Song Yun, a Chinese medicine practitioner in Fuxin Hospital, believes that pediatrics has been a subject that Chinese medicine attaches great importance to since ancient times and has accumulated considerable treatment experience. Physicians of past dynasties also summed up milder drugs suitable for children, such as codonopsis pilosula, perilla frutescens and yam. It has a good effect on children's diseases such as colds, allergic diseases and gastrointestinal related diseases. It can relieve symptoms, reduce recurrence frequency and accelerate recovery. , especially in conditioning physical fitness, and Chinese medicine is good at it. For children, because the physique has not yet fully formed, there is more room for conditioning than adults. As long as it is properly conditioned, it can improve the function of viscera and make children have a stronger body in the future.
Traditional Chinese medicine treatment methods
In traditional Chinese medicine, special physiology refers to the delicate structure of the internal organs of the body, and the functions of qi and blood, meridians and so on are not perfect, but they are full of vitality and grow rapidly; Special pathology is easy to get sick, get sick quickly, turn bad quickly, that is, come quickly, because Chinese medicine handles it properly and goes quickly.
Basically, Chinese medicine will diagnose diseases by the following methods:
? Visit: look at the spirit, expression, tongue, skin, etc.
? Smell diagnosis: listen to crying, coughing, breathing, smell, etc.
? Pulse diagnosis: the doctor refers to the pulse condition of 1 ~ 2 and the unique diagnosis method of "three fingerprints" in pediatrics of traditional Chinese medicine.
? Touch buckle: touch the skin and abdomen to buckle.
What should Chinese medicine and western medicine think? How does children's Chinese medicine treat body conditioning and strengthen self-healing ability? See a doctor according to
What should Chinese and Western medicine think? In fact, Chinese medicine and western medicine have their own advantages, which must be considered according to the actual situation. It is impossible to explain them in detail. Dr. Chen provided several simple principles for parents' reference (see table 1 for details).
Form 1: Great differences between traditional Chinese medicine and western medicine
traditional Chinese medicine
Western medicine
General direction
Western medicine has poor curative effect or can't find the cause.
The etiology and curative effect of the disease are clear.
For parents,
Physical conditioning, general diseases, some emergencies; At the same time suffering from a variety of chronic diseases, such as allergic rhinitis, odorous dermatitis, allergic asthma; If you don't know which department to choose, you can choose pediatrics or general department first.
Prevention and control of infectious diseases, serious trauma, and serious bacterial infection should be confirmed by western medicine first, and emergency treatment should be done. If you don't know which department to choose, you can see general pediatrics first, and then transfer to pediatrics or sub-specialties according to the situation.
internal medicine
It is suggested that people with poor physique must see Chinese medicine for conditioning.
People in good health can decide for themselves whether to see Chinese medicine or western medicine.
wound
After the general sprains, contusions, open wounds and fractures are treated by western medicine, there are many special Chinese medicines and topical cloths to reduce swelling and relieve pain, help muscle repair and bone healing.
For any serious trauma, we should first see the emergency department of western medicine, and then decide the treatment methods after examination, such as trauma suture and plaster fixation of fracture surgery.
suggestion
I have seen western medicine many times, but my symptoms have not improved. We can see the pediatric specialties subdivided by western medicine again. If it has not improved, it is recommended to see Chinese medicine.
I have seen Chinese medicine many times, but my symptoms have not improved. I can see western medicine to diagnose the disease.
How does children's Chinese medicine treat body conditioning and strengthen self-healing ability? Advantage comparison
Dr. Chen stressed that according to the actual clinical situation, most parents or elders take their children to see western medicine first, and then see Chinese medicine after the situation is relieved or after seeing western medicine for many times. When Chinese medicine improves symptoms, or finds that the frequency and severity of children's onset are much less than before, they recover faster and see Chinese medicine more and more times. Even if there is any discomfort in the future, they choose to see Chinese medicine. In fact, Chinese medicine and western medicine have their own advantages. The following instructions are for parents' reference (see Table 2 for details).
traditional Chinese medicine
Western medicine
trait
Thousands of years of clinical treatment experience, the wisdom explored by the way of practice, concentrated on dirty images, meridians and acupoints, and spirit. Although modern western medicine has a hundred years, it has developed rapidly with the help of advanced technology and instruments. Focus on local anatomy, instrument technology and surgical theoretical model.
Pay attention to the whole interactive relationship: Chinese medicine pays attention to physique and "cause" and treats the human body more gently, which is an organic whole operation. It is emphasized that there is a dynamic balance between local and local, and between local and whole, and there is a relationship. For example, the lung is closely related to the large intestine, and sometimes a cold will be accompanied by constipation. As long as constipation is treated, the cold will soon be cured. Western medicine emphasizes the presentation of local entities: Western medicine re-examines values and "results" and looks at the human body more inclined to the independent operation of individual systems. Pay attention to local analysis, less comprehensive treatment, pay attention to subtle structure, pay less attention to their relationship, such as: cold and constipation, do not think there is any connection between them, and treat them separately. be adept in
Specializing in conditioning physique and treating chronic diseases, immune regulation, allergies and other diseases will consider the factors among people, climate and pathogens together. For example, the environment where children grow up is rainy in Keelung, windy in Hsinchu, hot in the south and cold in the north. Although it is also a cold, the direction of thinking about medication is completely different. The climate of the four seasons is different, and the direction of thinking about medication is completely different. He is good at acute diseases (severe infection in a large area) and diseases that need surgery and instrument treatment, such as hernia in children, congenital heart disease and rabbit lips. Premature incubator is good at pathogens, physical environmental factors (allergens), pathogens and allergens. Diagnosis and treatment
Syndrome Differentiation and Treatment: Grasping the overall general direction of disease development and change means focusing on treatment, balancing dredging, restoring self-healing ability, improving immunity and disease resistance, and differentiating diseases: grasping the pathological tissue of diseases means focusing on treatment, controlling symptoms, removing lesions and replacing body parts. medical science
Crude drugs and natural substances, if used properly, have less side effects. Pharmacological cognition is that their nature and taste are dominant, and the concept of medication is to treat both the symptoms and the root causes. The side effects of chemical drug compound compatibility are great, but they will be monitored. Pharmacological cognition is pharmacology and pharmacokinetics, and the concept of medication is to unilaterally specialize in physical conditioning of diseases and strengthen self-healing ability. What do children's Chinese medicine think? According to the views of two Chinese medicine practitioners, the diseases suitable for seeing Chinese medicine include cold in children, asthma in children, allergic rhinitis, atopic dermatitis, anorexia in children and enuresis in children. Some diseases can also be treated by combining traditional Chinese and western medicine. Dr. Chen stressed that Chinese medicine can also choose acupoint * * *, chiropractic, three-volt and three-nine-stick, acupuncture and other methods to enhance the curative effect, which are listed as follows.
1 children catch a cold
Cold is a lung disease caused by exogenous pathogens. Dr. Song Yun said that there are three common syndromes in clinic. The first type is wind-cold cold, with symptoms of fever, anhidrosis, headache, runny nose, sneezing and coughing, and no redness and swelling in the throat. The treatment is mainly to dispel wind and cold, and Jingfangbaidu powder is used for treatment. Cold foods, such as ice cubes, watermelons and throat moistening, should be avoided in diet. Followed by wind-heat cold, the symptoms are fever, hyperhidrosis or hypohidrosis, headache, stuffy nose, runny nose, sneezing, coughing, thick white or yellow phlegm, sore throat and dry mouth. The treatment is mainly to disperse wind and heat, and Yinqiao powder should be used as appropriate in diet, avoiding burning, roasting, spicy and frying.
Finally, aversion to cold in summer mostly occurs in summer, which is manifested as fever, anhidrosis, sweating, dizziness, headache, stuffy nose, drowsiness, chest tightness, nausea, thirst and upset, loss of appetite, or vomiting, diarrhea, short and yellow urine and so on. The treatment is mainly to eliminate dampness and relieve exterior syndrome, and new fragrant drink can be added to the prescription, and greasy and cold food should not be eaten. However, children's colds are usually accompanied by fever. Many parents think that Chinese medicine has no antipyretic. Dr. Chen Dawei explained that Chinese medicine has many kinds of antipyretics with different formulations. Fever is caused by heat of different viscera (such as lung heat, intestinal heat or heart heat), pathogenic heat (such as wind heat and summer heat), excess heat and deficiency heat. According to different fever syndromes, different antipyretic drugs are given, generally taking 6544.
2 children with asthma
Asthma in children can be divided into attack period and remission period. Most clinical situations are paroxysmal. After western medicine controls symptoms, Chinese medicine is used for treatment in remission period, and Chinese medicine is used to adjust physique after rehabilitation to prevent recurrence. Dr. Chen emphasized that the severe attack period can actually be treated by combining traditional Chinese and western medicine. Traditional Chinese medicine prescription treatment in acute attack period can be simply divided into heat asthma (Maxing Shigan decoction, Dingchuan decoction, etc. ) and cold asthma (Mahuang decoction, Xiaoqinglong decoction, etc.). ). When combining traditional Chinese and western medicine, Chinese medicine should be taken half an hour before meals, and western medicine should be taken at 1 hour 30 minutes after meals (it can be extended to 2 hours if young). As for the remission period, Chinese medicine is the best, and the commonly used treatment method is mainly to regulate the lung, spleen and kidney. For example, the lung system includes Shengmai Powder, Bufei Decoction and Yang Fei Guben Decoction. Spleen system includes Sijunzi decoction and Buzhong Yiqi decoction; Kidney system includes Jinkui Shenqi Pill, Shen Ge Powder, Qiwei Duqi Pill, Huanshaodan, etc. And avoid colds and colds in your diet.
3 allergic rhinitis
Dr. Chen pointed out that allergic rhinitis is divided into internal cause and external cause in Chinese medicine. The internal cause is mostly visceral dysfunction, and the external cause is mostly pathogenic wind-cold invading the viscera, mainly manifested in the lungs and nasal orifices. The treatment will prescribe drugs according to the overall syndrome composition of the child and the current situation. If your nose itches, you sneeze frequently, and you have a lot of runny nose, every time you catch a cold, it is easy to attack and will not heal again and again. The treatment is mainly to warm the lung and dispel cold, choose the pill of warming the lung and stopping the flow or Guizhi decoction, Yupingfeng powder and Xanthium powder are also commonly used. In addition to the symptoms of the nose, you can also see dizziness, loss of appetite, abdominal distension, limb weakness, soft stool and so on. The treatment mainly focuses on strengthening the spleen, eliminating dampness and tonifying the lung, and Banxia Tianma Baizhu Decoction, Buzhong Yiqi Decoction and Shen Ling Baizhu Powder are selected. In addition, in severe cases, the brain, neck and shoulders also feel cold, pale face and increased nocturia. To treat kidney yang, Liuwei Dihuang Pill and Jingui Shenqi Pill should be selected, and cold, fried and dairy products should be avoided in diet.
atopic dermatitis
Dr. Song Yun said that in clinic, children's atopic dermatitis is more common in TCM syndrome differentiation. The first type is blood deficiency and wind dryness, with a long course of disease and dry skin lesions, characterized by hypertrophic lichen and desquamation. There are many symptoms such as dull complexion, dry hair and irritability on the body. Thin and astringent pulse, pale tongue. The main treatment is nourishing blood and moistening dryness. Treat with angelica, the diet should be spicy and exciting, and never stay up late.
The other is damp-heat type, the lesions are mostly red and swollen, slightly hot, but also erosive, and even yellow water oozing out, which is often aggravated in summer, often accompanied by upset and thirst, constipation, short and red urine, yellow and greasy fur, slippery pulse or slippery number. The treatment is mainly to clear away heat and dry dampness, so we can consider adding and subtracting Xiaofeng powder and eating less dairy products and fried foods. Basically, mild atopic dermatitis can be treated with traditional Chinese medicine within one month, and serious cases sometimes take about half a year. But the diet must conform to the doctor's advice, otherwise the course of treatment will drag on for a long time.
How does children's Chinese medicine treat body conditioning and strengthen self-healing ability? Children don't like Chinese medicine? ! Generally, Chinese medicine prescriptions prescribed by Chinese medicine practitioners for children taste good and not bad, but some children are sensitive to the taste of the medicine. You can consider adding Chinese medicine correctants such as Ganweiwang and Plum Powder to the powder to make children eat better. In addition, scientific Chinese medicine powder can be brewed with warm water, mixed with crystal sugar and honey, fed by syringe, dropper, feeder, bottle, straw or spoon, or dipped in honey at the front end of syringe, dropper, feeder, nipple and sucker or the edge of spoon. Dr. Chen reminded parents that babies under 1 year old, especially those under 6 months old, are forbidden to use honey and its related products, so as to avoid poisoning caused by "botulinum spores or toxins" and lead to sudden infant death.
It is worth noting that Chinese medicine has a shelf life, and different dosage forms have different shelf life. Most Chinese medicine practitioners are afraid of humid, sultry and sultry environments. If it is not well preserved, it is easy to deteriorate. In addition to reducing the original efficacy, it is easier to change from drugs to poisons. Therefore, the shelf life and methods should not be taken lightly. How to correctly preserve traditional Chinese medicine? First of all, it must be placed in a dry, cool and closed container, and the external environment is ventilated and not humid to avoid direct sunlight. As far as the most commonly used scientific Chinese medicine is concerned, some Chinese medicine powders contain greasy medicinal materials, such as Ophiopogon japonicus, Asparagus, Radix Rehmanniae and so on. It is easy to get wet and will form a hard block after being wet. It doesn't mean that the medicine has gone bad, but don't eat it. Dr. Chen Dawei suggested that if the medicine is for 7 days, take out 1 ~ 3 packs every day, carry it with you for easy taking, and seal the rest against moisture, especially in spring and summer.
In addition to keeping Chinese medicine well, we should also pay attention to the fact that Chinese medicine will change its prescription with the change of symptoms. Generally, prescriptions for children last for 3-5 days in the acute phase, rarely exceeding 7 days. Except for the conditioning and physical adjustment of chronic diseases (such as allergic diseases and digestive tract diseases), the maximum is 7- 14 days, usually not exceeding 14 days. Dr. Chen reminded: Every time Chinese medicine practitioners prescribe Chinese medicine, they should take it within the prescribed time limit, especially for infants. Due to the rapid change of children's condition, personalized prescriptions of traditional Chinese medicine are "time-sensitive". If you don't take it on time, after a few days, the prescription will be wrong and the efficacy will be greatly reduced.
Chen Weida
Education: Master of Medicine, China, China Medical University; Master of EMBA from Taiwan Province Provincial University; Bachelor of Traditional Chinese Medicine/Bachelor of Medicine.
Experience: Consultant of Chinese Medicine Department of Shanghai Chen Xin Hospital, Director of Chinese Medicine Department of Fuxin Hospital, Lecturer of Ministry of Education, Member of Chinese Pediatric Medical Association of the Republic of China, and researcher of Anesthesiology and Urology Department of Affiliated Hospital of China Medical University.
Current position: Traditional Chinese Medicine Doctor of Singh Hospital, Deputy Director of the First Medical Office of Singh Hospital.
Song Yun
Education: Master of Chinese Medicine, Department of Traditional Chinese Medicine, Chang Gung University.
Experience: Chinese medicine doctors passed the national examination, while western medicine doctors passed the national examination.
Present position: Traditional Chinese Medicine Doctor in Singh Hospital