Pediatric+Food+Stagnation

=Food stagnation (Ji Zhi) and Anorexia – lack of appetite=

Milk and Food Stagnation
Poor appetite, abdominal bloating, belching up old food, irregular bowel movements, irritability, excessive crying, possible fever, recent change of food, Sallow complexion, and emaciation, restlessness, poor sleeping, abdominal pain , scanty, yellow urine, smelly stools or loose stools. T: red, greasy coat P: Slippery and rapid Xiao Ru Wan (for milk stagnation): Sha Ren, Shen Qu, Mai Ya, Xiang Fu, Chen Pi Mu Xiang Da An Wan (Food Stagnation): Shan Zha, Mai Ya, Shen Qu, Lai Fu Zi, Sha Ren, Zhi Shi, Mu Xiang - Auklandia, Chen Pi, Huang Qin, Bai Zhu

Spleen xu with Food Stagnation Sallow complexion, lassitude, poor sleep, poor appetite, abdominal distention, but pressing-like sensation, vomiting, loose stool. T: Pale with greasy coat P: deep and slippery Jian Pi Wan : Dang shen, Bai Zhu, Shan Zha, Shen Qu, Mai Ya, Zhi Shi, Chen Pi

Si Feng, CV12, St36, St25, Sp6, Bl20, 21 Tui Nah

Excess Type - painful, crying, aggravated by pressure P/T-promote digestion and remove stagnation Differentiate if hot or cold Deficiency Type - tired child, ameliorated by pressure -tonify deficiency of spleen, stomach and promote digestion Food Retention - Bao He Wan or Xiao Ru Wan Spleen Deficiency - Jian Pi Wan

Heat Colic: Bao He Wan: Shan Zha - cratagus, Shen Qu –Massa, Lai Fu Zi – Raphani seed, Chen Pi, Ban Xia – Pinellia, Fu Ling, Lian Qiao – Forsythia, Can Add Mai Ya - barley sprout

Cold Colic: Xiao Jian Zhong Tang and Li Zhong Tang: Yi Tang -Maltose, Ren Shen, Bai Zhu, Gui Zhi, Bai Shao, Fried Gan Cao, Gan Jiang, Da Zao

Belly rubs – tui nah

=Anorexia - Yan Shu - Chronic= Deficient appetite with a dislike of eating (1-6years of age) (Shatavari –asparagus root – failure to thrive)

Differentiate Anorexia with: Food Retention - more belching, irregular BM and Bloating Zhu Sha - dislike of food during hot and damp summer

Spleen and Stomach Disharmony
poor appetite with possible bloating after a forced eating with no other major symptoms. Rx- Tiao Pi San or Xiang Sha Jun Zi Tang plus: Dang Shen, Bai Zhu, Fu Ling, Ban Xia, Chen Pi, Mu Xiang – Auklandia, Sha Ren – Amomi, Gan Cao, Shan Yao - Diosc

Spleen And Stomach Qi Deficiency
yellow dull complexion, soft stool, fatigue Xiang Sha Liu Jun Zi Tang Jia Wei -Dang Shen, Bai Zhu, Fu Ling, Ban Xia, Chen Pi, Mu Xiang - amomi, Sha Ren, Gan Cao, Shan Yao -dioscorea or -Shen Ling Bai Zhu San With Sweating - Huang Qi, Fang Feng With Greasy Tongue Coating - Cang Zhu With Bloating (-Gan Cao) + regulating Qi herbs (ie-Mu Xiang, Xiang Fu) With Soft Stool -Wei Jiang -roasted ginger, Rou Dou Kou
 * Modifications:**

Stomach Yin Deficiency
dry mouth, scanty tongue coating, dry stool, thirsty Rx-Yang Wei Zheng Jin Tang – Shi Hu – Dendrobium, Wu Mei – Mume, Bei Sha Shen – Glehnia, Yu Zhu Polygonati Odora, Bai Shao, Gan Cao

Watch diet!! - no rich, sweet, greasy foods and create fixed times for each meal and eat the same quantity at each sitting. No junk food!!!


 * Acupuncture:** St36, CV8…