从五脏论儿童肥胖症病因病机

Analysis of the etiology and pathogenesis of obesity in children based on the theory of five internal organs

从儿童五脏的生理特点出发,结合古代论述和现代儿童饮食和生活习惯,分析儿童肥胖与五脏的关系。儿童五脏具有"肾常虚、脾常不足、肺常不足,肝常有余、心常有余"的特点。儿童肥胖病机总属脾运失健,肝气郁滞,病位主要在肝脾,与肾关系密切,亦与心、肺功能失调有关,病理产物为痰浊、水湿、瘀血、膏脂。同时,肥胖亦对五脏产生影响,引发其他相关疾病,在治疗上要注重儿童体质特点,强调整体观念与辨证论治。

Based on the physiological features of five internal organs of children and through combination of ancient theory with modern dieting and living habits of children, the relationship between obesity in children and five internal organs was analyzed. The five internal organs of children have the following fea- tures., kidney being deficient, spleen and lung being not sufficient, and liver and heart being enough to spare. The key to the pathognesis of child obesity is that the spleen doesn＇t function properly and the liver Qi is stagnated. The lesion is mainly in the liver and spleen, and is closely related to the kidney. Also, it is associated with heart and lung dysfunction. The pathological products are sputum accumulation, edema and blood stasis. Mean while, obesity has effect on the five internal organs and causes some related diseases. Therefore, in the treatment of obesity, we should pay attention to the physiques of children and emphasize the concept of integrity and syndrome differentiation.