儿童中枢性性早熟的证治思路OA

The core pathogenesis of central precocious puberty(CPP)lies in the dysfunction of the Shaoyang pivot,which further leads to hyperactivity of ministerial fire and premature arrival of tiangui.Its etiology is closely associated with malnutrition of the pivot due to kidney-yin deficiency,pivot stagnation induced by emotional disturbance,and pivot obstruction caused by phlegm-dampness resulting from improper diet.Treatment should fundamentally focus on regulating and unblocking the Shaoyang pivot.First,regulate and unblock the pivot,nourish yin and clear heat to calm ministerial fire,with Modified Minor Bupleurum Decoction frequently adopted as the princi-pal formula,or combined with Anemarrhena and Phellodendron and Rehmannia Pill.Second,soothe and free the liver and gallbladder,regulate and smooth qi movement to harmonize the pivot.Chaihu(Bupleuri Radix)is used as the core herb,supplemented with Xiangfu(Cyperi Rhizoma),Zhiqiao(Aurantii Fructus),Yujin(Curcumae Radix),Huangqin(Scutellariae Radix),Xiakucao(Prunellae Spi-ca),Mudanpi(Moutan Cortex),etc.Third,activate the spleen to resolve phlegm and eliminate stagnation to facilitate pivot function.Chaihu(Bupleuri Radix)and Huangqin(Scutellariae Radix)are often combined with Fuling(Poria),Baizhu(Atractylodis Macro-cephalae Rhizoma),Shanyao(Dioscoreae Rhizoma),Banxia(Pinelliae Rhizoma),Chenpi(Citri Reticulatae Pericarpium),Zhebeimu(Fritillariae Thunbergii Bulbus)and so on.The above therapeutic methods ultimately achieve the goal of"unobstructed pivot,subdued ministerial fire,and orderly arrival of tiangui."