小儿腹诊的现代临床应用  

Modern clinical application of abdominal diagnosis in children

作　　者：刘莱莱[1] 段娟[2] LIU Lailai;DUAN Juan(Department of Nephrotic Blood Purification,Beijing Huimin Hospital,Beijing 100053,China;Department of Paediatrics,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京市回民医院肾病血液净化科,北京100053 [2]中国中医科学院广安门医院儿科,北京100053

出　　处：《中国医药导报》2021年第30期132-135,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81102616)。

摘　　要：腹诊是重要的疾病诊断方法,能够更直接、客观地辨别病因、病机、病位,也是指导理法方药、治疗疾病的有效手段之一,在针对儿童特殊群体的临床实践中具有更重要的实用意义。小儿腹诊操作手法要求迅速、准确、不拘体位,强调重点从腹形、腹皮、腹力三个方面来辨别小儿虚实、寒热、气血,验明证候本质;同时将腹诊与腹部外治结合运用,相得益彰。本文另附有小儿功能性腹痛、性早熟和抽动症验案三则,进一步佐证小儿腹诊是临床辨证的重要依据,开拓了小儿腹部外治的新思路。Abdominal diagnosis is an important method for disease diagnosis,which can more directly and objectively distinguish etiology,pathogenesis and location.Abdominal diagnosis is also one of the effective means to guide principle-method-recipe-medicines and treat diseases,and it has more important practical significance for pediatric clinical practice.Abdominal diagnosis should be performed quickly,accurately,and in any position in pediatrics.It is emphasized to distinguish deficiency and excess,cold and heat,qi and blood and verify the essence of syndrome from abdominal shape,abdominal skin and abdominal strength.At the same time,the combination of abdominal diagnosis and abdominal external treatment is beneficial to each other.Three cases of functional abdominal pain,precocious puberty and tourette syndrome in children are reported,which proves that abdominal diagnosis is an important basis for clinical syndrome differentiation and opens up a new idea of abdominal external treatment in pediatrics.

关 键 词：儿科 腹诊 腹形 腹皮 腹力 外治 

分 类 号：R272[医药卫生—中医儿科学]