试论胎肥之中医论治与护理

TCM differential treatment and nursing of hypertrophy of newborn

总结历代医家有关胎肥的论述,结合临床实际观察,认为胎肥的形成主要是由于孕母过食肥甘、胃热壅盛,孕期缺乏运动,父母先天禀赋等多因素所致。临床主要表现为热毒炽盛证、脾虚湿盛证,后期可出现虚实夹杂证。治疗时需辨证论治,分别治以清除胎毒,清热祛湿;健脾祛湿;养阴运脾。在护理上要注意顾护患儿肌肤,监测其呼吸,观察其神志,坚持母乳喂养。

By summarizing the discussion on hypertrophy of newborn of doctors in the past dynasties,combined with clinical practical observation,it holds that the formation of hypertrophy of newborn is mainly caused by many factors,namely the pregnant woman overeating rich food,stomach heat congestion and excessiveness,inactivity during pregnancy and parents’congenital endowment etc.The main clinical manifestations are blazing heat-toxin syndrome or dampness-heat due to spleen-asthenia syndrome,in the later stage can manifest as mixture of asthenia and sthenia syndrome.Treatment should be based on syndrome differentiation,it should remove fetal toxin,clear away heat and expel dampness;it should strengthen spleen and expel dampness;it should nourish yin and activate spleen respectively,In nursing care,attention should be paid to the care of children’s skin,monitoring their breathing,observing their consciousness,and insisting on breastfeeding.