小兒流口水之臨床探討

A Clinical Investigation of Childhood Drooling

10.6968/TJCCM.200509.0222

洪志哲(Zhi-Zhe Hong)；洪志鵬(Zhi-Peng Hong)；楊子峰(Zi-Feng Yang)

流口水 ； 滯頤 ； 涎下 ； drooling ； zhi yi stagnant cheeks ； xian xia spilling saliva

台灣中醫臨床醫學雜誌

11卷3期（2005 / 09 / 01）

222 - 225

繁體中文

小兒流口水，中醫病名“滯頤”、“涎下”。為臨床上小兒常見病症。現代醫學認為小兒流口水是因小兒唾液分泌過多或吞嚥不良所造成。治療原則以重視護理衛生，注意口嘴周圍皮膚的清潔及乾燥為主。中醫認為流口水的病因主要分兩大類（一）脾虛不歛，（二）脾胃熱蒸。尤以脾虛、脾冷為多見。中醫治療原則以盆氣健脾、溫中攝涎為主。根據過去文獻及臨床醫案記載，臨床可以內服中藥或外治法來治療。外治敷貼法可應用在臨床上不喜服用中藥的患兒，一種不錯的選擇治療方式。

Drooling in children has been referred to in Chinese medicine as zhi yi (stagnant cheeks) and xian xia (spilling saliva). According to modern medicine drooling is caused by excessive salivary secretions or difficulties with swallowing. Treatment principles emphasize maintenance of hygiene, paying particular attention to keeping the area around the mouth clean and dry. In Chinese medicine the etiology of drooling is primarily divided into two categories; spleen vacuity with inability to astringe, and spleen and stomach steaming heat. Spleen vacuity or spleen coldness is more common. The primary Chinese medicine treatment principles for the treatment of drooling are to boost qi and fortify the spleen, and warm the middle and contain saliva. According to historical medical documents and clinical case reports, clinical treatment can include taking herbs and external therapy. External application methods can be used for those children who don't like to take herbs, and are a good choice of treatment method.