基于“少阳主骨”理论从少阳防治儿童矮身材刍议

Discussion on the Prevention and Treatment of Children with Short Stature from Shaoyang Based on the Theory of“Shaoyang Governing Bone”

[目的]探究从少阳防治儿童矮身材的思路和方法,为防治儿童矮身材提供新思路。[方法]通过对“少阳主骨”理论内涵的具体分析,结合现代实验研究结果的支持,联系小儿“体禀少阳”的生理特性,逐步推断出少阳生发之气与小儿生长发育的密切关系,特别是对儿童骨骼生长具有重要促进作用,基于此提出从调护少阳的角度防治儿童矮身材的设想,并阐述了具体思路和防治方法,最后附上验案一则以供参考。[结果]“少阳主骨”理论不仅指主骨之病,亦指主生骨,少阳生发之气充注于骨,可促进骨骼的生长,因此通过养护少阳,可促进小儿生长发育,防治儿童矮身材。具体方法包括调护小儿饮食、睡眠、运动、情志等生活方式以固护少阳、生发少阳、鼓舞少阳和舒利少阳,治疗可以柴胡类方为基础方化裁内服或进行相关穴位推拿按摩以调理少阳。所举验案为一脾失健运、少阳生发不利所致的身材偏矮儿童,通过中药及推拿培护元气、生发少阳,并结合运动调理,取得了满意的身高增长效果。[结论]“少阳主骨”理论丰富了中医论治儿童矮身材的理论内容,为临床上儿童矮身材的防治提供了新思路,具有重要指导意义。

[Objective]To explore the ideas and methods of preventing and treating short stature of children,and to provide new ideas for the prevention and treatment of short stature.[Methods]Through analyzing the theoretical connotation of“Shaoyang governing bone”,combining with the support of modern experimental research results,and connecting the theory of“children's endowment is being like Shaoyang”,this paper gradually inferred the close relationship between Shaoyang and children's growth,especially bone growth.Based on this,this paper put forward the idea of preventing and treating children's short stature from Shaoyang,and expounded the specific ideas and methods,finally attached a clinical case for reference.[Results]The theoretical connotation of“Shaoyang governing bone”infers not only Shaoyang governing the bone disease,but also governing the bone growth.It will promote the bone growth by growing and raising Qi of Shaoyang which is injected into bone.Therefore,conditioning Shaoyang can promote the growth and development of children,then prevent and cure children's short stature.The specific methods include nursing children's diet,sleep,sports,emotions to strengthen Shaoyang,growth and raise Shaoyang,encourage Shaoyang and dredge Shaoyang,it can also take oral Chinese medicine such as Chaihu formulas or massage to recuperate Shaoyang.The case provided was a short stature due to the dysfunction of spleen in transportation and the adverse growth of Shaoyang,which achieved a satisfactory effect of height growth by taking oral Chinese medicine and massage to protect the vital energy,and develop Shaoyang.[Conclusion]The theory of“Shaoyang governing bone”enriches the theoretical content of treating children with short stature in traditional Chinese medicine and provides new ideas for the prevention and treatment of children with short stature in clinic,which has important guiding significance.