从体质偏颇论性早熟的中医辨治  

TCM Syndrome Differentiation and Treatment of Precocious Puberty from Biased Constitution

作　　者：蓝玉 袁颖 宗梦瑶 沈健 LAN Yu;YUAN Ying;ZONG Mengyao;SHEN Jian(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203 [2]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《世界中医药》2024年第9期1355-1358,共4页World Chinese Medicine

基　　金：国家卫生健康委“十四五”规划全国重点项目(YYWS3459);中医药传承与创新“百千万”人才工程全国中医药创新骨干人才培训项目(19Z-1-18)。

摘　　要：性早熟对儿童身体、心理影响发生在患病之初,甚至持续终身,影响并非局限患儿自身,对家庭、社会均存在影响,具有较大的隐匿性危害。性早熟发病率逐年升高,目前已有向常见病方向发展的趋势。体质具有个体性、相对稳定性和可变性特征。体质辨识由来已久,可评估人体脏腑精气阴阳偏颇和功能活动差异。中医在儿童体质辨识上具有独特优势。历代医家经临证实践总结将性早熟儿童在体质上主要分为阴虚质、痰湿质、气郁质3种,但并不全面,在临床及相关临床研究的开展中发现平和质亦常发生该病。目前,对性早熟的中医体质研究已较为深入,但尚未体系化、统一化。Precocious puberty impacts the physical and psychological health of children from the onset of the condition and can even persist throughout their lifetime.The effects are not limited to the affected children but also extend to their families and society,posing a significant hidden danger.The incidence of precocious puberty is rising annually,indicating a trend towards becoming a common condition.Physical constitution is characterized by individuality,relative stability,and variability.The identification of physical constitution has a long history and can assess imbalances and functional differences in the organs,essential qi,yin,and yang of the human body.Traditional Chinese medicine(TCM) has unique advantages in identifying children′s physical constitution.Through clinical practice over the ages,TCM practitioners have classified the physical constitution of children with precocious puberty mainly into three types:yin deficiency,phlegm-dampness,and qi stagnation.However,this classification is not comprehensive,and clinical observations and related research have found that children with a balanced constitution can also develop this condition.Currently,research on the TCM constitution of children with precocious puberty has made significant progress but has not yet reached a systematic and unified approach.

关 键 词：性早熟 体质 平和质 阴虚质 肥胖 阴虚火旺 辨证论治 调和阴阳 

分 类 号：R272[医药卫生—中医儿科学] R585[医药卫生—中医学]