 years.It has a higher incidence in urban areas than rural areas.In spite of the four seasons,it always mainly occurs in late summer early autumn.It has a greater impact on children＇s growth and development.Infantile anorexia is caused by many comprehensive factors,but the improper feeding is usually considered as the main factor.The mechanism may be related to some factors,such as a disorder of feeding regulation,reduction of serum leptin,the deficiency of zinc,and a decrease of thyroid hormone level,etc.From the perspective of traditional Chinese medicine,weakness of the spleen and the stomach is an important factor for infantile anorexia.On the basis of rational feeding,infantile anorexia is dealt with the traditional Chinese medicine methods including differentiation treatment,external treatment,and Chinese medicine treatment.In this article,the author proposed using a method of promoting digestion and a method of replenishing qi to invigorate the spleen in different stages of infantile anorexia.Additionally,it has gained a good clinical efficacy.

关 键 词：厌食症 儿童 中医 

分 类 号：R272[医药卫生—中医儿科学]