Pathology Children are easily susceptible to disease which then
transmits and changes rapidly Childrens internal organ Qi is clear
and effective; therefore, they easily and quickly return to
health
Slide 8
Insufficient Lungs Spleen Kidneys yin Excessive Liver Heart
yang
Slide 9
Pediatric Diagnosis Observation Listening and smelling
Inquiring Palpation
Slide 10
Observation Observe Shen and color Observe body form Observe
sprouts and orifices Skin eruption Urine & stools Index finger
vessel
Green, relates to Liver, indicates: Wind Pain Blood stasis
Convulsion
Slide 14
Red, relates to H, indicates: Heat Convulsion
Slide 15
White, relates to LU, indicates: Deficiency Cold
Slide 16
Black, relates to K, indicates Cold Pain Water retention
Malignant situation
Slide 17
Observe body form head, neck, fontanel trunk limbs skin hair
nails
Slide 18
Observe Sprouts &Orifices Eyes Nose Teeth Throat Cheeks
Tongue Ears Two lower orifices Babies have white coat syndrome!
Babies afraid of you? Take off your coat.
Slide 19
Observe stools Observe urine
Slide 20
Veins in the Index Finger
Slide 21
Check the location of veins in the index finger Veins in Wind
Bar (the area between the metacarpal phalangeal joint and the
proximal inter-phalangeal joint): indicates acute stage,
superficial and beginning of a disease and therefore it has a
better prognosis Veins in Qi Bar (between the proximal and distal
inter-phalangeal joints): indicates the middle stage of a disease
and the prognosis is not as good; Veins in Life Bar (from the
distal inter- phalangeal joint to the tip of the index finger):
indicates the severe stage of a disease and the prognosis is
worse.
Check the color of the veins Fresh red: external excessive cold
Purple red: external or internal excessive heat syndrome Green
color: pain and panic or fear Dark purple or black purple: food
stagnation, particularly for blood stagnation Light or pale red:
deficient cold Light or pale yellow: Inner wind due to spleen
deficiency Light or pale purple: deficient heat
Slide 24
Listening & smelling Crying Breathing Coughing Language
Smelling
Slide 25
Inquiring
Slide 26
Palpation Fontanel Skin Chest Abdomen
Slide 27
Superficial Slow With strength Deep Rapid Without strength
Pulse Age >3 y Take 3 guans with one finger
Slide 28
Age Breathe(/min) Pulse(/min) B P New born 40~45 120~140 1
3
Administration 3y 250~500ml
Slide 35
TCM Pediatrics Cough
Slide 36
Introduction 1.Concept 2. Onset Season Age:
Modification Heat > damp: Hu Sh Jn Yn Hu Lin Qio
Damp>heat: Y Y Rn F Lng Ch Qin Z Abdominal distention: Hu Po M
Xing
Slide 134
4. Spleen Deficiency Symptoms-Enduring diarrhea which does not
heal, loose stools, undigested water and grains, diarrhea after
eating, light colored stools with no foul odor, a sallow yellow
facial complexion, emaciated, thin muscles and flesh, lassitude of
the spirit, listlessness. T- a pale tongue thin with white fur
P-slow slippery pulse; blue vein at the root of the nose Therapy-
Tonify spleen qi, and lift qi to stop diarrhea
Slide 135
Formula-Shn Lng Bi Zh Sn F Lng Rn Shn Zh Gn Co Bi Zh Shn Yo Lin
Z Bi Bin Du Y Y Rn Sh Rn Ji Gng Shn Lng Bi Zh Lin Z Gng Shn Yo Bin
Du and r Rn
Slide 136
Modification Severe SP damp, with greasy coating: Hu Xing Pi Ln
Poor appetite: Shn Q Mi Y Abdominal distension: Hu Po M Xing
Slide 137
5. Spleen Kidney yang deficiency Symptoms-Enduring diarrhea
which will not stop, if severe, possible anal prolapse, diarrhea
after eating, clear, watery stools, undigested food in the stools,
a cold body and chilled limbs, a somber white facial complexion,
lassitude of the essence spirit, T-pale tongue body with white
coating P-deep thin pulse; or a blue vein at the root of the nose.
Therapy-Tonify spleen and wam kidneys, consolidate to stop
diarrhea
Slide 138
Formula 1- F Z L Zhng Tng ( Prepared Aconite Pills to Regulate
the Middle) Gn Jing F Z Rn Shn Bi Zh Zh Gn Co
Slide 139
Formula 2-S Shn Wn Ru Du Ku Cho B G Zh W Wi Z W Zh Y Formula 1+
Formula 2
Slide 140
Modification Prolapsed of rectum: Hung Q ShngM Long term
unstoppable diarrhea: H Z Ch Sh Zh Y Y Ling
Slide 141
7. Damaged yin fluid Symptoms-Enduring diarrhea which has
damaged yin fluids, lassitude of the essence spirit, vexation and
agitation, dry, parched skin, sunken eyes and fontanel, diarrhea of
yellow water, short, scanty urination, dry mouth, red lips,
T-crimson tongue body lack of fluid P-thin and hollow pulse
Therapy- astringent yin by applying sour and sweet flavor
herbs
Slide 142
Formula-Rn Shn W Mi Tng Rn Shn Lin Z Zh Gn Co W Mi M Gu Shn
Yo
Slide 143
Modification Long term unstoppable diarrhea: Shn Zh Tn Ch Sh Zh
Y Y Ling Thirsty desire for water: Sh H Y Zh
Slide 144
8. Damage of yang Symptoms-Enduring severe diarrhea which has
damaged yang qi. Watery stools, high frequent bowel movements,
lassitude of the essence spirit, pale or greenish gray complexion,
weak breathe, cold spontaneous sweating T-pale tongue body with
white coating P-deep minute pulse Therapy- warm yang to rescue from
yang collapse
Slide 145
Formula- Shn F Lng M Ji N Tng Rn Shn F Z Lng G M L Bi Sho Zh Gn
Co
Slide 146
Other therapy External treatment with herbs Acupuncture &
Moxibustion and Tuina
Slide 147
DngXing g W Zh Y30g black pepper 30pc Grind into powder g per
day, mix with vinegar, put on umbilicus Wind-cold attack type, SP
deficiency type
Slide 148
Male 5 yo Pt has diarrhea after eating mutton grill 2 d ago.
Diarrhea 5-6 x, smelly yellow watery stools. N/V. Yellow scanty
urine, thirst w/desire for water, ab dist, borborygmus (damp).
T=red with y.greasy coat P=slippery
Slide 149
Enuresis
Slide 150
Introduction 1.Concept 2. Onset Age: >3 years Boys >
Girls
Differentiation and treatment 1. Kidney qi deconsolidation
Symptoms-Night time enuresis 1-2 or more times each night,
frequent, clear urination, a pale, facial complexion, a tendency to
low back or knee soreness or weakness, possible chilled limbs and a
fear of cold, T-pale tongue body with thin white coating P-deep
thin forceless pulse Therapy-Warm and supplement kidney yang,
secure and astringe the urination
Slide 154
Formula 1- Jn Su G Jng Wn Sh Yun J L Qin Sh Lin X Lng G M
L
Slide 155
Formula 2- Sng Pio Xio Sn Sng Pio Xio Lng G C Gu Bn Yun Zh Sh
Chng P Rn Shen F Shn Dng Gu
Slide 156
Formula 3- Su Qun Wn Y Zh Rn W Yo Shn Yo
Slide 157
Modification Fatigue, poor appetite, loose stools: Dng Shn F
Lng BiSh Shn Zh Poor IQ: Rn Shn Sh Chng P Yun Zh
Slide 158
2. Spleen / Lung Qi Deficiency Symptoms-Night time enuresis,
shortness of breath, disinclination to speak, lassitude of the
spirit, lack of strength, a somber white facial complexion,
devitalized appetite, loose stools, spontaneous perspiration,
T-pale tongue with white fur, P- Thin and forceless Therapy- Bank
origin and boost the Qi, secure and astringe the urination
Differentiation and treatment
Slide 159
Formula B Zhng Y Q Tng Hung Q Rn Shn Bi Zh Zh Gn Co Dng Gu Chn
P Shng M Chi H
Slide 160
Modification Spontaneous sweating: Dun M L W Wi Z Obese due to
phlegm accumulation: Cng Sh Shn Zh Bn Xi
Slide 161
Differentiation and treatment 3. Liver Channel Damp-heat
Symptoms-Slippage of a small amount of urine, which smells foul and
is colored relatively yellow, emotional tension and agitation,
talking in their sleep, bruxism during sleep, red lips, T- red
tongue body with yellow or yellow greasy coating P-wiry rapid
pulse. Therapy-Drain the liver and clear heat
Slide 162
Formula - Lng Dn Xi Gn Tng Lng Dn Co Hung Qn Zh Z M Tng Ch Qin
Z Z Xi Shng Di Hung Dng Gu Gn Co Lng Dn Xi Gn Zh Qn Chi Shng Di Ch
Qin Z Xi Ki M Tng Gn Co Dng Gu Xi
Slide 163
Modifications Bad sleep: Hung Lin Zh Y Lin Qio Severe smelling
urine, yellow greasy coating: Hung Bi Hu Sh
Slide 164
Other treatments Patent formula Empirical Recipes External
treatment Acupuncture and moxibustion
Slide 165
YZh Rn12g M Hung Sh Chng P ea.10g Sng Pio Xio 15g Pig Bladder 1
Cook pig bladder 30min first, then decoct together with rest herbs
30 min 2 times per day, 4~8 bags K deficiency & phlegm covering
type.
Slide 166
W Bi Z, H Shu W ea. 3g Grind into powder, mix with vinegar, put
on umbilicus 1 time per night, 3~5 nights K deficiency type
Slide 167
Attention Deficit Disorder
Slide 168
Etiology Congenital factors Poor body constitution Poor
diet
Slide 169
Pathogenesis Deficient Yin failed to hold yang and yang is
floating
Slide 170
Differentiation and treatment 1. Spleen Deficiency, liver
hyperactivity Symptoms-Uncontrollable fidgeting, emotional tension,
easy anger, poor sleep, fatigue, diminished appetite, easily
developing diarrhea in response to emotional stress, T-thin white
tongue coating P- wiry pulse. Therapy-Fortify the spleen and
harmonize the liver
Slide 171
Fomrula-Y Gn Sn Cho Bi Zh F Lng Dng Gu Chun Xing Gu Tng Chi H
Gn Co
Slide 172
Differentiation and treatment 2. Heart/Spleen insufficiency
Symptoms-A sallow or somber white facial complexion, pale nails and
pale lips, fatigue, insomnia, heart palpitations, shortness of
breath, a poor appetite, a tendency to loose stools, poor memory,
T- fat, pale tongue with thin, white fur P- thin, weak pulse
Therapy-tonify the spleen and supplement the heart, supplement the
Qi and nourish the blood
Slide 173
Fomrula-Gu P Tng Hung Q Lng Yn Ru Rn Shn Bi Zh Dng Gu F Shen Zh
Yun Zh Sun Zo Rn M Xing Zh Gn Co
Slide 174
Differentiation and treatment 3. Yin deficiency, yang
hyperactivity Symptoms-Besides tending to be thin, children with
this pattern also have a red tongue with diminished fur or a pale
tongue with a red tip. Their pulses are fine and rapid and they
tend to suffer from insomnia, heart palpitations, agitation,
dizziness, ringing in the ears, possible low back pain, possible
bed-wetting at night, flushed cheeks, and possible night sweats.
Therapy-Supplement the kidneys and enrich Yin, subdue yang and
quiet the spirit
Slide 175
Formula 1- Zu Gu Wn Sh Di Hung Shn Yo Shn Zh Y Gu Q Z Chun Ni X
T S Z L Jio Jio Gu Jio Zu Gu Wn Zhng Yng Gu L Ni T Zh Gu Shn Yo
Su
Slide 176
Formula 2-Shng Mi Sn Rn Shn Mi Mn Dng W Wi Z
Slide 177
Differentiation and treatment 4. Phlegm confounding the portals
of the heart and heat harassing the heart spirit Symptoms-Easy
anger or pronounced irritability, vexation and restlessness,
possible nausea, possible profuse phlegm, chest fullness and
oppression, a bitter taste in the mouth when waking up in the
morning, T- tongue with red edges and slimy, yellow fur P- wiry,
slippery, rapid pulse. Therapy-Remove heat-phlegm and calm
Shen
Slide 178
Formula-Hung Lin Wn Dn Tng Bn Xi Chn P Zh R Zh Sh F Lng Zh Gn
Co D Zo Hung Lin Wn Dn Tng Zhng use rChn Zh Sh Zh R and
ShngJing
Slide 179
Differentiation and treatment 5. Blood stasis obstructing the
channels and malnourishment of the portals Symptoms-Hyperactivity
plus a history of birth trauma with intracranial hemorrheage, a
dull, dark facial complexion, easy anger over nothing T- dark red
tongue P- choppy pulse Therapy-Quicken the blood and dispel
stasis
Slide 180
Formula-TngQio Hu XuTng Ch Sho Chun Xing To Rn Hng Hu D Zo Cng
Bi ShngJ ing Sh Xing Tng Qio Hu Xu To HngSh Ch Sho Chun Xing Cng
Jing Zo
