中医药治疗小儿肥胖症的研究进展

Research Progress in Traditional Chinese Medicine Treatment of Pediatric Obesity

摘要: 小儿肥胖症是儿科常见的儿童代谢性疾病，西医对本病的治疗手段较为局限，而中医药治疗本病具有治法众多、理论依据丰富、安全性高、患儿依从性好等优势。笔者综述近年来相关研究发现，各种中医药疗法，如中药辨证内服、食疗茶饮辅助、针刺、埋线、推拿按摩、耳穴等均可有效降低患儿体质量、体重指数、腰臀围等肥胖指标，还可改善其糖脂代谢异常，减轻相关临床症状等。本文将对中医药治疗小儿肥胖症进行总结，以为临床提供参考。

Abstract: Pediatric obesity is a common metabolic disease in children. The therapeutic options for this condition in Western medicine are relatively limited, whereas Traditional Chinese Medicine (TCM) offers numerous advantages in its treatment, including a wide variety of therapeutic methods, rich theoretical foundations, high safety profile, and good patient compliance among children. This review summarizes recent research findings indicating that various TCM therapies—such as syndrome differentiation-based oral herbal medicine, medicinal diet and herbal tea supplementation, acupuncture, catgut embedding, tuina massage, and auricular acupuncture—can effectively reduce children’s body weight, body mass index (BMI), waist and hip circumference, and other obesity-related indicators. Moreover, these therapies can improve abnormal glucose and lipid metabolism and alleviate related clinical symptoms. This paper provides a comprehensive summary of TCM approaches to pediatric obesity, aiming to offer reference for clinical practice.