Infantile diarrhea TCM simple diagnosis and treatment technology

GuoJianHua Chongqing orthopaedic hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Infantile diarrhea is a set of by multiple pathogens, many factors to defecate number more than usual and shit character have changed (such as stools, mucus and or purulent blood and) for characteristics of children common disease, the doctor of traditional Chinese medicine "diarrhoea" category. 6 months to 2 years old baby incidence is higher, occurs in summer and autumn. Infantile diarrhea is caused by the infantile malnutrition, growth disorder and one of the leading causes of death.

        Pathogeny and pathogenesis

        Feel the pericardium

        Infantile diarrhea occurrence and climate have close relations, wind, cold, wet, heat, heat the evil all can cause diarrhea, and especially in the dampness evil cause which is, spleen, evil wet like dry, wet trapped spleen Yang, make shipment mineralization rehabilitation, to have their individual qi transforming function of digestion, absorption occurs an obstacle and cause diarrhea.

        Internal injury milk food

        Due to improper feeding, be hungry is full too recklessly, or sudden change in food properties, or knowingly cooking oil, cold, Or eating unclean, leading to the spleen and stomach to be hurt, while the luck change dereliction of duty, not rotten food and cause diarrhea.

        Spleen and stomach weak

        Pediatric viscera and delicate, spleen, often is insufficient, and pediatric vigor and vitality, the spleen and stomach burden is relatively heavy, once meet external factors can lead to damaged spleen and stomach, make food shall not be transported change, the water instead for wet, valley instead for hysteresis, water wet retention, intestinal and bet for diarrhea. The spleen and stomach weak diarrhea if break out repeatedly, can hurt and kidney and into the spleen and kidney deficiency of Yang diarrhea.

        Differentiation of symptoms and signs treatment

        Treatment in

        The disease points the following five card type treatment.

        Cold diarrhea clinical performance is defecate pulpy, color light a bit smelly clamp foam, 1 purging 3 ~ 5 times or 5 ~ 6 times. Bowel abdominal pain, complexion is pale, the nasal flow clear nose, cough, pharyngeal itching, or evil wind chill, mouth not thirsty, urinate qing long, pale tongue, moss thin white or greasy, fingerprint color red. Cure to drain the wind scattered cold, change wet zhixie. FangKeXuan righteousness ageratum scattered (ageratum, angelica dahurica, dried tangerine or orange peel, purple Perilla, liquorice, platycodon grandiflorum, rhizoma atractylodis macrocephalae, poria cocos, cortex magnoliae officinalis, pinellia tuber song, big belly skin, ginger, jujube) add and subtract. Table cold JiaoChongZhe and herba schizonepetae, wind to dispersing cold wind, The person that weigh in cold and gun ginger, sand benevolence to ginger to releasing temperature cold; Abdominal pain worse than add radix aucklandiae, sand benevolence to qi pain; Pinch eater and the divine comedy, coke haw to xiaoshi turn perched; Urine short person add Oriental waterplantain rhizome, grifola to moisture penetration diuresis.

        Also can choose the following single prescription: 1. Herba schizonepetae, wind each 5 grams, 1 slice ginger. Water Fried take juice, three YinFu. 2. Ageratum, dried tangerine or orange peel the 3 g, 1 slice ginger. Water Fried take juice, three times of clothing. 3. Ginger 3 pieces, tea 2 grams. Water Fried take juice often YinFu, day several times.

        Hot and humid diarrhea clinical manifestation for abdominal pain is diarrhea, urgent storm note, the color brown thermal smelly, body have slight fever, thirst, urine less color yellow, moss yellow greasy, vein slide number, fingerprint color purple. Cure to concretion run smoothly, Ann intestinal zhixie. Party choose radix puerariae radix scutellariae rhizoma coptidis decoction (kudzuvine root, radix scutellariae, rhizoma coptidis, radix glycyrrhizae) add and subtract. Thermogravimetric and talc, honeysuckle, forsythia concretion run smoothly; Spewer add bamboo shavings drop check pharyngeal; The abdominal pain with radix paeoniae alba, radix aucklandiae to do gas pain; Hanya lay particular stress on, the mouth not very thirsty, coating on the tongue thick greasy person plus rhizoma atractylodis, cortex magnoliae officinalis nourishing dry wet.

        Also can choose the following single prescription: 1. 3 g coptis chinensis. Bubble boiled water half tea cup, water juice swallow semen plantaginis powder 3 g. Day three times. 2. Talc 10 grams, liquorice 3 g, raw yam 20 grams. Water Fried take juice, when tea frequently YinFu, day 1 agent.

        Note: modern medicine according to the weight of the damp and hot diarrhea which is divided into light (simple indigestion) and heavy (toxic indigestion). Heavy person clinical symptoms are heavier, and accompanied by significant systemic symptom, can be made of light transformation, and also acute onset, diarrhea general one day above 10 times, at one's convenience contains a lot of moisture, with low appetite and are often accompanied by vomiting, fever, etc. Weight drop very quickly, if be treated not in time, can be gradually appear dehydration and acidosis symptoms, even endanger life, therefore, in clinical must close observation condition changes.

        Hurt food diarrhea clinical manifestation for abdominal pain expansion full, purging crying before and after reducing pain reduction, defecate capacity is much sour, bad breath nano stay, or with vomiting acid swill, moss thick or scale greasy, vein slide. To feed to change product, and the moisture penetration. Party choose bohol pill (the divine comedy, hawthorn, tuckahoe, pinellia tuber, dried tangerine or orange peel, fructus forsythiae, radish seed) add and subtract. Injury in predator reuse hawthorn, Injury in noodler reuse radish seed; Injury in valley eater reuse divina commedia; Taste the weak and rhizoma atractylodis macrocephalae, valley bud; Abdominal pain worse than add radix aucklandiae and cortex magnoliae officinalis with qi pain; Vomiting worse than add ageratum, ginger, bamboo shavings to drop check oh.

        Also can choose the following single prescription: 1. Hawthorn 10 grams, the divine comedy 10 grams, rhizoma atractylodis 5 grams. Water Fried take juice, three times of clothing. 2. 15 g ear root, the hills pry 10 grams. YinFu the decoction. 3. The divine comedy 100 grams of Fried JiaoCheng carbon, inquiry into the fine with washed down a 3 g, day take 2 times. 4. Rhizoma atractylodis carbon, hawthorn carbon the uniform, porphyrization end. Every time 2 years less than 1 g, 2 years old above 1.5 grams, 1, 3 times, washed down a.

        Clinical manifestations diarrhea spleen deficiency for long xie not only, or break out repeatedly, defecate rare, or water sample, clamp have milk disc or not digest food residue, god's arrived to stay, complexion ShaoHua, tongue mass partial light, moss thin greasy, vein weak weak. Cure to nourishing spleen and enriching qi, to help transport turn wet. Party with reference of rhizoma atractylodis macrocephalae lingya scattered (dangshen, tuckahoe, rhizoma atractylodis macrocephalae, lentils, dried tangerine or orange peel, yam, liquorice, lotus seed meat, YiRen, sand benevolence, platycodon grandiflorum) add to the flavor. Those with abdominal pain, add sweet, sweet attached to qi pain; Defecate rare or individual who don't turn, add dry ginger to releasing temperature cold; Long xie more than without clamp impounded person, add myrobalan, red halloysite with astringent zhixie.

        Also can choose the following single prescription: 1. Dangshen 15 grams, Fried 10 grams of rhizoma atractylodis macrocephalae, poria cocos 30 grams. Water Fried three times of clothing. Day 1 agent. 2. Chinese yam, Gordon euryale seed each 250 grams. Porphyrization powder and uniformly, cooking porridge to take feed, every time 30 grams. 3. Fried rhizoma atractylodis macrocephalae, pomegranate skin every 15 grams. Take the decoction YinFu juice.

        Spleen and kidney deficiency of Yang diarrhea clinical performance is defecate thin pond, the valley don't change, the form angular, or are vain, the blood limb owe temperature, tongue light moss white, vein fine weakness. To to make up for the kidney and spleen, astringent zhixie. Party in with aconite decoction (radix aconiti lateralis preparata, ginseng, gun ginger, rhizoma atractylodis macrocephalae, radix glycyrrhizae) $4 god pill (fructus psoraleae, evodia rutaecarpa, nutmeg, fruit of Chinese magnoliavine, ginger, jujube). Rectocele person, and astragalus, main rise MaYiSheng mention qi; Long xie more than person add myrobalan, red halloysite, limonite to convergence astringent.

        Also can choose the following single prescription: 1. Semen coicis 30 grams, FanGuoBa 60 grams. Water boiled, wait for coix seed cooked can edible, three times of clothing, and even served 2 ~ 3 agent. 2. 5 grams dangshen, Chinese yam 20 grams, gun ginger 3 g. Water Fried take juice, three times of clothing. Day 1 agent. 3. Dry ginger 3 grams, rhizoma atractylodis macrocephalae 5 grams, Chinese yam 20 grams. Water Fried take juice, three times of clothing. Day 1 agent.

        External treatment

        Acupuncture method one: main point take full three mile, in wan. With hole take Chambers, air sea; Have a fever add quchi; Vomiting and neiguan, shang wan; Abdominal distension and tianshu; Injury wet plus four joint; Watery stools add three Yin chiao. Empirical use catharsis, deficiency syndrome with complement method. Daily acupuncture 1 ~ 3 times. For each diarrhea. Method 2: main point take day pivot, foot three mile. Vomiting with interior shut; Abdominal distension and gongsun; Have a fever add quchi; Partial virtual cold plus moxibustion rn6, shenque. For each diarrhea.

        Moxibustion therapy method one: foot three mile, in wan, shenque, rn6, lie between ginger moxibustion or moxa stick mild moxibustion. Daily moxibustion 1 ~ 2 times. Used to spleen deficiency type, spleen and kidney Yang deficiency type diarrhea. Method 2: take sufficient external ankle apogee direct the red white meat border with moxa stick mild moxibustion on both sides of the acupuncture points each 10 ~ 15 minutes, day moxibustion 2 ~ 3 times. For each diarrhea.

        Iron apply method gall 9 grams, the ginger 6 grams, white pepper and grain, a very. Will ginger pound like clay shape, medicine research into a fine of more than at the end of 20 ~ 25 ml of vinegar, heating to 50 ~ 60 ℃, and the powder to stir paste, try to hand not hot advisable, umbilical region to petrolatum inunction again, while hot compress navel department about 6 cm x 6 cm wide and thick about 0.3 cm range, cover sand cloth bandages, daily dressing change one. If the lingering diarrhea, can cooperate with triangular acupuncture four joint cavity once a day.

        Umbilical apply method evodia rutaecarpa 30 grams, clove 2 grams, pepper 30 grain. Research into fine end, with every time at the end of 1.5 grams, move into vinegar or vegetable oil into a paste, and apply the umbilical plexus, external use gauze fixed. Daily dressing change once, used to hurt food, cold, spleen deficiency type diarrhea.

        Massage method cold diarrhea can push three close, knead for migrant workers, large intestine, rubbing umbilical, thrown up seven day bone, knead turtle tail, knead valley, with massage foot three mile. Abdominal pain bowel the person that weigh and knead a nest of wind, take belly Angle; Physical difference and knead the ridge; Surprised taking uneasy and clear liver meridian. Hot and humid diarrhea, hurt food diarrhea spleen and stomach can be clear, clear colon, clear small intestine, pushing organs of the body, knead tianshu, knead turtle tail. Diarrhea spleen deficiency can be tonifying spleen the complement colon, massage foot three mile, group the abdomen, pushed in the seven day bone, knead day pivot. Spleen kidney Yang deficiency can knead turtle tail, knead close yuan, push the spleen soil, device ridge, pushing the spleen soil, knead tianshu, massage foot three mile, group the abdomen.