Chen Wenjuan, director of the Department of Obstetrics and Gynecology, Changhua Christian Hospital, pointed out: "Especially in alternate seasons, the incidence of atopic dermatitis and allergic rhinitis in children is very high, and many parents will bring their children to recuperate. 」
At present, Director Chen has met a baby of 1 1 month. She explained: "The baby has suffered from severe atopic dermatitis since he was 2 months old. Different from other children with atopic dermatitis, most children have facial attacks, while he has systemic attacks, which lead to itching, redness and frequent bleeding. At first, it was relieved by rubbing steroids, but due to excessive itching of the skin, sleep and appetite were seriously affected, so parents had to take him to see Chinese medicine. After 10 months of conditioning, the itching situation has been greatly improved, and sleep and appetite have improved.
As for the way to regulate physical fitness, Director Chen said that the baby's allergic situation is serious. In addition to washing prescriptions outside, how to take Polygonum multiflorum and Kochia scoparia, and also prescribe Chinese medicine for oral administration. The so-called external washing prescription is to boil the herbs and put them in the bathtub to bathe the baby. In principle, for infants with skin allergy under 1 year, most of them will be treated with external washing first. If the improvement is not good, take it with Chinese medicine.
In addition to atopic dermatitis, there are many children with allergic rhinitis to recuperate their physique. Director Chen explained that recently, a pair of twins who just turned one year old received Chinese medicine treatment. Because both parents have allergic rhinitis, the allergic rhinitis of the two children is also very serious. In addition, they are usually taken care of by the nursery center, often catching colds repeatedly and even complicated with pneumonia. Therefore, traditional Chinese medicine is used to regulate lung qi and relieve the degree of cold, and the treatment method is mainly oral administration.
Traditional Chinese medicine regulates three allergic diseases in children. There are three kinds of common allergies: asthma, allergic rhinitis and atopic dermatitis. From the perspective of Chinese medicine, how are they caused? How should Chinese medicine recuperate and improve physical fitness?
1 asthma, cough, chest tightness, itchy nose, sneezing, etc. Will happen before asthma attacks. If the symptoms are severe, the child will hear a wheezing sound when breathing. Especially lying flat on the bed at night, the wheezing is even worse, and even the child can't sleep when lying down.
The causes of asthma and allergic rhinitis are similar, both of which are lung qi deficiency, spleen qi deficiency or kidney qi deficiency. In addition, exogenous pathogens invade the human body, such as wind-cold or wind-heat, so that sputum accumulates in the body and causes allergies, but the parts that cause allergies are different. Director Chen Wenjuan analyzed: "Asthma is inflammation of the lower respiratory tract, while allergic rhinitis is inflammation of the upper respiratory tract. 」
When children with asthma have an acute attack, most parents will take their children to see western medicine, but less to see Chinese medicine. However, Director Chen pointed out: "In acute attack, from the perspective of Chinese medicine, the diagnosis will judge whether it is hot or cold according to the color of sputum. If the sputum is white and frothy, it may be accumulated cold in the body, and treated with Xiaoqinglong Decoction. If the sputum is yellow and thick, and it is easy to be constipated with the baby's defecation, it may be hot. Add and subtract with Maxingshi dry soup.
In remission, we should first diagnose the weakness of viscera and prescribe the right medicine. For example, children are prone to sweating and fatigue, which may be lung qi deficiency. Director Chen said: "Yupingfeng Powder is used to treat them. If the child's appetite is poor, sometimes the defecation soft paste is not shaped or prone to diarrhea, perhaps spleen deficiency, add and subtract with Liujunzi Decoction. If you urinate or wet the bed frequently, it may be the deficiency of kidney-qi, so treat it with Jingui Shenqi Pill.
The principle of nursing is to avoid contact with cold food. To prevent asthma, first of all, we should avoid eating cold food, such as ice products, cold drinks or watermelon, oranges and other cold foods. Director Chen explained that some children are allergic to watermelon, and eating watermelon can cause asthma, so it is best to avoid it. In addition, although parents will control their children to eat cold food, sometimes the children are not at home, and the drinks or water bought in the supermarket may be taken out of the cold storage. At this time, let the child thaw at room temperature 10 minutes before drinking, so as to prevent the drink from entering the respiratory tract through the ice. As for diet, try to let children eat all kinds of fresh and balanced food.
Keep your stomach warm. It is hot in summer, and many families turn on air conditioners or electric fans at night to help them sleep. It is recommended to help children warm their stomachs. In particular, many children are used to kicking quilts when they sleep at night. It is advisable to help them prepare their abdominal circumference or kick-proof quilts to keep their stomachs warm and avoid catching cold in their stomachs.
Moderate outdoor exercise When it is neither too cold nor too hot at night, taking children outdoors to bask in the sun or engage in outdoor activities can not only exercise physical strength, but also relieve allergies.
Chinese medicine regulates three major allergic problems in children. 2 Allergic rhinitis Symptoms of allergic rhinitis include red eyes and itchy nose. Sneeze a lot. Nose water, nose? Even complicated with sinusitis, causing sleep disorders. Director Chen Wenjuan observed: "In addition to the above symptoms, children entering kindergartens will also have inattention. It may be that the nasal congestion leads to poor sleep quality, which leads to insufficient concentration during the day, and the child's behavior will be anxious.
In addition to physical deficiency, it causes upper respiratory tract allergy and viscera deficiency, such as lung qi deficiency, reticence and easy sweating; Weakness of temper, flatulence, loss of appetite, soft stool, and tooth marks on tongue coating. Kidney deficiency is prone to nocturia, and older children will also show symptoms such as soft feet and low back pain.
Treatment methods are divided into normal and acute attack conditioning. Although patients with acute asthma seldom seek Chinese medicine treatment, many parents take their children to see Chinese medicine when allergic rhinitis is acute. In the treatment, first judge whether it is hot or cold. If it is hot, the nose is yellow and thick, the defecation is hard, and you often feel thirsty. You can treat it with drugs such as Xanthium powder. If it is a cold, the nasal water will not stop, such as Xiaoqinglong Decoction, Xinyi Powder and Xiangsha Liujunzi Decoction. It should be added and subtracted. For acute attacks, acupuncture can also be used at Fengchi and Xiang Ying points near the head and neck or nose to speed up the relief of acute attacks.
The principle of nursing removes allergens. Allergic rhinitis should first remove allergens, such as pollen and dust mites, so as not to induce allergies.
Don't touch ice or cold drinks. It's best not to eat cold food. According to Director Chen Wenjuan's experience, if children can tolerate not eating ice cubes, the situation of nasal allergy will be improved a lot. Even if they have an attack, their condition will not be too serious. If they sleep well at night, their dark circles will gradually fade. Maintain the rules in principle? Balanced nutrition in life and diet, combined with moderate exercise, can achieve a certain degree of improvement.
Keep warm when you go out. In alternate seasons, parents are advised to prepare masks and thin coats with them when taking their children out, pay attention to keep warm, avoid tracheal allergy caused by excessive temperature difference, and reduce the chance of catching a cold.
TCM regulates three allergic problems in children. 3 Ectopic dermatitis includes itchy skin, dry desquamation, eczema and papules. If the disease occurs since infancy, it is mostly concentrated on the cheeks, forehead or scalp, with redness, peeling and even scabbing secretions. Chronic inflammation of the skin in childhood. Director Chen Wenjuan pointed out: "Because of the long course of disease, the skin is getting thicker and thicker, and there is mossy. 」
So far, the cause of atopic dermatitis has not been determined by medicine. Director Chen said that it is mainly related to immune dysfunction. When eosinophils increase in the body, the serum IgE value (an index to evaluate allergic diseases and allergies) will also increase.
Treatment when treating atopic dermatitis, we will first distinguish the categories. If the papule is red, swollen and itchy, or even the child scratches the skin and bleeds, it belongs to the "blood heat and wind heat type" and is treated with Xiaofeng Powder. In addition, if a little redness is found in front of the tongue during tongue diagnosis, it is called "Zhu Dian". From the point of view of traditional Chinese medicine, it is a strong heart fire, so it is treated with drugs such as peony bark and Daochi powder. If the itching situation does not improve, the child can't sleep at night, except with Kochia scoparia. Tribulus terrestris, director Chen explained, a little mother-of-pearl powder will be prescribed to clear liver heat, improve itching and help sleep. In addition to the above symptoms, if there is secretion, it may be "damp-heat type". Treat it with Longdan Xiegan Decoction, or ask the child to eat Shen Si Decoction in moderation.
As for the prescription for external washing, in principle, three posts are issued a week, and parents help their children wash 1 time every two days. Commonly used Chinese medicines include Kochia scoparia and Dictamni Radicis. Boil the herbs and put them in the bathtub for children to soak, so that they don't need to be washed with water.
The principle of caring pays attention to environmental cleanliness. For children with atopic dermatitis at home, the family environment should pay attention to family hygiene, keep it clean and remove dust and dust mites. In addition, avoid laying carpets or letting children play with plush toys. In addition, children's sheets and sheets should be changed and cleaned regularly.
Choose pure cotton clothes. In clothing, try to choose pure cotton material. Once you sweat, help your child dry the sweat as soon as possible and put on clean clothes to avoid the sweat getting wet and sticky, causing a rash.
Bath water temperature should not be too high. Pay attention to the water temperature when bathing children, and don't wash too hot water, otherwise it will easily cause dry, itchy and uncomfortable skin.
On the diet of "avoiding allergies", Director Chen Wenjuan explained: "Because children are mostly hot, Chinese medicine will carry out special health education in clinic to prevent children from eating too many hot fruits, such as mangoes and lychees. She has also encountered allergies caused by children eating dried mangoes. In addition, shelled seafood such as shrimps and crabs should also be avoided as much as possible. In addition, some parents think that milk and eggs can cause allergies and deliberately limit their children's consumption. In this regard, Director Chen said that milk and eggs belong to high-quality protein, and if children restrict themselves, they may lack protein. She suggested: "It is best to take children to test allergens and determine foods that can cause allergies. In the clinic, she once saw her mother worried that her child was allergic to milk and let her child drink goat's milk. It was not until the allergen was detected that the child was allergic to goat milk, which was self-defeating.
With the change of environment, eating habits and hot and humid climate, children's asthma, allergic rhinitis and atopic dermatitis have an increasing trend. However, if we can properly control the disease, follow the doctor's advice, remove allergens and reduce the chance of attack, I believe that children can grow up healthily.
Can traditional Chinese medicine regulate children's three major allergies and prevent allergies? Three days after the summer solstice, 20 15 is July 13, July 23 and August12; Sanjiu stickers will be held for 3 days from winter to the future. Director Chen Wenjuan explained: "In summer solstice and winter solstice, when the agricultural calendar is the hottest and coldest, Chinese medicine is used to apply acupoints to adjust the zang-fu organs, so that the yang is sufficient, which helps to increase the resistance. In this way, colds, asthma or allergies are less likely. According to medical research, the allergic symptoms of patients have improved by 60% after the treatment of three-volt patch. Generally speaking, it is recommended that children over 2 years old stick three-volt stickers or nine-volt stickers to avoid skin allergy or discomfort. Director Chen also said that at present, most of the three-volt stickers have been improved, and they will feel slightly hot after being pasted, without foaming, scalding and pain for children. However, she reminded: "Children can apply for 2 hours instead of 6 hours like adults. " 」
Chen Wenjuan Education: Bachelor of Chinese Medicine, Institute of Statistical Information, Changhua Normal University Experience: Physician of Chinese Medicine, Affiliated Hospital of China Medical University Current position: Director of Gynecology and Pediatrics, Changhua Christian Hospital.