小兒厭食之中醫病例報告

Childhood-onset Anorexia Nervosa Treatment with Chinese Medicine: A Case Report

10.7102/JTCIM.201412_12(2).0004

申一中(Yi-Chung Shen)；黃珏穎(Ying-Huang Jue)；趙品諭(Pin-Yu Jau)

小兒厭食 ； 兒童期厭食 ； 保和丸 ； Childhood-onset anorexia nervosa ； Nnorexia nervosa ； Baohe Wan

中醫內科醫學雜誌

12卷2期（2014 / 12 / 01）

27 - 37

繁體中文

於現代富裕的社會下，兒童期厭食的情況變的常見。就現代醫學認為，不良飲食習慣、生活習慣、精神因素、微量元素缺乏、腸胃功能不住或藥物使用影響食欲等都是厭食相關病因；中醫則認為飲食問題或脾胃的運化失常為其病因，證型上可分為脾失健運兼溼熱或食積、脾胃氣虛、胃陰不足及肝胃不和。此病雖然起勢緩慢，如長期及嚴重的厭食，可導致營養不良，體力衰弱，甚而影響小兒的生長發育；本病例為一位自幼開始，有食量小、偏食情況的9歲發育不良之女性兒童，經由保和丸加減給予調理，而獲得改善。

In modem affluent society, the situation of childhood-onset anorexia nervosa becomes more and more common. In the opinions of modem medicine, bad eating habits, bad living habits, psychological factors, micronutrient deficiencies, poor gastrointestinal function or the use of drugs affecting appetite, are all related to the cause of anorexia nervosa; in chinese medicine, we believes that eating problems or impairment of splenic movement and transformation are resulted in anorexia nervosa. We can have patterns divided into the spleen fails with damp-heat or food accumulation, spleen-stomach qi vacuity, insufficiency of stomach yin and liver-stomach disharmony. Although the disease, at first, is in slow progress, when turning into long-term and severe anorexia, it can lead to malnutrition, physical weakness, and even affect the growth and development of children. This case would be for a 9-year-old female patient in the beginning of a childhood with a small appetite, predilection for certain foods , and poor growth . She is treated by Baohe Wan and be improved. In modem society, it can be as a reference to the treatment of anorexia nervosa with traditional chinese medicine.

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