Chinese medicine evidence-based care of pediatric diarrhea

  Pediatric diarrhea is a group of diseases caused by multiple pathogens and factors, mainly diarrhea. It is mainly characterized by an increase in the number of stools and a change in their nature, and may be accompanied by symptoms such as fever, vomiting, abdominal pain and different degrees of disturbances in water, electrolyte and acid-base balance. The careful care of mothers is also very important, the following we introduce several pediatric diarrhea evidence-based care methods.  1, wounded food diarrhea main symptoms slight fever or no fever, nausea, do not think of food, vomiting milk lumps, diarrhea not many times, yellow-green watery stool or with milk lumps stool, sour odor, abdominal distension, exhaust foul smell, tongue coating white or yellow thick greasy, smooth pulse, fingerprints sunk.  Care measures: ① Strict control of diet. Fasting for about 6~12 hours, diarrhea improves, can enter thin rice soup or coke rice thin gruel. Avoid oil and cold fruits and vegetables. ②According to the different wounded food can be given with a single Chinese medicine decoction to help digestion. For meat, 15 grams of water decoction of jiao hawthorn; for pasta, 10 grams of fried lycopodium and 15 grams of malt decoction of water; for milk, 15 grams of malt decoction of water; for cereal, 10 grams of each of hen’s nest, Shen Qu and grain bud decoction of water. ③ abdominal pain, abdominal distension cited massage method. With the palm from the right lower abdomen, right upper abdomen, left upper abdomen, left lower abdomen in clockwise rotation for abdominal massage for about 5 ~ 10 minutes, the technique should be light, in order to induce anal exhaust and reduce abdominal distension pain.  2, wind-cold diarrhea main symptoms stool thin as duck dung or more foam, light yellow or green, odor is not very, diarrhea more than 10 times a day, intestinal tinnitus, abdominal pain with low fever, a little cough, mouth is not thirsty, tongue coating white moist, pulse floating, fingerprints purple stagnant.  Care measures: ① Avoid wind and cold, the temperature should not be too high when using hot water bags to keep warm, to prevent burns on the skin. For those who have more than diarrhea, use moxibustion for the umbilicus. ②Eating a simple and clean diet, avoid cold fruits and vegetables. It is advisable to feed hot rice soup, thin porridge, boiled pasta and other fluid or semi-juice diet, and can be used ginger 3 grams, brown sugar 6 grams decoction to warm the middle and disperse the cold, stop diarrhea and vomiting. ③If accompanied by wind cough fever external sensation, should rest in bed and use moxibustion Shen Que point.  3, damp-heat diarrhea The main symptoms are frequent diarrhea, egg-flower-like watery stool, more than 10 times a day, urgent diarrhea, vomiting, high fever, thirst, mental irritability or depression, little yellow urine, red tongue, thin yellow greasy tongue coating, slippery pulse, blue and purple fingerprints.  Nursing measures: ① closely observe the stool properties, frequency, pay attention to the child’s demeanor and expression, water intake and urine. ②If diarrhea and vomiting are present at the beginning, fasting should be done, and the duration of fasting should be determined according to the severity of the disease, not exceeding 2 days at the longest. ③ diarrhea, high fever, dampness and excessive loss of yang, resulting in fire into the camp, body temperature of 39.5 degrees Celsius or more, available 35% alcohol bath, and acupuncture Hegu, Shaoshang, Dazhi, Quchi points. For those with strong heat, use water acupuncture such as Chai Hu to inject Quchi or He Gu points in appropriate amounts; for diarrhea, use vitamin B1 to inject bilateral foot San Li or Tianshu points; for vomiting, acupuncture Neiguan points. Thirst induced drinking, with light tea, light salt soup, orange water or ginger 2 grams, salt 4 ~ 5 grams, green tea 5 grams decoction into oral liquid 500 ml drink in lieu of tea.  4, spleen deficiency diarrhea The main symptoms are thin and weak, pale yellow face, loose skin, mental fatigue, sleepy and lazy, spontaneous sweating or night sweating, reduced milk food, loose stools or milk food does not dissolve more residue, pale lips and tongue, fat tongue, thin white tongue coating or less coating, thin and weak pulse, light fingerprints.  Care measures: ① strengthen dietary care, eat thin rice, rotten noodles, less oil and meat, take coix seeds, yam, lentils, red dates simmering porridge, preferably hot, soft, a small number of meals to eat, should not be too full. Pay attention to abdominal warmth and avoid wind and cold. ③If the diarrhea does not heal for a long time, cooperate with acupuncture and massage. Acupuncture, Tianshu, Qihai, Yanglingquan, add moxibustion after removing the needles, push and carry the abdomen, diarrhea of the large intestine, replenish the spleen and earth, transport earth into water, 1~2 days for a course of treatment.