基于胞宫为奇恒之腑辨治女童性早熟  

Differentiation and Treatment of Precocious Puberty in Girls based on the Theory of "Uterus is an Extraordinary Fu (腑) Organ"

作　　者：张紫娟 杨瑞恩 游卉[1] 文乐兮[2] 尤昭玲[1,2] ZHANG Zijuan;YANG Ruien;YOU Hui;WEN Lexi;YOU Zhaoling(The First Hospital of Hunan University of Chinese Medicine,Changsha,4410007;HunanUniversity of ChineseMedicine)

机构地区：[1]湖南中医药大学第一附属医院,湖南省长沙市410007 [2]湖南中医药大学

出　　处：《中医杂志》2024年第15期1621-1625,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教函[2022]5号);湖南省中医药科研计划项目(C2022012)。

摘　　要：基于胞宫为奇恒之腑,认为女童性早熟以胞宫藏泻失司为核心病机,以脏腑娇嫩易损为发病基础,冲任气血失调为关键环节,五脏失衡为病情迁延之由。治疗主张顺应女童脏腑娇嫩易损的生理特性,以调治胞宫为中心,兼顾调和脏腑,提出以固涩养阴为基本治法,常用自拟性早熟方;考虑女童胞宫娇嫩易损,用药以平和为主,忌峻补强攻,并提倡中药脉冲式给药方法;同时从性早熟病情多迁延,后期治疗常用中药配合药膳以调和脏腑,自拟药膳性早熟煲。Based on the theory of the uterus is an extraordinary fu(腑)organ,it is believed that the core pathogenesis of precocious puberty in girls is the dysfunction of the uterus in storing and draining,while the basis of the disease is the delicate and vulnerable zang fu(脏腑)organs;the imbalance of qi and blood in the Chong and Ren mai(冲任)is the key link of the pathogenesis,and five zang(脏)organs dysharmony is responsible for the prolongation of the disease.For treatment,it is advocated to conform to the physiological characteristics that zang fu organs are delicate and fragile in girls,focus on regulating the uterus,and take into account the harmonization of the zang fu organs;the method of consolidating and nourishing yin is suggested as the basic treatment method,and self-made Xingzaoshu Formula(性早熟方)is commonly used.Considering that the uterus of girls is delicate and vulnerable,neutral medicinals are mainly used,and drastic supplementation and strong attack are avoided;pulse administration of Chinese herbal medicine is advocated.Since the condition of precocious puberty is often prolonged,Chinese herbal medicine together with medicinal diet is often used in the later stage of treatment to harmonize the zang fu organs,and self-made medicinal diet Xingzaoshu Soup(性早熟煲)is often used.

关 键 词：性早熟 女童 奇恒之腑 胞宫 固涩养阴 

分 类 号：R272[医药卫生—中医儿科学]