叶进治疗儿童矮身材的经验采撷
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摘要
[目的]探讨叶进教授治疗儿童矮身材的临证经验。[方法]通过探析文献,随诊收集、整理、学习叶师治疗儿童矮身材的病案,从病因病机、治法方药等方面分析归纳总结叶师以脾肾为主治疗儿童矮身材的学术观点和临床经验,并附典型验案一例以佐证。[结果]叶进教授认为儿童矮身材的治疗应坚持明确病因、对因治疗,探讨病机、辨证论治,依法组方、灵活加减的原则,提出先天禀赋不足和后天饮食失调是儿童矮身材的主要病因,其主要病机为脾肾两虚,治宜健脾益肾,主要选用具有补益脾肾作用的药物,并根据小儿具体的临床症状加减用药,以促进小儿长高。[结论]叶进教授治疗儿童矮身材有独到的学术思想和临床经验,健脾益肾治疗儿童矮身材临床疗效良好,值得学习。
[Objective]To explore Professor YE Jin's experiences for the treatment of short stature in children. [Methods] From the etiology and pathogenesis, TCM syndrome typing, feature medication to analyse the academic perspective and clinical experience of Professor YE Jin in the treatment of short stature, and list 1 proven case. This case focuses on the patient having an inadequate natural endowment and a poor diet, so we can discriminate he is in deficiency of spleen and kidney and give him a treatment to invigorate spleen and nourish kidney.[Results]Short stature in children is a common disease in pediatrics, with a complex etiology constitution. It has influence on children 's physical and mental development. Professor YE Jin thinks its treatment should adhere to the principle of clear etiology, for etiological treatment; explore pathogenesis, treatment based on syndrome differentiation;based on therapeutia principle and method to constitute prescription, then chooses TCM materials flexibly. Also she thinks its main pathogenesis is deficiency of spleen and kidney, which ought to be spleen invigorating and kidney nourishing therapy to make the children have an ideal height.[Conclusion]Professor YE Jin has unique clinical experience for short stature treatment based on spleen-insufficiency constitution related theory, with significant effect.
[Objective]To explore Professor YE Jin's experiences for the treatment of short stature in children. [Methods] From the etiology and pathogenesis, TCM syndrome typing, feature medication to analyse the academic perspective and clinical experience of Professor YE Jin in the treatment of short stature, and list 1 proven case. This case focuses on the patient having an inadequate natural endowment and a poor diet, so we can discriminate he is in deficiency of spleen and kidney and give him a treatment to invigorate spleen and nourish kidney.[Results]Short stature in children is a common disease in pediatrics, with a complex etiology constitution. It has influence on children 's physical and mental development. Professor YE Jin thinks its treatment should adhere to the principle of clear etiology, for etiological treatment; explore pathogenesis, treatment based on syndrome differentiation;based on therapeutia principle and method to constitute prescription, then chooses TCM materials flexibly. Also she thinks its main pathogenesis is deficiency of spleen and kidney, which ought to be spleen invigorating and kidney nourishing therapy to make the children have an ideal height.[Conclusion]Professor YE Jin has unique clinical experience for short stature treatment based on spleen-insufficiency constitution related theory, with significant effect.
引文
[1]中华医学会儿科学分会内分泌遗传代谢学组.矮身材儿童诊治指南[J].中华儿科杂志,2008,46(6):428-430.
[2]武苏,汪素美,朱子阳,等.2132例矮小症患儿病因及骨龄分析[J].临床儿科杂志,2015,8(33):730-733.
[3]赖晓清,谢娟.影响青少年儿童身高发育的因素分析[J].新西部,2010,10(6):240-241.
[4]马莳.黄帝内经灵枢注证发微[M].北京:学苑出版社,2007:285.
[5]张婵,李嫱,胡明月,等.父母身高遗传因素对子女身高的影响[J].中外医疗,2010(18):20-21.
[6]冯楚瞻.冯氏锦囊秘录[M].南京:中国中医药出版社,1996:57.
[7]钱乙.小儿药证直诀[M].天津:天津科学技术出版社,2000:4-5.
[8]孙海霞.脾肾互赞的理论渊源及其对后世的影响[J].山西中医学院学报,2007,8(3):14-15.
[9]卢祥之,郝玉明,胡边玺,等.古今图书集成医书精华[M],太原:山西科学技术出版社,1993:957.
[10]万全.幼科发挥[M].北京:人民卫生出版社,2006:134.
[11]华佗.中藏经[M].北京:学苑出版社,2007:5.
[12]陈可冀,常敏毅.草木疗法[M].长沙:湖南科学技术出版社,1996:57.
[13]方松春,黄素英.海上名医用药经验集[M].上海:上海交通大学出版社,2014:295.
[14]高学敏.中药学[M].北京:中国中医药出版社,2007:250.
[15]刘佳,高斌,刘亦芳,等.身材矮小儿童的骨龄、骨密度与年龄、身高、体质量的相关性[J].安徽医学,2013,34(7):979-981.
[2]武苏,汪素美,朱子阳,等.2132例矮小症患儿病因及骨龄分析[J].临床儿科杂志,2015,8(33):730-733.
[3]赖晓清,谢娟.影响青少年儿童身高发育的因素分析[J].新西部,2010,10(6):240-241.
[4]马莳.黄帝内经灵枢注证发微[M].北京:学苑出版社,2007:285.
[5]张婵,李嫱,胡明月,等.父母身高遗传因素对子女身高的影响[J].中外医疗,2010(18):20-21.
[6]冯楚瞻.冯氏锦囊秘录[M].南京:中国中医药出版社,1996:57.
[7]钱乙.小儿药证直诀[M].天津:天津科学技术出版社,2000:4-5.
[8]孙海霞.脾肾互赞的理论渊源及其对后世的影响[J].山西中医学院学报,2007,8(3):14-15.
[9]卢祥之,郝玉明,胡边玺,等.古今图书集成医书精华[M],太原:山西科学技术出版社,1993:957.
[10]万全.幼科发挥[M].北京:人民卫生出版社,2006:134.
[11]华佗.中藏经[M].北京:学苑出版社,2007:5.
[12]陈可冀,常敏毅.草木疗法[M].长沙:湖南科学技术出版社,1996:57.
[13]方松春,黄素英.海上名医用药经验集[M].上海:上海交通大学出版社,2014:295.
[14]高学敏.中药学[M].北京:中国中医药出版社,2007:250.
[15]刘佳,高斌,刘亦芳,等.身材矮小儿童的骨龄、骨密度与年龄、身高、体质量的相关性[J].安徽医学,2013,34(7):979-981.