饮食与儿童性早熟的相关性中医研究进展  

Research progress of traditional Chinese medicine on the correlation between diet and precocious puberty in children

作　　者：于晓妍 潘曌曌[2] YU Xiaoyan;PAN Zhaozhao(The First Clinical College,Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning,110847,China;Pediatric Department,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning,110032,China)

机构地区：[1]辽宁中医药大学第一临床学院,辽宁沈阳110847 [2]辽宁中医药大学附属医院儿科,辽宁沈阳110032

出　　处：《中医儿科杂志》2025年第2期101-104,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：中医学认为儿童性早熟与肾、脾、肝三脏功能失调有关,病机以肾阴亏虚、相火旺盛为本,脾虚痰凝和肝郁火旺为标。结合小儿稚阴稚阳之体和五脏之有余不足的生理特点,从脾、肾、肝三脏探讨饮食因素与性早熟的相关性。小儿饮食不节影响脾胃健运,继而导致肾虚火旺、肝郁化火,使天癸早至,第二性征提前出现。中医通过辨证论治儿童性早熟,以滋阴降火为主,兼健脾化痰、疏肝泻火,可改善症状,抑制性腺及骨龄快速发展。在饮食方面做到饮食有节,营养均衡,避免饮食偏嗜,并结合患儿偏颇体质佐以食疗药膳来防治性早熟。通过综述饮食与儿童性早熟的中医研究进展,以期为性早熟的治疗以及调整儿童的饮食结构提供一定的理论依据,发挥中医药防病治病的独特优势。Traditional Chinese medicine(TCM)believes that precocious puberty in children is related to the dysfunction of the kidney,spleen,and liver.The pathogenesis is rooted in the deficiency of kidney-yin and excess of fire,with manifestations of spleen deficiency with phlegm accumulation and liver qi stagnation with fire excess.Based on the physiological characteristics of children,who have tender yin and yang and whose five zang organs are relatively immature and insufficient,this paper explores the correlation between dietary factors and precocious puberty from the perspectives of the spleen,kidney,and liver.Improper diet in children affects the healthy functioning of the spleen and stomach,subsequently leading to kidney deficiency with excessive fire,liver qi stagnation transforming into fire,the early arrival of Tiangui(menstruation in traditional Chinese medicine terminology),and advanced appearance of secondary sexual characteristics.TCM treats precocious puberty in children through syndrome differentiation and treatment,focusing on nourishing yin and reducing fire,while also invigorating the spleen to resolve phlegm and soothing the liver to drain fire.This approach can improve symptoms and inhibit the rapid development of gonads and bone age.In terms of diet,it is important to maintain moderation and balanced nutrition,avoid dietary preferences,and combine dietary therapy and medicinal diet according to the child's constitutional tendencies to prevent and treat precocious puberty.This paper reviews the research progress of TCM on the correlation between diet and precocious puberty in children,aiming to provide a theoretical basis for the treatment of precocious puberty and the adjustment of children's diet structure,and to exert the unique advantages of TCM in disease prevention and treatment.

关 键 词：性早熟 饮食 辨证论治 综述 

分 类 号：R725.8[医药卫生—儿科]