Pediatric+Night+Crying

=Night crying= Seen in newborn babies usually, where they are normal during the day and restless and crying at night, sometimes all night.

Deficiency cold in the spleen
Feeble crying curled up and more comfortable with warmth and pressure during sleep, cold limbs, loose stool,
 * Pulse:** pale, pink index finger vein,
 * Tongue:** thin and white coat
 * Herbal Tx:** Wu Yao Shan (Wu Yao - Lindera, Gao Liang Jiang - Alpinia, Bai Shao, Xiang Fu ) or Fu Zi Li Zhong Tang
 * Acupuncture Treatment:** Moxa CV8 / Tuina

Accumulation of heat in the heart
Loud crying, worse bright light, flushed face, red lips, restless, constipation, scanty, yellow urine, abdomen may feel hard.
 * Pulse:** Purple red index finger vein
 * Tongue:** red tip of tongue
 * Herbal Tx:** Dao Chi San – Mu Tong –akebia, Sheng Di, Dan Zhu Ye, Gan Cao, can add Mai Ya, Bai Mao Gen – Imperata, Huang Lian
 * Acupuncture:** PC9 / Tuina

Frightened crying
Sudden crying at night, scaring and crying long time, restlessness, facial darkening
 * Pulse:** rapid pulse
 * Herbal Tx:** Zhu Sha An Shen Wan (Zhu Sha – cinnibar (Mercuric sulfide), Huang lian, Dang gui, Sheng Di, Gan Cao)
 * Acupuncture Treatment:** GV20, Si Shen Chong needle or tui na, also Yin Pond Yang Pond, TW5

Night Crying can also be due to food stagnation where Bao He Wan can be used (Shan Zha, Shen Qu –Massa, Mai Yo –Fructus Germanatus Hordei, Fu Ling, Ban Xia –Pinellia, Chen Pi, Lian Qiao –Forsythia. It can also be due to colic which is treated with the same formula if the patient is yang -added Lai Fu Zi (Semen Raphani).

Cold Colic would be treated with Xiao Jian Zhong, Also consider teething & earaches. p78 Flaws

Western Calm Child formula: 1oz Catnip, 1oz Chamomile, 1oz lemon balm, 1oz valerian, ½ oz lady slipper (?going extinct?),1/2oz hawthorne, ½ oz vegetable glycerin ( yeast?) Planetary Herbal Formulas – Tierra. Hops, Passionflower and Linden are also pacifying (bind or engage GABA) Have a nighttime ritual that helps the shen. Consider family bed –The Family Bed: An Age Old Concept in Child Rearing Night crying -Robert Helmer, D.TCM http://www.bluepoppy.com/cfwebstorefb/index.cfm/fuseaction/feature.display/feature_id/1107/index.cfm

In Chinese medicine, pediatric night-crying covers several different conditions as categorized by modern Western medicine. In infants, it corresponds to colic. However, in older children, it corresponds to separation anxiety, nightmares, sleep terrors, and other such psychological disturbances. – See computer notes