推拿治疗小儿厌食症经验撷菁

Treatment experience in infantile anorexia with Tui Na

小儿厌食症是儿科常见病症,其通常表现为小儿长期的食欲下降,甚则拒食的一种脾系病证。厌食引起生长发育的失衡及一系列全身疾病问题。因此厌食疾病防治成为当前中西医儿科研究的热点课题。推拿又是一种以阴阳五行、经络学说为理论依据,以辨证论治为原则,通过对穴位刺激推动气血运行、调节阴阳达到治疗目的的一种手段。本文介绍原贵阳中医学院第二附属医院主任汪慧尧老先生在临床上运用推拿治疗小儿厌食症的临床思路与推拿选穴经验。汪主任根据厌食“脾胃不和,脾失健运”的基本病因病机,结合自己多年接诊小儿经验,在诊察小儿“言语不及”之处,运用“上下贯通,前后调和”之法,临证选穴,促进脾胃的消化、吸收、排泄和转输功能,从而达到调整小儿阴阳平衡、调和脏腑功能。以达到激发小儿自身潜能和自愈能力,提高小儿厌食临床治疗效果。后开展数十年小儿推拿治疗小儿厌食技术规范化研究,通过数据挖掘将临床选穴,总结出治疗小儿厌食症基本治疗处方,更好提高推拿治疗小儿厌食症疗效,避免小儿针药之苦。后附汪主任运用小儿厌食症基本方治疗小儿厌食症医案一则,以资同道借鉴、讨论,更好服务广大患儿。

Objective Anorexia nervosa in children is a common pediatric condition,which usually manifests as a long-term decrease in appetite or even refusal to eat.Anorexia can lead to imbalance in growth and development and a series of systemic diseases.Therefore,the prevention and treatment of anorexia nervosa has become a hot topic in Chinese and Western pediatric researches.Tui Na is a method of treatment which promotes the circulation of Qi and blood and regulates Yin and Yang by stimulating acupoints with Yin-Yang and Five Elements and meridian theory as the theoretical basis and differentiated treatment as the principle.This article introduces the clinical thinking and acupoint selection experience of Mr.Wang Huiyao,former director of the Second Affiliated Hospital of Guiyang College of Traditional Chinese Medicine,in the treatment of anorexia nervosa in children with Tui Na.According to the primary etiology and pathogenesis of anorexia nervosa being "disharmony between spleen and stomach and loss of normal functioning of spleen",and based on years of experience in managing pediatric diseases and observation on children being unable to talk about their disease clearly,Prof.Wang uses the method of "running through up and down and regulation between before and after" in clinical selection of acupoints to promote the digestion,absorption,excretion and transfer function of spleen and stomach,in order to regulate Yin-Yang balance and organ functions,which achieves the purpose of stimulating the children's own potential and their self-healing ability and improving clinical effect in the treatment of anorexia nervosa.After decades of standardized research on pediatric Tui Na therapy for anorexia nervosa,through data mining and clinical selection of acupuncture points,he summarized the basic therapeutic prescription for anorexia nervosa,which better improves the efficacy of Tui Na therapy for anorexia nervosa and avoids the pain of acupuncture and medicine for children.Attached is a case study of anorexia nervosa in pediatric patients treated with the basic formula of anorexia nervosa by Mr.Wang,which can be used for reference and discussion among colleagues so as to provide better service to the children.