淺談小兒夜間磨牙

Something about Bruxism in Children

陳姚方(Yao-Fang Chen)

《中醫兒科醫學雜誌》 13卷1期 (2011/06) Pp. 89-95

https://doi.org/10.30033/JTCDM.201106.0011

摘要

「磨牙」在古代中醫典籍裏曰「齘齒」、「囓齒」、「嘎齒」或「咬牙」，是因臟腑機能失調，引動內風，多與肝、胃二臟腑密切相關，也有因蟲證之故。在臨症中最常見的忠者多為小兒，此篇以中醫辨證分三型來論述：心脾積熱型、脾虛夾積型、蟲積型。現代小兒亦因情緒、壓力、飲食、感染等因素而導致長期磨牙損傷牙齒健康，不可不慎，首先要找出發病的原因，根據小兒的病情來作辨證調理。

關鍵字

齘齒 ； 辨證論治

並列摘要

Bruxim was referred to as ”teeth grinding”, ”teeth crunching”, ”teeth chattering” or ”clenching of jaws” in traditional Chinese medical literature. It is the result of dysfunctional systematic mechanism giving rise to pathological changes inside the human body and is closely related to the liver and the stomach. It can also be caused by ascariasis. Children are a common patient group with clinical symptoms. This article bases its argumentation on three causes of bruxism as identified in Chinese medicine: brimming heat of the heart and spleen, spleen deficiency, and ascariasis. Children nowadays also suffer chronic bruxism that undermines their dental health as a result of emotional changes, stress in daily life, dietary habits and infection. Parents cannot be more careful. The cause of bruxism must be established first and verified in order to provide necessary care based on individual children's conditions accordingly.

並列關鍵字

teeth grinding ； Syndrome Differentiation and treatment