Introduction: Pediatrics of tcm studies the growing of children and prevention and treatment of infants and children’s diseases
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- Common case
- Treatment principle: ventilating lung with pungent and cool nature of herbs
- Treatment: clearing away heat and nourishing lung
- Treatment: Tonify qi and strengthen spleen function
Differentiation and treatmentDifferentiate wind cold or wind heat. Differentiate phlegm in the dominating position or heat in the dominating position. Differentiate the serious degree of patient’s condition. Differentiate deteriorated case from common case. Treatment principle is focus on facilitating the flow of the lung qi to relieve asthma and clearing away heat and dissolving phlegm. According to the differentiation, to use regulating qi, removing blood stasis, or strengthening qi and nourishing yin. Common caseLung qi blocking by wind cold Manifestation: aversion to cold, fever, no sweating, cough with white thinner phlegm, even short of breath, light red tongue thin white coating, superficial and tense pulse. Treatment principle: ventilating lung with pungent and warm nature herbsFormula: San Ao Tang Ingredients: Ma huang, Xing ren, Gan cao, Sheng jiang. Add Jing jie, Dou chi for relieving exterior syndrome. Add Su zi, Chen pi, Ban xia, lai fu zi dissolving phlegm. Heat wrapped by cold: add Gui zhi, Shi Gao. Lung qi blocking by wind heat Manifestation: Fever, aversion to wind, thirsty, cough with thick and yellow phlegm, congestion of throat, red tongue with thin yellow coating, superficial and rapid pulse. Even high fever, irritability and restlessness, short of breath and flaring of nares, no tear and nose discharge, constipation, red tongue with yellow coating, rapid and surge pulse. Treatment principle: ventilating lung with pungent and cool nature of herbsFormula: Yin Qiao San and Ma Xing Shi Gan Tang Ingredients: Yin Qiao San Yin hua, Lian qiao, Zhu yie, Jing jie, Nu bang zi, Bo he, Dan Dou chi, Jie geng, Lu gen, Gan cao. Ma Xing Shi Gan Tang: Ma huang, Xing Ren, Shi Gao, Gan Cao. Sever cough with phlegm, add Zhe Bei Mu, Zhu Li, Tian Zhu Huang. More heat symptoms, add Huang Qin, Shan Zhi zi, Ban lan gen. With food accumulation: add Lai Fu zi, Da fu pi, Quan Gua lou. Manifestation: Sudden onset, asthma, flaring of nares, phlegm sound in the throat, fever, irritability and restlessness, even cyanose, light red and purple tongue color, white thick and greasy coating, slippery and rapid pulse. Treatment principle: removing heat from the lung and relieving asthma. Formula: Ting Li Da Zao Xie Fei Tang and Wu hu Tang Ting Li zi, purging the heat accumulated in the lung. Wu hu tang : Ma Xing Shi Gan Tang, add green tea. More phlegm, add Zhu li, Tian zhu huang. More heat, add Huang qin. Constipation, distension of abdomen, add Da huang, Mang Xiao. Cyanose, add Dang Gui, Hong Hua, chi shao.
Lung heat due to yin deficiency Manifestation: Low fever, night sweating, flushed face, bright red as cherry lips, dry cough, red dry tongue without coating or map coating, thready and rapid pulse. Treatment: clearing away heat and nourishing lungFormula: Sha shen mai dong tang Sha shen, yu zhu, mai dong, hua fen, sang yie, bian dou, gan cao. For low fever, add zhi mu, huang qin, Qing hao, Bie Jia, Di gu pi. For chronic cough, add Bai bu, Sang Bai pi, Ke zi, Pi Ba yie. Low appetite, add Bian dou, Gan cao.
Qi deficiency of lung and spleen Manifestation: Waved low fever, pale face, perspiration easyly, cough, without strength, phlegm staying in the throat, poor appetite, light red tongue with white moisture coating, thready and soft pulse. Treatment: Tonify qi and strengthen spleen functionFormula: Ren shen wu wei zi tang Ingredients: Ren shen, bai zhu, fu ling, gan cao to strengthen spleen. Wu wei zi to collect Lung qi. For long term cough, add Zi yuan, Bai Bu, Kuan dong hua. For waved low fever caused by irregulate of Ying qi and Wei qi. Add Long gu, Mu li, Gui zhi and Bai shao. For perspiration, add Huang qi. For poor appetite, add shan zha, Shen qu, Mai ya. For chronic diarrhea, add Bian Dou, Shan yao, Mu xiang, Ke zi. Deteriorate case deficiency and depletion of heart yang Manifestation: sudden pale face, cyanose, of lips and blue purperlish of extremities, difficult to breath, cold limbs, irritability, liver swelling, light purple tongue color with white coating, weak and rapid pulse. Treatment: warm heart yang and rescue patient from collapse Formula: Modified Shen Fu Long Mu Jiu Ni Tang Ingredients: Ren shen and Fu zi to warm yang. Long gu and Mu li to collect perspiration, Bai shao and Gan cao to regulate Ying and keep yin. For cyanose and enlarge of liver, add Dang gui, Hong hua, Dan shen to activate blood circulation. For accompanied with phlegm and heat, add Yuan zhi, shi cang pu.. Invasion of Queyin by pathogen Manifestation: High fever, coma or delirium, convulsion of limbs, lockjaw, stiffness of neck, upward staring, red tongue with yellow greasy coating, thready and rapid pulse. Treatment: calming the liver to stop the wind. Removing heat from the heart to restore to consciousness. Formula: Ling Yang Gou Teng Tang and Nu huang Qing Xin Wan. Ingredients: Ling yang jiao, Gou teng, Fu shen, Sang yie, Chuan bei mu, shen di, Ju hua, Bai shao, Sheng Gan cao, Xian Zhu ru. For coma, phlegm, add Yu jin, Dan Nan xing, Tian zhu huang. Other Treatment: Acupuncture: Dingchuan, St40, B13, Ren17. Cupping treatment: Cupping on the surface of below scuple bone, once a day, 5 to 10 minutes each time, 5 days a course. It is for later stage of pneumonia with moist rales. For serious case, should do the combination of Western medicine and Chinese medicine.
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