中醫治療兒童口腔異味之病例報告

Halitosis in Children undergoing Traditional Chinese Medicine Treatment: A case report

10.7102/JTCIM.202112_19(2).0010

戴毓萱(Yu-Hsuan, Tai)；申一中(Yi-Chung, Shen)

口腔異味 ； 口臭 ； 兒童 ； 中醫 ； halitosis ； pediatrics ； Chinese medicine

中醫內科醫學雜誌

19卷2期（2021 / 12 / 01）

92 - 100

繁體中文

9歲女童，自109年3月起有口腔異味問題，求診牙醫無效後於109年9月至本院中醫兒科門診治療。以鼻嗅法評估其口腔異味程度，針對其濕熱蘊盛證型，採「實而瀉其子」之法，以清肺胃之熱、健脾和胃之治則，達清熱化濕之效。治療過程中逐次改善，直至第8次治療後，患者於110年3月症狀完全消失。

In this report, we presented a 9-year-old girl who suffered from halitosis since last March. She was brought to a dentist initially, and the possibility of periodontal disease was excluded. Teeth scaling and oral hygiene were instructed for six months, but in vain. Therefore, she consulted our division of Pediatrics of traditional Chinese medicine. After being evaluated the degree of bad oral odor by organoleptic test, she was diagnosed to have the pattern type of excess dampness-heat. According to traditional Chinese medicine theory, the excess pattern can be treated by draining heat of downstream viscera and bowels. Medications were prescribed not only to drain the heat of lung and stomach but also to strengthen spleen and harmonize stomach. It took eight courses of treatment and spent six months before the excess dampness-heat was alleviated and halitosis was resolved.

1. Amir, E,Shimonov, R,Rosenberg, M(1999).Halitosis in children.J Pediatr,134(3),338-343.
2. Chen, W,Chang, MH(2010).New Growth Charts for Taiwanese Children and Adolescents Based on World Health Organization Standards and Health-related Physical Fitness.Pediatr Neonatol,51(2),69-79.
3. Dal Rio, Ana Cristina Coelho(2007).Halitosis -an assessment protocol proposal.Rev Bras Otorrinolaringol,73(6),835-842.
4. Dhalla, N,Patil, S,Chaubey, K. K,Narula, I. S.(2014).The detection of BANA micro-organisms in adult periodontitis before and after scaling and root planing by BANA-Enzymatic™ test kit: An in vivo study.Journal of Indian Society of Periodontology,19(4),401-405.
5. Enserink, M(2002).What mosquitoes want: secrets of host attraction.Science,298(5591),90-92.
6. Falcão, DP,Vieira, CN,Batista de Amorim, RF(2012).Breaking paradigms: a new definition for halitosis in the context of pseudo-halitosis and halitophobia.J Breath Res,6,017105.
7. Ferguson, M.(2014).Rhinosinusitis in oral medicine and dentistry.Australian Dental Journal,59(3),289-295.
8. Karim, Mohammad(2017).The Causes of Holitosis in Children.Pediatr Dent Care,2,132.
9. Nalçacı, Rana(2008).Evaluation of oral malodor in children.Oral Surg Oral Med Oral Pathol Oral Radiol Endod,106,384-388.
10. Rosenbloom, AL,Tanner, JM(1998).Misuse of Tanner puberty stages to estimate chronologic age.Pediatrics,102(6),1494.
11. Tangerman, A,Winkel, EG(2008).The portable gas chromatograph OralChroma™: a method of choice to detect oral and extra-oral halitosis.J Breath Res,2(1),017010.
12. 紀雲西,符小聰(2004)。胡珂降胃化濁法治療口臭經驗。江西中醫藥，2004(6)，9-9。
13. 張新平,廖伯年,張麗梅(2006)。消食導滯為主治療小兒口臭 1 50 例。醫藥世界，2006(9)，189-189。
14. 曾國志(2018)。祛濕補脾食療方治療小兒脾失健運型口臭症臨床療效。實用中醫藥雜誌，2018(8)，909-909。