小兒調理原則之探討

Discussion on the Principle of Regulating Childhood Conditions

呂萬安(Wan-An Lu)

《傳統醫學雜誌》 20卷1期 (2009/10) Pp. 105-116

https://doi.org/10.30038/JTM.200910.0012

摘要

小兒科古稱啞科，此乃由於小兒無法言語或正確表達身體的病痛，再加上小兒臟俯嬌嫩，疾病多樣且傳變迅速，稍有延誤或差錯易生他變，因此醫者必須具有豐富的經驗與耐心仔細觀察小兒的疾病狀態，始可作出正確的診斷與治療，可見中醫自古以來就認為學習啞科是難度較高的一門學問，這與現代醫學教育中的理念也是相吻合的。
現代醫學指出，過敏性疾病的致病機轉是多因子，沒辦法用單一原因來說明，不過IgE抗體、嗜伊紅白血球、過敏原特異性T淋巴球和細胞間白素-4.5和13，似乎佔有很重要的免疫致病機轉，許多過敏性疾病愈來愈複雜化，而且容易被早期誤判或錯過最佳治療的時機，古代小兒醫學典籍有謂：『若要嬰兒安，常要三分飢與寒』，過度呵護小兒反而不利於抵抗力的培養。

關鍵字

啞科 ； 致敏源 ； IgE抗體 ； 嗜伊紅白血球

並列摘要

In ancient China, pediatrics of traditional Chinese medicine was always categorized as medical department with silence, because infants are unable to clearly express themselves, In the theory of traditional Chinese medicine, the bodies of infants/children are distinguished by frail zang-fu organs, bodies and qi that are not fully developed, Most infants/children diseases are varied and complicated. A slight delay or error in treatment will cause the change of disease situation. The medical doctors should require well experience and patient in observing disease status in order to make correct diagnosis and treatment. All along, pediatrics has been viewed as a difficult lesson in traditional Chinese medicine. This also closely meets the concepts of modern medicine education.
In the theory of modern medicine, mechanisms of allergic diseases are multi-factors and can't be explain by one single cause. IgE, eosinophil, allergenic specificity T-lymphocytes and interleukin-4.5, -3 play important part in immune mechanism. Many allergic diseases are getting more and more complicated. They are easy to be wrongly diagnosed in the early phase or be missed out the best therapeutic occasion. ”One-third of hunger and cold is the best way to health for children” said by the ancient pediatrics medicine books. Over-protection is detrimental to enhance the disease resistance of children.

並列關鍵字

Medical department with silence ； allergen ； IgE ； eosinophil