Introduction: Pediatrics of tcm studies the growing of children and prevention and treatment of infants and children’s diseases
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DiagnosisLow appetite, or refuse to eat, accompanied by distension of epigastrium and abdomen, vomiting, loose stool, stink smell, or constipation. Irritability, cry in night, or fever. With the history of improper feeding. Need to rule out anorexia, and infantile malnutrition. Differentiation and treatment: Differentiating deficiency and excess Differentiating injures by milk, or injures by food. For excess type, main treatment is eliminating undigested food. For complicated case of deficiency combined with excess, treatment is promoting spleen function and removing stagnated food. 1. Food or milk accumulation Manifestation: low appetite, or no appetite, distension of epigastrium and abdomen, refuse to pressure, or accompanied by eructation with fetid odor, nausea, vomiting, irritability, cry, low fever, more hot around abdomen, stink stool, light red tongue with white thick coating. Treatment: eliminate undigested food. Formula: Xiao Ru Wan. Or Bao He Wan. Xiao Ru Wan: Xiang Fu, Shen Qu, Mai Ya, Chen Pi, Sha Ren, Zhi Gan Cao. Bao He Wan: Shan Za, Liu Qu, Ban Xia, Fu Ling, Chen Pi, Lian Qiao, Lai Fu Zi.
Ren Shen, Bai Zhu, Chen Pi, Mai Ya, Shan Za, Zhi Shi, Shen Qu. Other treatmentExternal treatment Gao Liang Jiang 2 g, Bing Lang 4 g, grind to powder, put on the navel, once a day, for food accumulation with spleen deficiency. Acupuncture Zusanli, Zhongwan, Jianli, Qihai. Prick Sifeng to cause bleeding or squeeze out a small amount of yellowish viscous fluid locally.
Clearing-reinforcing Pijing, kneading Banmen, clearing Weijing, arc-pushing Bagua, parting-pushing Fu yin-yang, rubbing the umbilicus, foulaging-rubbing the hypochondrium, and pressing-kneading Zusanli. Abdominal painAbdominal pain can be a perplexing problem for the pediatrician. It accounts for the majority of visits make by children and adolescents. It can range form having no significant pathology to being a life threatening, surgical emergency. Chinese medicine, mostly provide the treatments for some nonemergency abdominal pain. In these cases, the causes of abdominal pain are cold attack, food accumulation, deficient cold of Zang-fu organs, and Qi stagnation and blood stagnation. Differentiation and treatment: Differentiate the nature of pain: Differentiate the degree, and inducing and trigger factors:
Excess cold syndrome Manifestation: paroxysmal abdominal pain, may relief by warm compression, pale complexion, cold extremities, or accompanied by vomiting, diarrhea, white and over-moisture tongue coating. Treatment: warm middle jiao, dispel cold Prescription: Yang Zang San Ingredients: Dang Gui, Chen Xiang, Mu Xiang, Rou Gui, Chuan Xiong, Ding Xiang. Food accumulation syndrome Manifestation: abdominal pain, refuse to be touch, bad breath, low appetite, stink smell stool, pain reduce after bowel movement, thicker and greasy tongue coating. Treatment: eliminate food retention Prescription: Xiang Sha Ping Wei San Ingredients: Xiang Fu, Cang Zhu, Chen Pi, Hou Po, Sha Ren, Shan Zha, Shen Qu, Mai Ya, Zhi Ke, Bai Shao, Gan Cao. Deficient Cold syndrome Manifestation: chronic abdominal pain, intermittently, prefer touch and warm compression, felt comfortable after eating or abdominal distension after eating, pale complexion, tiredness, light red color of tongue. Treatment: warm and tonify middle qi Prescription: Xiao Jian Zhong Tang, Li Zhong Tang Xiao Jian Zhong Tang: Gui Zhi, Bai Shao, Gan Cao, Sheng Jiang, Da Zhao, Yi Tang Li Zhong Tang: Dang Shen, Bai Zhu, Gan Jiang, Zhi Gan Cao. Qi stagnation and blood stasis syndrome Manifestation: stable, unmovable abdominal pain, or have abdominal mass, dark lips and purplish spots on the tongue. Treatment: regulate qi and eliminate blood stasis Prescription: Shao Fu Zhu Yu Tang Ingredient: Xiao Hun Xiang, Gan Jiang, Yuan Hu Suo, Mo Yao, Dang Gui, Chuan Xiong, Rou Gui, Chi Shao, Pu Huang, Wu Ling Zhi Other treatments: Acupuncture and moxibustion: Ren12, St25, Ren6, St36 Tui |Na massage: apart-pushing Fu Yin-yang, rub shenQue, push spleen Vomiting Vomiting manifests as the adverse rising of food from the stomach by the mouth and nose. Vomiting is a common symptom in pediatrics. It may be a single disorder or a symptom in many other diseases. It has a wide variety of physical and emotional causes. Food retention, stomach heat, deficient cold of spleen and stomach, and stomach-attack by liver qi are main syndromes Food retention Manifestation: occurring after a heavy meal, sudden onset, sour, bad smelling vomitus containing milky curds and undigested food, bad breath, low appetite, abdominal distention and pain, belching with food smell, white and greasy tongue fur. Treatment: eliminate food retention Prescription: Xiao Ru Wan Stomach heat: Manifestation: recurrent vomiting, it seems often to occur after eating too much fried or spicy food, sour and bad smelling vomitus, feel hot, irritable, flush face, dry lips, yellow color of urine, thirsty, red tongue Treatment: clear heat Prescription: Jia wei wen dan Tang Ingredients: Chen Pi, Ban Xia, Fu Ling, Mai Dong, Zhi Shi, Zhu Ru, Huang Lian, Deng Xin, Zhu Yie Stomach cold Manifestation: slow onset, long standing condition, watery vomitus, pale complexion, cold extremities, abdominal pain, or watery diarrhea, light red tongue Directory: wp-content -> uploads -> 2011 2011 -> Voices of the Old Sea Norman Lewis 2011 -> Malevil Robert Merle 2011 -> The Elephant Keeper’s Children Peter Hoeg 2011 -> Jv packet •Mars Colonization Affirmative •Mars Colonization Negative 2011 -> Registration Form (Rev. 8-86) omb no. 1024-0018 2011 -> All America Looks Up to Virginia;” Virginia and the Declaration of Independence 2011 -> Rao bulletin 2011 -> Christopher Columbus was born between 25 August and 31 October 1451 in 2011 -> The Battle of Frenchtown (1855), Washington Territory: the Political and Demographic Context rev 9/4/11 2011 -> Seti aff •seti neg •Asteroids Aff Download 185.65 Kb. Share with your friends:
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