天津市小儿推拿

小儿推拿调理厌食

Nursing Anorexia with Massage in Children

“肚子饿了，便想吃饭”这是每个人与生俱来的本能，如果孩子的肚子真的很饿了，就不会有不肯吃饭的问题。

"If you are hungry, you want to eat." This is everyone's innate instinct. If your child's stomach is really hungry, there will be no problem of refusing to eat.

厌食病属于中医所说的脾胃病（也就是消化系统病）。

Anorexia belongs to the disease of spleen and stomach (digestive system).

是指宝宝几个月，甚至更长时间不爱吃饭。一到吃饭时父母发愁，想方设法追着喂、逗着喂、骗着喂也吃不了几口饭。在幼儿园虽然比在家好一些，但也是总剩饭。

It means that babies don't like to eat for months or even longer. When it comes to eating, parents are worried. They can't catch up with feeding, tease feeding, or cheat feeding for a few mouthfuls. It's better in kindergarten than at home, but it's always leftovers.

但有些情况不属于厌食病。比方说孩子感冒发烧以后或是一时贪吃停食不化的食欲不振，用一些助消化药如妈咪爱、酵母片就能好。

But some cases are not anorexia. For example, after a child has a cold and a fever, or when his appetite is depressed, he can use some digestive aids such as Mommy's and yeast tablets to improve his appetite.

还有些孩子贫血、佝偻病、肝炎……这些慢性病也可以造成长时间厌食，这时应该检查清楚，把慢性病治疗好了以后，食欲才可以得到改善。

There are also some children with anemia, rickets, hepatitis... These chronic diseases can also cause long-term anorexia, which should be checked clearly, after the treatment of chronic diseases, appetite can be improved.

中医理论认为小儿脏腑娇嫩，各系统功能发育不够完善，尤其"脾常不足"，消化功能还很薄弱。造成宝宝厌食的原因有很多，最主要还是因为父母缺少正确的育儿知识，喂养不当形成的。

According to TCM theory, children's viscera are delicate and their functions are not well developed, especially their spleen is often insufficient and their digestive functions are weak. There are many reasons for baby's anorexia. The most important reason is that parents lack correct parenting knowledge and improper feeding.

有些家长（尤其老人）经常用零食哄孩子，宝宝一哭给块糖、宝宝一闹给块饼干，时间长了孩子就不能按时按顿的吃饭了。

Some parents (especially the elderly) often use snacks to coax their children. When the baby cries for a piece of sugar and the baby screams for a biscuit, the child cannot eat on time for a long time.

现在家庭条件好了，父母怕宝宝缺营养、希望宝宝长得快，从小就是鱼、肉、蛋为主要饮食，甚至给孩子吃补药。这些都可以造成孩子偏食、厌食，营养不均衡。

Now the family conditions are good, parents are afraid of the baby's lack of nutrition, hope that the baby grows up quickly, from an early age is fish, meat, eggs as the main diet, and even to children to take tonics. All of these can lead to partial eating, anorexia and unbalanced nutrition.

如果厌食持续时间较长，就会影响小儿身高、体重的正常增长，称为厌食症。城市孩子得厌食症更为常见。西医学的小儿消化不良，慢性胃炎、肠炎等可参考本病治疗。

If anorexia lasts longer, it will affect the normal growth of children's height and weight, called anorexia. Anorexia is more common among urban children. Western medicine for children with indigestion, chronic gastritis, enteritis, etc. can refer to the treatment of this disease.

中医认为，脾主运化，胃司受纳。脾胃调和，则口能治五味。各种原因致脾胃不和，运化失职，则会厌食。

According to TCM, the spleen governs transportation and the stomach department accepts it. If the spleen and stomach are harmonized, the mouth can cure five flavors. All kinds of reasons lead to disharmony between the spleen and stomach, miscarriage of duty, and anorexia.

小儿厌食症需分三型辨证治疗：

Anorexia in children should be treated according to three types of syndrome differentiation:

1、脾失健运型：厌恶进食、饮食乏味、食量减少、嗳气、恶心，多食后脘腹饱胀，大便不调，精神如常，舌苔薄白或白腻。

1. Spleen dysfunction: aversion to eating, boring diet, reduced food intake, belching, nausea, abdominal fullness after eating more, irregular stool, normal spirit, thin white or greasy tongue coating.

2、脾胃气虚型：不思进食，食不知味，食量减少，形体偏瘦，面色少华，精神欠振，或有大便溏薄夹不消化物，舌质淡，苔薄白。

2. Spleen-stomach Qi deficiency type: not thinking of eating, eating without appetite, reducing food intake, lean body, shallow complexion, lack of spiritual vitality, or thin stool clamped with non-digestible substance, light tongue, thin white coating.

3、胃阴虚亏型：不思进食，食少饮多，口舌干燥，大便偏干，小便色黄，面黄少华，皮肤失润，舌红少津，苔少或花剥。

3. Deficiency of stomach yin type: not thinking of eating, eating less and drinking more, dry mouth, dry stool, yellow urine, yellow face, moist skin, red tongue and less body fluid, less fur or flower peeling.

小儿推拿治疗厌食的基本步骤：

The basic steps of pediatric massage for anorexia:

1、推四横纹 为传统消食化积经典穴位。

1. Push four horizontal lines as the classical acupoints of traditional digestion and accumulation.

2、揉板门，板门有"脾胃之门"称号，能升清降浊，消胀除满。

2. Rubbing the door, the door of the spleen and stomach has the title of "gate of the spleen and stomach". It can lift, clear and reduce turbidity, eliminate swelling and remove fullness.

3、逆运八卦 宽胸理气，和胃降逆。

3. Adversity Eight Diagrams Broad Chest and Regulate Qi, and Reduce Adversity of Stomach.

4、补脾经 调脾胃，助运化，增进饮食、化生气血。

4. Supplementing the Spleen Meridian regulates the spleen and stomach, helps transport, improves diet, and resuscitates blood.

5、揉足三里  健脾和胃增益气血。

5. Rubbing Zusanli to strengthen spleen and stomach to increase Qi and blood.

6、捏脊  健脾益气。

6. Knead the spine to invigorate the spleen and invigorate qi.

小儿推拿手法辨证加减：

Addition or subtraction of pediatric massage manipulation based on syndrome differentiation:

1、脾失健运型：揉中脘、揉脾俞。

1. Spleen dysfunction type: kneading Zhongwan, kneading Pishu.

2、脾胃气虚型：揉气海、揉关元。

2. Spleen-stomach Qi deficiency type: kneading Qihai and Guanyuan.

3、胃阴虚亏型：补肾阴、搓涌泉。

3. Deficiency of stomach yin: tonifying kidney yin and rubbing Yongquan.

小儿推拿具有消食导滞、和胃健脾、疏通经络、调和气血、调整脏腑等作用，治疗小儿厌食症安全有效，值得大力推广应用。

Children's massage is safe and effective in the treatment of infantile anorexia, and it is worthy of vigorous promotion and application because it has the functions of eliminating food stagnation, strengthening stomach and spleen, dredging meridians and collaterals, harmonizing Qi and blood, and adjusting viscera.