基于“阳化气,阴成形”论治儿童矮身材  

Treatment for childhood short stature based on"Yang transforming qi and yin shaping stature"

作　　者：童婷婷 张桂菊[2] TONG Tingting;ZHANG Guiju(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250000,China)

机构地区：[1]山东中医药大学第一临床医学院,济南250014 [2]山东中医药大学附属医院儿科,济南250000

出　　处：《中国中西医结合儿科学》2024年第5期392-394,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：山东省自然科学基金项目(ZR2023QH158)。

摘　　要：矮身材(矮小症)多由先天禀赋不足和后天失于调养所致,脾肾不足为其病机关键。目前西医治疗矮小症多选用重组人生长激素,治疗方案较单一。中医药辨证治疗矮小症疗效明显,可有效改善儿童生长速度、调理体质。现依据导师张桂菊教授临证经验,基于“阳化气,阴成形”理论,认为儿童矮身材与“阴成形”不足密切相关,阴精对于人体生长发育有重要作用,“阴成形”功能正常,儿童才能逐渐长高、日渐强壮;反之,“阴成形”不足,则会导致儿童发育迟缓,身材矮小,故治疗矮小症应辨证加用滋阴类中药如熟地黄、山茱萸、山药、枸杞子、黄精、玉竹、百合等,此类药含有多种有效成分,不仅可以补充人体所需营养物质,还具有调节免疫、保护脏腑等多种功效。此外,方中还应加用健脾助运药,以顾护脾胃,防滋腻太过。Childhood short stature is mostly caused by insufficient cong enital endowment and improper nutrition later on,and the key pathogenesis is the spleen and kidney insufficiency.At present,recombinant human growth hormones are used most often for the treatment of short stature in western medicine,and the treatment plan is relatively simple.Traditional Chinese medicine(TCM)has obvious effects in the treatment of short stature based on syndrome differentiation,which can effectively improve children's growth rate and regulate physical fitness.Based on the clinical experience of Professor Zhang Guiju and the theory of"Yang transforming qi and yin shaping stature"it is believed that childhood short stature is closely related to the insufficiency of"Yin shaping stature".Yin essence plays an important role in the growth and development of the human body.Children can gradually grow taller and stronger if the function of"Yin shaping stature"is normal.On the contrary,insufficiency in"Yin shaping stature"will lead to delayed growth and short stature in children.Therefore,in the treatment of childhood short stature,it is necessary to add yin-nourishing Chinese medicines based on syndrome differentiation,such as Radix rehmanniae praeparata,Cornus officina,yam,Fructus lycii,Polygonatum kingianum,Polygonatum odoratum,lily,etc.Such medicines contain a variety of effective ingredients,which can not only supplement the nutrients needed by the human body,but also have a variety of effects such as regulating immunity and protecting the internal organs.In addition,spleen-strengthening and digestion-assisting drugs should be added to the prescription to protect the spleen and stomach and prevent getting too greasy.

关 键 词：矮身材 阳化气 阴成形 滋阴 中药 儿童 

分 类 号：R339.35[医药卫生—人体生理学]