小儿肥胖症的中医临床治疗进展

Progress in Clinical Treatment of Childhood Obesity with Traditional Chinese Medicine

摘要: 随着社会经济的不断发展，生活方式的深刻变革，儿童超重和肥胖问题日益凸显，已成为一个全球性的公共卫生挑战。肥胖不仅影响儿童的身心健康，还可能成为成年后一系列慢性疾病的诱因，如高血压、高血脂和糖尿病等，给未来的医疗资源和社会经济带来沉重负担。中医药在治疗儿童单纯性肥胖病方面展现出其独特的优势。中医认为，小儿肥胖症的病因病机主要涉及“痰、虚、瘀”三个方面。痰湿内生，脾胃虚弱，以及气血瘀滞是导致肥胖的主要因素。因此，治疗时主要采取健脾益气、祛湿化痰、行气活血化瘀的方法。本文旨在综述近年来小儿肥胖症的研究进展，以期为进一步的研究和治疗提供参考。

Abstract: With the continuous development of social economy and profound changes in lifestyle, the problem of childhood overweight and obesity has become increasingly prominent, posing a global public health challenge. Obesity not only affects children’s physical and mental health, but also may become a predisposing factor for a series of chronic diseases in adulthood, such as hypertension, hyperlipidemia, and diabetes, bringing a heavy burden to future medical resources and social economy. Traditional Chinese medicine (TCM) has demonstrated its unique advantages in the treatment of simple obesity in children. According to TCM, the etiology and pathogenesis of childhood obesity mainly involve three aspects: “phlegm, deficiency, and blood stasis”. Internal generation of phlegm dampness, weakness of the spleen and stomach, as well as stagnation of qi and blood, are the main factors leading to obesity. Therefore, the main treatment methods adopted are strengthening the spleen and replenishing qi, eliminating dampness and resolving phlegm, and promoting qi and activating blood circulation to remove blood stasis. This article aims to review the research progress on childhood obesity in recent years, in order to provide a reference for further research and treatment.