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小儿厌食症是小儿较长时期见食不贪、食欲不振,甚则拒食的一种常见病症.多因饮食不节,喂养不当所致.以1～6岁为多见.多年来,笔者在临床中辨证治疗了一些厌食症患儿,尤以健脾开胃丸(自拟方蜜炙为丸)治疗脾胃虚弱者取效较为满意.1 临床资料1.1 一般资料:全部病例均系1989年～1996年门诊病人.男17例,女9例;年龄2～6岁;病程为3个月～3年.1.2 病例选择标准:(1)病程较长有厌食或食欲不振主症;(2)具有脾胃虚弱的症状:面色萎黄或不华,神疲体瘦,毛发不荣或腹胀、便糖,或伴大便中夹有不消化残渣,舌质淡,苔薄白或薄腻,脉缓或细弱或指纹淡红;(3)经服助消化的中西药物均无明显好转;(4)除外肝炎、结核病及其它慢性消耗性疾病.1.2 治疗方法:(1)为了观察疗效,全部病例均停服其它中西药.同时.嘱患儿家长建立正确的喂养方法及纠正患儿的不良习惯;(2)方药:党参30g,白术30g,茯苓30g,山药30g,枳实15g,苍术15g,砂仁10g,生麦芽30g,炒鸡内金30g,儿茶5g,蜈蚣5g,甘草10g;(3)用法;以上药物研细为未,用上等蜂蜜制成蜜丸.4岁以上,每丸合生药6g,早晚各服1丸;4岁以下,剂量减半,均空腹服用,20天为1疗程.
Pediatric anorexia is a long period of time to see children are not greedy, loss of appetite, and even refuse to eat a common condition, mostly due to diet, due to improper feeding to 1 to 6 years of age more common over the years, I Clinical dialectical treatment of some children with anorexia, especially in the spleen appetizer (self honey honeyburn) treatment of spleen and stomach were more satisfactory .1 clinical data 1.1 General Information: All cases were from 1989 to 1996 Year outpatient patients, 17 males and 9 females, aged 2 to 6 years; duration of 3 months to 3 years .1.2 Case Selection Criteria: (1) longer duration of anorexia or loss of appetite; (2) with Symptoms of spleen and stomach weakness: pale complexion or discouraged, Shenpi body thin, hair is not Rong or abdominal distension, meringue, or with stool in the digestive residue, pale tongue, thin white or thin fur, pulse slow or weak Or fingerprints reddish; (3) Chinese and Western medicine after the help of digestion and no significant improvement; (4) Except for hepatitis, tuberculosis and other chronic wasting disease.1.2 Treatment: (1) in order to observe the efficacy of all cases were discontinued Other Chinese and Western medicine. At the same time Zhu Huanzhe parents to establish the correct feeding method and to correct children’s bad habits; (2) prescription: Codonopsis 30g, Atractylodes 30g, Poria 30g, yam 30g, citrus aurantium 15g, herb 15g, Amomum 10g, raw malt 30g, fried chicken gold 30g, catechu 5g, centipede 5g, licorice 10g; (3) usage; Honey on the honey is made of honey .4 years old, 6g pills per pill, sooner or later, each serving a pill; 4 years of age, half the dose, are taken on an empty stomach, 20 days for a course of treatment.