Abstract:

The theory of Tiangui has a long history, which has a strict chronological sequence, and the early arrival of Tiangui is closely related to the occurrence of precocious puberty. Currently, the treatment for central precocious puberty is mostly based on the theory of liver and kidney. Based on the theory of Tiangui, this article discusses the regulatory influence of the five viscera on Tiangui, and explores the differentiated treatment for central precocious puberty based on the five viscera. Although the locus of precocious puberty is not separated from the kidneys, the disease mechanism is not separated from fire?heat. However, the development of precocious puberty is affected by the regulation of Tiangui by the five viscera. If the functions of the liver, spleen and lungs are normal, the heart is clear and the yin and yang in the kidneys are balanced, then there will be no violation of Tiangui. If the axis of the five viscera-Tiangui-reproductive organs is normal, Tiangui follows the chronological sequence of overflow and excretion. When differentiated treatment for precocious puberty is performed, the deficiency and excess of qi, blood, yin and yang of the five viscera should be considered as a whole, and tonifying the kidneys, dredging the liver, ventilating the lungs, activating the spleen and clearing the heart should be the main rules of treatment; thus, the normal chronological sequence of Tiangui can be restored by regulating the balance of yin and yang of the five viscera.

Key words: Central precocious puberty, Tiangui, Five viscera, Differentiated treatment, Child