| 引用本文: |
钟俐芹,朱沁泉,盛丹,张涤,梁昊.基于小儿体质特殊性构建小儿体质辨识体系[J].湖南中医药大学学报,2023,43(7):1263-1267[点击复制] |
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| 基于小儿体质特殊性构建小儿体质辨识体系 |
| 钟俐芹,朱沁泉,盛丹,张涤,梁昊 |
| (湖南中医药大学中医诊断研究所, 湖南 长沙 410208;湖南中医药大学第一附属医院张涤中医儿科临床研究所, 湖南 长沙 410007) |
| 摘要: |
| 小儿从出生至成年，是一个不断生长发育的过程。此过程并非单纯是量的增加，即小儿并非成人的缩影。除了量的增加以外，其机体形态与各器官的功能均易受到先天禀赋和后天各种内外因素的影响，生理、心理上均呈现阶段性差异，稳定性差、易于改变；加之小儿心智发育尚未成熟，不善表达，传统量表可能无法对其体质准确测评和判断。小儿体质具有6个特殊性：阶段性、可塑性、偏颇性、趋同性、两重性、病合性。提出从年龄分期、基础体质、个性体质3个维度建立新的小儿体质辨识体系。辨识小儿体质，要在保持中医特色的前提下，坚持科学性和客观性，与时俱进，同时，不夸大体质的适用范围。 |
| 关键词: 儿科 体质 辨识体系 年龄分期 基础体质 个性体质 |
| DOI：10.3969/j.issn.1674-070X.2023.07.017 |
| 投稿时间：2022-11-25 |
| 基金项目:中国博士后科学基金项目（2020M682578）；湖南省中医药科研计划重点项目（A2023036）；湖南中医药大学中医学一流学科开放基金项目（2022ZYX02）；湖南省中医药科研计划一般项目（B2023020）；湖南中医药大学教学改革研究项目（2020-JG006）；湖南省青年科技创新人才项目（2022RC1021）。 |
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| Children's constitution identification system based on the special characteristics of children's constitution |
| ZHONG Liqin,ZHU Qinquan,SHENG Dan,ZHANG Di,LIANG Hao |
| (Institute of TCM Diagnostics, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;ZHANG Di's Clinical Institute of Paediatrics, the First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| For children, the continuous development from birth to adulthood is not simply an increase in quantity; that is, children are not small adults. In addition to the quantitative growth, children's body shapes and functions of various organs are easily affected by congenital foundations and postnatal factors. Accordingly, their physical and emotional states vary in different stages, which mainly feature as poor stability and high mutability. Thus, the traditional scales may not be able to accurately evaluate and judge children's constitution due to their mental immaturity and poor expression ability. Based on the six special characteristics of children's constitution (i. e. stages, mutability, partiality, convergence, duality, and disease compatibility), we propose to establish a new identification system of children's constitution from three dimensions (i. e. age staging, basic constitution, and individualized constitution). To identify children's constitutions, it is necessary to preserve the characteristics of Chinese medicine and adhere to the spirit of science and objectivity to keep up with the times. At the same time, the application scope of constitution should not be overstated. |
| Key words: paediatrics constitution identification system age staging basic constitution individualized constitution |
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