Discussion on Pathogenesis,Differentiation and Treatment of Shorter Stature Based on the Theory of"the Spleen Locating in the Middle and Irrigating the Other Four Viscera"
Children with shorter stature have limited potential for height increase,and some can be further accentuated to short stature.Currently,interventions are primarily focused on lifestyle adjustments such as diet,sleep,and exercise.Traditional Chinese medicine(TCM)advocates the concept of"preventive treatment"which can assist shorter stature children with poor compliance in improving their height development.According to the"Plain Questions",which states"the spleen locating in the middle and irrigating the other four viscera"and in conjunction with the etiology and clinical manifestations of short stature,TCM considers the main pathogenesis to be"spleen dysfunction and insufficient kidney Qi."The treatment is based on strengthening the spleen's transportation and nourishment,as well as enriching kidney Qi,while also considering the harmony of the liver,heart,and lung functions.This approach aims to moisten the spleen and strengthen its Qi,as well as enrich kidney Qi and harmonize the other organs,thereby nourishing the whole body,filling the marrow,and nourishing the bones,leading to increased height.This paper aims to provide a new clinical diagnostic and treatment perspective for TCM in the treatment of children with shorter stature.
spleen governs the four internal organstreatment from spleenshorter statureetiology and pathogenesisdifferentiation and treatment
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