摘要
查阅相关文献资料,从病因病机、辨证施治等方面对近10年中医诊治性早熟的研究进行综述,认为性早熟的病位在肾、肝、脾三脏,病机以肝肾亏虚为主,兼肝郁化火、脾虚湿盛,临床以阴虚火旺、肝经郁热、痰湿壅滞3种证型多见,治疗原则为滋阴降火、疏肝解郁、健脾化痰.并根据中医"治未病"思想,从健康管理、调摄体质等方面对性早熟患儿进行调摄,强调早期防治的重要性.
Abstract
Through reviewing relevant literature,this paper summarizes the research progress in traditional Chi-nese medicine(TCM)for the diagnosis and treatment of precocious puberty in the past decade,focusing on etiolo-gy,pathogenesis,and syndrome differentiation and treatment.It concludes that the disease locations of precocious pu-berty mainly involve the kidneys,liver,and spleen.The core pathogenesis is deficiency of liver and kidney,accompa-nied by liver depression transforming into fire and spleen deficiency with dampness.Clinically,the most common syndromes include yin deficiency with fire effulgence,stagnation of liver qi with heat,and phlegm-dampness obstruc-tion.The therapeutic principles are nourishing yin and reducing fire,soothing the liver and relieving depression,and invigorating the spleen and resolving phlegm.Furthermore,based on the unique TCM concept of"preventive treat-ment of disease",the paper discusses the regulation and care of children with precocious puberty from aspects of health management and physical constitution adjustment,emphasizing the importance of early prevention and treat-ment.
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