Introduction: Pediatrics of tcm studies the growing of children and prevention and treatment of infants and children’s diseases


Treatment: Relieving the exterior syndrome with pungent and cool nature herbs



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Treatment: Relieving the exterior syndrome with pungent and cool nature herbs

Formula: Yin Qiao San


Ingredient: Yin hua, Lian Qiao, Jie geng, bo he, Zhu yie, Gan cao, Jing jie, Dan Dou Chi, Nu bang zi,

More cough, add Sang Yie, xing ren.

Sore throat, add xuan shen, ban lan gen.

Other treatment: Gua Sha threapy.

Another syndrome called as fire wrapped by cold. This is the accumulated heat in the interior complicated by the exposure to exogenous cold. Manifest aversion to cold, absence of sweating, fever, running nose, sore throat, and cough with yellow thick sputum. Treatment should expel the pathogenic factors from both interior and exterior of the body. Herb as jing jie, fang feng, or ma huang, Dan dou zhi pungent warm nature, combined with lian qiao, Po he, and Shi gao, Huang qin cold nature herb to clear interior heat.



  1. Cold due to summer heat

Manifestation: High fever, no sweating, headache, heavy sensation of the body, fullness of chest and nausea, poor appetite, or accompanied with vomiting, diarrhea, cough, thin white coating or greasy coating, rapid pulse.

Treatment: Eliminating summer heat from superficies of the body by diaphoresis


Formula: Xin Jia Xiang Lu Yin.

Ingredient: Xiang ru, Yin hua, Bian dou hua, hou po, lian qiao,

With dampness factor, has nausea and yellow greasy tongue coating, add Pei Lan, Huo Xiang.

Diarrhea symptom, add Ge gen, Huang Qin, and Huang Lian.

Other treatment


Pediatric Massage

Opening Tianmen, Parting-pushing Kangong, Kneading Taiyang(Extra2), Kneading Erhougaogu and conducting Huangfeng Rudong

Modification: Cold due to wind cold: Kneading Ershanmen and pushing Sanguan.

Cold due to wind heat: clearing Feijing and Tianheshui and pushing Tianshugu.

With sputum: Kneading Rupang and Rugen and rubbing Xielei.

With stagnated food: Reinforcing Pijing, kneading Banmen, Arc-pushing Bagua and rubbing the abdomen.

With fear: Clearing Ganjing and pinching-kneading Banmen, arc-pushing Bagua and rubbing the abdomen.

With cough: Pushing-kneading Tanzhong and kneading Feishu.



  1. deficiency cold

Manifestation: fever but not very high, recurrence, spontaneous sweating, pale complexion, aversion to wind and cold, blocking of nose and running nose, tiredness, poor appetite, or cough, light red tongue color and delicated tongue, thin white coating, thready and weak pulse.

Treatment: Regulating Ying and Wei to treat disharmony between ying and wei.

Formula: Huang Qi Gui Zhi Wu Wu Tang

Ingredient: Huang qi, Gui zhi, Bai shao, Sheng Jiang, Gan cao, Da Zao.

Modification: aversion to cold and stuff nose, add Jing jie, Fang feng.

Cough, add Xing ren, Zhe Bei Mu, Qian Hu.

With deficiency of qi and yin, irregular fever, night sweating, cough, dry mouth, red tongue and less coating, add Yu Zhu, Dan pi, Sha shen, Bai bu.



Complication symptoms

  1. with fear: Symptoms as cold symptom accompanied with night cry due to fright, restlessness in sleep, even convulsion with hyperphoria. Yin Qiao San, add Ju Hua, Gou Teng, Shi Jue Ming, Can Dui.

  2. With stagnated food. Symptoms as cold symptoms accompanied with distention of abdomen, belching with food smell. Even vomiting, loose bowel, thick and greasy tongue coating, rapid pulse. Add Shen qu, Mai Ya, Shan Zha, Zhi ke, Lai Fu Zi.

  3. With sputum: more phlegm, even short breath with phlegm sound in the throat and trachea. cold phlegm, add Er chen Tang plus Su Zi; heat phlegm, add Hai Ge Qiao, Sang Bai Pi, Ting Li Zi.


Cough

Cough can be a symptom in upper respiratory tract infection, but it is a mainly symptom. Mostly cough is caused by exopathogen factors, which affect lung. Some cough is caused by endogenous factors.

In western medicine, it is mostly related with trachitis and bronchitis.


Pathogenic factors and pathogenesis


Main pathogenic factors: exopathogenic factors as wind, cold, summer heat, wetness, dryness and fire.

Affecting organ is lung, second is spleen.

Pathogenesis; exopathogenic factor, mainly wind, often combined with cold or heat, affect lung, lung qi is unable to dispersing, so cough occur.

Wind -cold syndrome can have symptoms of stuff nose and running nose with thin clear discharge.

Wind-heat syndrome can have symptoms of dryness of nose or with thick nose discharge.

Wind- dryness syndrome may manifest dry cough, dry throat and lips.

In endogenous factors, Phlegm is produced in the spleen, stored in the lung and lung qi is unable to disperse and descend, so cough occurs.

Liver fire steam fluid to form phlegm and stay in lung also cause cough.

Heat-fire in heart channel steam fluid to form phlegm cause cough.

Long term cough can exhaust lung qi and lung yin, Both qi and yin deficiency make cough worst and difficult to cure.



Diagnosis:

  1. Main symptom is cough, with or without exopathogenic symptoms, with or without phlegm. Mostly at beginning, catch cold, after cold symptoms subsidence, cough become patients’s main suffering.

  2. Should differentiate cough from pertussis(whooping cough), asthma due to pneumonia.

Differentiation and treatment


Should differentiate cough due to exopathogenic factors or cough due to internal injure. Also should differentiate excess type or deficiency type, cold type or heat type.

Treatment principle: for exopathogenic cough, dispel exopathogenic factors and promoting the dispersing and descending function of lung qi. For cough due to internal injure, focus on which organs have been involved, according to the differentiation to decide the treatment plan.



Cough due to exopathogenic factors

  1. Cough due to wind cold

Manifestation: cough with or without phlegm, thin white phlegm, itching of throat, accompanied with aversion to cold, stuff nose and running nose, no sweating, or fever, headache, light red tongue with thin white coating, supperficial and tense pulse.


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