中医药研究论丛

212.9 小儿腹泻之中药敷脐文献探讨
TJ TCM.21(2) : 93-102, 2018
小儿腹泻之中药敷脐文献探讨
Literature Review of Chinese Medicine Umbilical Paste in Pediatric Diarrhea
郑竹晏1 杨纾怡1*
1 佛教慈济医疗财团法人大林慈济医院中医部,嘉义,台湾
【摘要】
腹泻是全球儿童死因的第二名,每年造成约一百五十万名儿童死亡。这当中,病毒性腹泻是最主要的一群。全球两岁以下儿童的严重腹泻主因是轮状病毒感染,好发於11 月到3 月之间。若腹泻持续两周以上则属於慢性腹泻。严重的腹泻与呕吐可能造成小儿脱水,会增加死亡的风险。
敷脐法是中医治疗小儿腹泻的独特方式,被广泛地在临床上使用。根据中医的传统理论与现有临床资料,目前许多研究证实了使用敷脐法的合理性。回顾近年小儿腹泻敷脐治疗的相关文献可以发现,轮状病毒感染常见的证型为:风寒型、湿热型、脾虚型,常用的药物为藿香、木香、黄连、丁香、肉桂、吴茱萸。而慢性腹泻则是以脾虚证为主,常用药物为白术、乾姜、党叁、吴茱萸、丁香、肉桂、山药为主。我们仍须更进一步的研究结果,来提供腹泻的小儿病患更有效且安全的中医敷脐治疗法。
【关键词】小儿腹泻、中药、敷脐法
Chu-Yen Cheng1Shu-Yi Yang1*
1Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation,
Chia-Yi, Taiwan
【Summary】
Diarrheal disorders account for an estimated 1.5 million deaths worldwide
every year making it the second leading cause of childhood mortality. Amongst these, viral diarrheas form the most important cluster. Globally, rotaviruses are the most common cause of severe diarrhea in children younger than 2 years and infections occur most commonly from November through March. When diarrhea lasts longer than 2 weeks, it is considered to be chronic. Severe diarrhea and vomiting may cause dehydration, which is associated with a higher risk of mortality.
Umbilical paste therapy is a unique method to treat infant diarrhea in traditional Chinese medicines and widely applied in clinical practice. Currently,many researchers have proved the rationality of the therapy based on the traditional Chinese medicine mechanism and on the data from clinical practice.
Reviewing research on recent literature of pediatric diarrhea: the common patterns of rotavirus infection are wind-colddamp-heatspleen-vacuity, and the most common herbs used in umbilical paste treatment are pogostemon cablinrosa banksiaecoptis chinensissyzygium aromaticumcinnamomum cassiatetradium ruticarpum. The common patterns of chronic diarrhea is spleen-vacuity,and atractylodes macrocephalarhizoma zingiberiscodonopsis pilosulatetradium ruticarpumsyzygium aromaticumcinnamomum cassiarhizoma dioscoreae are used most often. Further research is needed to provide evidence of effectiveness and safety of Chinese medicine umbilical paste for children with diarrhea.
 
【Keywords】Pediatric Diarrhea, Chinese Medicine, Umbilical Paste