ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (3): 268-272.

• 中医应用研究 • 上一篇    下一篇

从“女子以肝为先天”论治女童性早熟

  

  • 出版日期:2022-06-25 上线日期:2023-12-01

Treatment for precocious puberty in girls from the perspective of Women Taking Liver as Congenital

  • Published:2022-06-25 Online:2023-12-01

摘要: 性早熟是儿童常见的内分泌疾病,女童发病率高,表现为8岁前出现性发育征象,可导致骨骺过早闭合,成年终身高受损,发育过早还会使患儿产生羞怯、自卑、社交退缩等心理行为问题。“女子以肝为先天”首载于《临证指南医案》,叶天士以性别差异为前提,强调肝对女子健康的重要作用。小儿容易受到自身或外界多种因素的刺激,加之现代儿童学业繁重,课外辅导、艺术拓展多,升学就业压力大,容易肝郁不舒;同时大量的补习辅导严重限制了儿童自由的课外生活,运动量明显不足,束缚了儿童自由、活泼爱动的天性的同时,增加了肥胖的发生率,成为性早熟发病的危险因素。本文通过对“女子以肝为先天”的溯源及探析,结合女童生长发育规律特点,从理论层面切入并结合近年来临床数据探讨女童性早熟之从肝论治。并附验案一则,以资验证。

关键词:

性早熟, 女童, 女子以肝为先天, 理论探析

Abstract:

Precocious puberty is a common endocrine disease in children,with a high incidence in girls,which shows signs of sexual development before the age of 8.In addition to premature closure of epiphyseal and impaired final height in adulthood,a series of psychological and behavioral problems may result from it,such as shyness,inferiority and social withdrawal."Women Taking Liver as Congenital" was first published in the "Clinical Guidance and Medical Records".Based on the premise of gender differences,Ye Tianshi emphasized the important role of liver to womens health.Children are prone to the stimulation of their own or external factors,and they also have heavy schoolwork,extracurricular tutoring,artistic expansion,employment pressure,which is likely to cause liver depression;meanwhile,a large amount of tutoring seriously restricts childrens free extracurricular life.A significant lack of exercise not only restricts the nature of children yearning for freedom,but also increases the incidence of obesity,thus becoming a risk factor for precocious puberty.According to the characteristics of girlsgrowth and development,this paper probed into the connotation of "Women Taking Liver as Congenital",and discussed the treatment for the girls precocious puberty based on liver from the theoretical level and through combination with the clinical experimental data in recent years.An inspection case is attached for verification.

Key words:

Precocious puberty, Girl, Women Taking Liver as Congenital, Theoretical analysis