Pediatric+Constipation

22. Constipation: babies should have a bowel movement 2 to 3 times/ day. An occasional miss of a day is not too worrisome, but on a regular basis, this can be very problematic. Constipation can be due to accumulation disorders, or Spleen Qi Xu. 1. Excess: Due to overfeeding, irregular feeding, unsuitable food with weaning, early weaning, not enough water; Sxs: Stools hard and there may be intermittent runny, smelly diarrhea on other days, red cheeks, Green nasal d/c, irritable, swollen belly, may feel hot. P: full T: red with Yellow coat especially in the back

TX; Run Chang Wan, Moisten Intestines Pills; Peach Kernel Pills- Chinese Mild Laxative Pills: Persicae seed, Notopterygii, Rhei, Angelica Sinensis, Cannabis seed Or GeGen Huanglian Huangqin Tang Constipation due to dry bowels, but also with related symptoms of dry skin and nails, dry month and tongue -Lubricates the intestines, promotes bowel movement, purges heat from the intestines Si feng St25, TW6, CV12, GB34, Li4, B57, DR So: TW6; Liv3, Liv1, Bl57; Bl25, GV1; CV6,4, K16, St25 Moxa: Liv13

2. Cold pattern: From eating icy foods, - pale, good energy, appetite poor or OK, cold foods and junk food, Stools every other day, but might continue with constipation for days, stools dry and hard to pass, abdominal pain P: weak or tight or it may be full and tight. T: Pale St36, CV12, maybe GV1 Magnesium works If there is spasm and pain can add a big dose of Yanhusuo, plus Baishao, Gan Cao, Pu Huang, WuLingZi Gentle movement with: Xiao Chengqi Tang – DaHuang, Houpo, Chih-shih With liver stagnation: Lidan Pian – Jin Qian Cao, Dan Shen and Cang Zhu

Case: 2 week old, severe constipation