A Questionnaire Survey On The Diagnosis And Treatment Of Children's Short Stature

Objective:Through the expert questionnaire survey,form a relatively uniform children short stature TCM diagnosis and treatment standard.Methods:On the basis of literature research,to form the first round questionnaire about the diagnosis and treatment of children's short stature.The questionnaire contains four parts:diagnosis,syndrome differentiation,treatment and prevention and care.The diagnostic part includes:disease diagnosis,history,auxiliary examination and differential diagnosis;The dialectical part is divided into Syndromes classification and syndrome differentiation;The treatment includes:decoction of traditional Chinese medicine,oral treatment of Chinese patent medicine and external treatment.After each section,the expert will be asked to list the Suggestions and Suggestions in specific words.Send questionnaires to experts via E-mail,perform statistics after feedback of the questionnaire,and analysis of the mean,insignificant percentage,grade and variance factors for each indicator,to obtain a uniform standard for children short stature TCM diagnosis and treatment.Results:The chinese medical name of children's short stature should be considered as"short stature",Its diagnostic criteria should be:?Under normal circumstances,the child's height is lower than the average of two standard deviations of the same age,gender and race;?Growth rate less than 7 cm per year under 2 years of age,less than 5 cm per year between 3 years of age and adolescence,under 6 cm per year during adolescence;?Most children with a lag in bone age.At the same time,we should pay attention to the collection of medical history during diagnosis.Auxiliary examinations can effectively help identify the diagnosis.The most common syndrome of children's short stature are deficiency syndromes,there are Spleen and kidney deficiency syndrome,Liver and kidney deficiency syndrome,Heart and Spleen deficiency syndrome and Lung and Spleen deficiency syndrome.The short stature of children is characterized by short stature,backward development and a thin figure.More with the different symptoms,tongue vein difference to judge short stature syndrome.The treatment of short stature is centered on strengthening deficiency.Based on the treatment rules,Spleen and kidney deficiency syndrome to select Buzhongyiqi decoction with Bushendihuangwan pills,Liver and kidney deficiency syndrome to select Flavored liuweidiihuang pills,Heart and Spleen deficiency syndrome to select Guipi decoction with Ganmaidazao decoction,and Lung and Spleen deficiency syndrome to select Renshenwuwei decoction with Yupingfeng San.To proprietary Chinese medicine pill,Zhibaidihuang pills and Dabuyin pills can be used in Liver and kidney deficiency syndrome,Yupingfeng Oral liquid and Buzhongyiqi Oral liquid can be used in Lung and Spleen deficiency syndrome,Guipi pills can be used in Heart and Spleen deficiency syndrome.However,it is important to note that proprietary Chinese medicine can only be used as adjuvant therapy for short stature.And external treatment can be also used in short stature.Conclusion:According to the questionnaire survey,we obtain four syndromes with high consensus on short stature,and get the dialectical points and prescription of each syndrome type.It lays the foundation for the standardized diagnosis and treatment of children's short stature.