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소아 식욕부진의 병인, 변증, 치료에 대한 고찰 -중의학 논문을 중심으로-

A Review of Etiology, Pattern Identification, Treatment of Traditional Chinese Medicine for Childhood Anorexia

  • 서혜선 (경희대학교 대학원 소아과학교실) ;
  • 김혜연 (경희대학교한방병원 한방소아과) ;
  • 박슬기 (경희대학교 대학원 소아과학교실) ;
  • 이선행 (경희대학교 대학원 소아과학교실) ;
  • 이진용 (한국한의학연구원) ;
  • 장규태 (강동경희대학교병원 한방소아과)
  • Seo, Hae Sun (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Kim, Hye Yeon (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Park, Sul Gi (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Sun Haeng (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Jin Yong (Korea Institute of Oriental Medicine) ;
  • Chang, Gyu Tae (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong)
  • 투고 : 2021.12.20
  • 심사 : 2022.02.18
  • 발행 : 2022.02.28

초록

Objectives This study aimed to provide a basis for applying Korean medical treatment for childhood anorexia in clinical practice by examining Korean medical etiology, pattern differentiation, and treatment, and focusing on research articles on Chinese medicine. Methods Articles on Chinese medicine related to childhood anorexia published before November 4, 2021, in the China National Knowledge Infrastructure (CNKI), were analyzed. The etiology, pattern differentiation, and Chinese medical treatment were summarized. Results Of a total of 73 studies, 13 were randomized controlled trials (RCT), 32 were case studies, and 28 were review papers. The most common Chinese medical etiology of childhood anorexia was emotional instability, and the western medical etiology was problems with diet and lifestyle. The most frequently reported pattern differentiations were spleen-stomach-qi deficiency (脾胃氣虛), stomach-yin deficiency (胃陰不足), and spleen failing in transportation syndrome (脾失健運). The most frequent prescriptions were modified Yangwijeungaektang (养胃增液湯加減), Samryongbakchulsan (蔘苓白术散加减), and Ekongsan (異功散加減). As frequntly used tuina acupoints, Naepalgwae (内八卦), Joksamli (足三里), and Bigyeong (脾經) were mentioned. Conclusions This study analyzed the etiology, pattern differentiation, and Korean medical treatment of anorexia in children. Based on this study, standardization and well-designed clinical studies on Korean medical treatments for childhood anorexia can be expected in the future.

키워드

과제정보

본 연구는 한국보건산업진흥원을 통해 보건복지부 「한의약혁신기술개발사업」의 재정 지원을 받아 수행된 연구입니다. (과제고유번호: HF21C0096)

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