ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2026, Vol. 18 ›› Issue (4): 296-299.doi: 10.20274/j.cnki.issn.1674-3865.2026.04.004

• 儿童矮身材中医治疗专栏 • 上一篇    

基于“阳化气失调,阴成形不足”探析儿童矮身材病机与治疗

李卓然, 武锃()   

  1. 300381 天津,天津中医药大学第一附属医院儿科,中医国家临床医学研究中心
  • 收稿日期:2026-04-21 修回日期:2026-05-21 出版日期:2026-08-25 上线日期:2026-08-31
  • 通讯作者: 武锃 E-mail:18622993937@163.com
  • 作者简介:李卓然(1997-),女,天津中医药大学2023级硕士研究生在读。研究方向:儿童肺系、内分泌疾病中西医诊治
  • 基金资助:
    天津中医药大学第一附属医院横向课题(院合-202540)

Analysis of pathogenesis and treatment of short stature based on "dysfunction of Yang transforming into Qi, insufficiency of Yin generating form"

Zhuoran LI, Zeng WU()   

  1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
  • Received:2026-04-21 Revised:2026-05-21 Published:2026-08-25 Online:2026-08-31
  • Contact: Zeng WU E-mail:18622993937@163.com

摘要:

基于“阳化气,阴成形”理论,阐释“阴成形不足”是矮身材形成的核心病机,“阳化气失调”是矮身材的辨证要点。儿童生长发育是在阳气主导下的阴阳平衡动态更迭。阳化气不足,则动态阴阳平衡更迭缓慢,“气化则生精”,气化不充,精微化生乏源,阴成形不足;阳化气太过,动态阴阳平衡更迭过速,“壮火食气”,煎灼津液,阴无力成形。二者终归“阴成形不足”,无以化生津血濡养四肢百骸,导致矮身材。在治疗上应注重平补脾肾、阳中求阴、气血同调,从阴阳动态平衡变化为儿童矮身材辨治提供新的理论视角与临床思路。

关键词: 矮身材, 阳化气,阴成形, 生长发育, 阴阳平衡

Abstract:

Based on the theory of "Yang transforming into Qi, Yin generating form", this study demonstrates that "insufficiency of Yin generating form" is the core pathogenesis of short stature, while "dysfunction of Yang transforming into Qi" is the critical point of syndrome differentiation. Growth and development of children is a dynamic evolution of Yin-Yang balance guided by Yang Qi. Deficiency of Yang transforming into Qi leads to a slow dynamic evolution of Yin-Yang balance; the transformation of Qi generates essence, and the insufficiency of Qi transformation leads to lack of source for essence generation, which results in insufficiency of Yin generating form. In contrast, excessive transformation of Yang into Qi leads to too fast dynamic evolution of Yin-Yang balance; exuberant fire consumes Qi and scorches body fluids, which results in the failure of Yin to generate form. The essential point of the above-mentioned two situations is "insufficiency of Yin generating form", so it is impossible to generate body fluids and blood to nourish the limbs and bones, which results in short stature. In terms of treatment, emphasis should be placed on moderately tonifying the spleen and kidney, seeking Yin from Yang, and regulating Qi and blood simutaneously. The aim is to provide a new theoretical perspective and clinical approach for differentiated treatment of short stature based on the dynamic change of Yin-Yang balance.

Key words: Short stature, Yang transforming into Qi, Yin generating form, Growth and development, Yin-Yang balance

中图分类号: