摘要
矮小症是指在相似环境下,身高低于正常同种族、同年龄、同性别人群均值2个标准差或位于第3百分位以下的疾病,涉及遗传、内分泌、营养及环境等多因素作用。中医古籍虽无“矮小症”专论,但其症状的相关文献记载提示生长发育障碍与人体气机失调有关。“一气周流”是清代医家黄元御提出的学术观点,认为中气属土,作为枢轴斡旋全身气机之升降,与人体的生理病理状态密切相关,为本病的中医辨治提供了理论基础。矮小症的发生责于中气失司,水谷难以化生气血,加之肝木郁滞,阳气生发不畅,以及心肾不交,阴阳失衡,以致全身气机周流失序,气血精微输布受阻,骨骼筋肉生长迟缓。本病当以恢复中气、调畅“一气”为治疗原则,法当培土助阳,运脾调中;疏木达郁,调畅气机;补益肾水,温阳化气,兼重视小儿脏腑娇嫩的生理特点,用药宜轻清和缓,避免峻烈之品伐伤正气,为临床从气机论治矮小症提供了新的借鉴思路,并举验案1例。
Short stature(SS)refers to a condition where an individual's height is lower than the average height of the same ethnicity,age,and gender group by two standard deviations or falls below the third percentile under similar environmental conditions.The concept of"One-Qi Circulation"proposed by Qing Dynasty physician Huang Yuanyu suggests that the central Qi acts as the pivotal force regulating the rise and fall of the body's Qi,and is closely related to the physiological and pathological states of the human body.The development of short stature is associated with weakened or obstructed central Qi,stagnant liver Qi,and imbalances in the water-fire mechanism,leading to impaired overall Qi circulation.The treatment principle is to restore the central Qi and harmonize the"One-Qi"by tonifying the earth element to assist yang,promoting spleen function,and regulating the middle;soothing the liver to relieve stagnation,and regulating Qi circulation;replenishing kidney water,warming yang,and transforming Qi.It is essential to consider the delicate physiological characteristics of children,using mild,clear,and gentle medications.This approach provides a new perspective on the treatment of short stature from the perspective of Qi movement,and a clinical case is presented for reference.
作者
罗云钐
孙媛
罗添尹
孙香娟
LUO Yunshan;SUN Yuan;LUO Tianyin;SUN Xiangjuan(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China)
出处
《中国中西医结合儿科学》
2025年第5期447-450,共4页
Chinese Pediatrics of Integrated Traditional and Western Medicine
基金
四川省营养学会妇幼营养研究基金项目(SCNC-MCNR2023-05)。
关键词
矮小症
一气周流
气机
儿童
Short stature
One-Qi Circulation
Qi movement
Child
