目的研究广州地区儿童中医体质分布规律,从而为儿童体质调理提供理论依据。方法采用中医体质分类与判定标准,制定《小儿中医体质及健康状况自填式问卷》(家长或监护人填写),并结合舌脉以分析判定儿童中医体质类型。结果调查结果显示平和质占4.5%,阴虚质占50.3%,气虚质占35.2%,痰湿质占20.2%,实热质占67.8%,特禀质占6.1%。其中2种以上兼夹体质占调查对象的85.6%,而兼夹体质中气阴两虚质占24.1%,脾虚肝旺质占33.7%,气虚痰湿质占14.8%,脾虚湿热质占13%。而3岁及3岁以下小儿兼夹体质分布中气阴两虚占26.3%,脾虚肝旺质占24.8%,气虚痰湿质占10.9%,脾虚湿热质占8.9%;3岁以上小儿气阴两虚质占22.6%,脾虚肝旺质占39.7%,气虚痰湿质占17.4%,脾虚湿热质占4.5%。结论广州地区儿童单纯中医体质以实热质、阴虚质、气虚质为主,且无年龄差异;但以2种以上兼夹体质为主,且兼夹体质分布具有年龄差异,其中3岁及3岁以下小儿以气阴两虚质为主,3岁以上小儿以脾虚肝旺质为主。对于3岁以上儿童,除了体质调养之外,应注意心理健康引导。
OBJECTIVE To Study the situation of Traditional Chinese Medical constitution of children in Guangzhou so as to provide theoretical basis for constitutional regulation of children. METHODS Questionnaires for parents were made under the guidance of the classifications and standards of Traditional Chinese Medical Constitution and childreffs tongues and pulses were also considered. RESULTS The percentages of each constitution were as follow : constitution of yin-yang harmony 4.5 %, con- stitution of yin deficiency 50.3 ~, constitution of qi deficiency 35.2%, constitution of phlegm-dampness 20.2%, constitution of real-heat 67.8%, allergic constitution 6.1% and mixed constitution type 85.6% and among the mixed type of constitutions, constitution of both qi and yin deficiency was 24.1% ;constitution of spleen deficiency and liver hyperfunction was 33.7% ; con- stitution of qi deficiency and phlegm-dampness was 14.8%; constitution of spleen deficiency and damp heat was 13%. The percentages of mixed type of constitution among children who are not older than 3 were: constitution of qi and yin deficiency 26. 3%, constitution of spleen deficiency and liver hypeHunction 24.8%, constitution of qi deficiency and phlegm-dampness 10. 9%, and constitution of spleen deficiency and damp heat 8.9%. The percentages of mixed type of constitutions in children who are over 3 were:constitution of qi-yin deficiency 22.6%, constitution of spleen deficiency and liver hyperfunction 39.7%, con- stitution of qi deficiency and phlegm-dampness 17.4%, and constitution of spleen deficiency and damp heat 4.5%. CONCLU- SION Most children in Guangzhou have the constitutions belonging to the real-heat type, yin deficiency type and qi deficiency type with no age difference. However, the distribution mixed type constitution has age difference, with constitution of qi and yin deficiency the most common type among age of 3 years or under 3, and the constitution of spleen deficiency and liver hyper- function the most common type among children over 3