从"补脾强肾"小儿推拿手法论治小儿脑瘫  

Massage Treatment of Cerebral Palsy in Children by "Reinforcing Spleen and Strong Kidney"

作　　者：刘炜 刘清国[2] 马建强[1] 贾鲲[1] 鄂艳红 吕忠礼[1] LIU Wei;LIU Qing-guo;MA Jian-qiang;JIA Kun;E Yan-hong;LV Zhong-li(National Center for Children's Health,China,the Rehabilitation Department of Beijing Children's Hospital,Capital Medical University,Beijing,100045,China;College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing,100700,China)

机构地区：[1]国家儿童医学中心首都医科大学附属北京儿童医院康复科,北京100045 [2]北京中医药大学针灸推拿学院,北京100700

出　　处：《现代生物医学进展》2019年第20期3841-3844,共4页Progress in Modern Biomedicine

基　　金：国家标准化服务资助项目(ZYYS-20060003);国家科技支撑计划资助项目(2006BAI21B03)

摘　　要：目的:从中医的角度,探究"补脾强肾"小儿推拿手法论治小儿脑瘫的作用机制。方法:采用回顾性的分析,收集中西医治疗小儿脑瘫的相关文章,分析小儿脑瘫的原因、治疗方法及作用机制。结果:在中医中脑瘫病位在脑、脾、肾,脑瘫患儿普遍存在脾肾亏虚,表现为肌肉瘦削,筋骨痿软,故属于"五迟"、"五软"范畴。这与现代医学所观察到的脑瘫患儿肢体运动障碍和营养吸收障碍相符。因此该病除了应用现代康复技术手段外,还应从补益脾肾的角度开展相应的中医治疗。临床中不能接受内服药物治疗的患儿,可以采用小儿推拿治疗,治疗效果显著。结论:在脑瘫康复训练中配合补脾强肾小儿推拿手法,同补先后天之本,可提高营养生长水平,缩短康复疗程,提升康复疗效,最终达到全面促进脑瘫患儿康复的目的。Objective: From the perspective of traditional Chinese medicine, explore the mechanism of the treatment of cerebral palsy in children with "spleen and strong kidney". Methods: A retrospective analysis was conducted to collect relevant articles on the treatment of cerebral palsy in children with Chinese and Western medicine, and to analyze the causes, treatment methods and mechanism of cerebral palsy in children. Results: In the Chinese medicine, cerebral palsy in the brain, spleen, kidney, cerebral palsy children generally have spleen and kidney deficiency, which is characterized by muscle thinness and weak bones, so it belongs to the category of "five late" and "five soft". This is consistent with the dyskinesia and nutrient dysfunction of children with cerebral palsy observed in modern medicine. Therefore, in addition to the application of modern rehabilitation techniques, the disease should also be carried out from the perspective of replenishing spleen and kidney. Children who cannot receive oral medication in the clinic can be treated with pediatric massage, and the treatment effect is remarkable. Conclusion: In the rehabilitation of cerebral palsy, the spleen and strong kidney pediatric massage method can be used to improve the vegetative growth level, shorten the rehabilitation course, improve the rehabilitation effect, and finally achieve the purpose of comprehensively promoting the rehabilitation of children with cerebral palsy.

关 键 词：小儿脑瘫 小儿推拿 脾 肾 补脾强肾 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R242[医药卫生—临床医学]