Anorexia is a common condition in which children lose their appetite or even refuse to eat for a longer period of time. The disease is common in children aged 1 to 6 years. If the anorexia lasts for a long time, it will affect the normal growth of height and weight of children and is called anorexia nervosa. Anorexia nervosa is more common in urban children because they eat refined food rather than mixed food almost every day, so the function of the gastrointestinal tract is not as developed as in rural children, and there are also deviations in nutrient absorption, such as zinc deficiency, which can also lead to anorexia nervosa.
Etiology and pathogenesis
1, milk and food is not moderate: the principle of child feeding should be “milk expensive sometimes, food expensive moderate”. No regular diet, no moderation can lead to injury to the spleen and stomach, the absorption and transportation function is weakened, there is a loss of appetite or aversion to milk food.
2, phlegm and dampness breeding: mothers eat too much cold, children are addicted to eating cold melons and fruits, resulting in injury to the spleen and Yang, phlegm and dampness, congestion, affecting the digestive function of the spleen and stomach, and anorexia.
3, worm accumulation injury to the spleen: children with weak spleen and stomach, eating unclean food or the habit of sucking fingers are prone to intestinal worm evidence. Worm accumulation disturbs the qi of the spleen and stomach and affects digestion and absorption, resulting in anorexia.
4.Weakness of spleen and stomach: children are not endowed with enough nutrients and lose nutrients later in life, resulting in weakness of the spleen and stomach, or diseases that extend and damage the spleen and stomach, resulting in anorexia due to a decrease in digestive function.
Clinical manifestations
1. Milk and food congestion: history of injury to milk and food. Injured breastfeeding children vomit milk pieces, sour taste in the mouth, distention and fullness in the abdomen, sour and foul stools, red tongue, white greasy coating, smooth pulse. Injured child vomiting sour food residue, abdominal pain and refusal to press, foul stools, white and greasy tongue, slippery pulse, and purple fingerprints.
2.Deficiency of spleen movement: not thinking about eating, or food is tasteless, refusing to eat, thin body, lusterless and pale face, white or thin and greasy tongue coating, strong pulse.
3. Injury to the spleen due to insect accumulation: pale yellow face, muscle wasting, mental disturbance, lack of desire to eat and drink, craving for foreign substances, grinding teeth during sleep, abdominal pain and distension, irregular bowel movements, blue spots on the sclera, white spots on the face, white spots on the lips and mouth, etc.
4. Weakness of the spleen and stomach: mental fatigue, general weakness, not thinking of milk, or refusing to eat, accompanied by physical emaciation, pale face, loose stools or with milk food residue, light tongue, white coating, weak pulse.
Treatment
1.Congestion of milk and food
Treatment principle: Eliminate food and stagnation, eliminate breast milk pills or Mu Xiang Da An Pills.
2.Deficient spleen movement
Treatment principle: harmonizing the spleen and helping the movement of the spleen, Qu Mai Zhu Hao Wan
3.Worm accumulation and injury to the spleen
Treatment principle: strengthen the spleen and expel worms, and make Junzi San or Wu Mei Wan
4. Weakness of the spleen and stomach
Treatment principle: Benefit Qi and strengthen the spleen Ginkgo baijiao san
Acupuncture treatment
Stab the four sutures: take the four sutures point. Puncture with a trigeminal needle to release white mucus, once every other day, 5 times for a course of treatment.
Ear acupuncture: Take the spleen, stomach and small intestine points. Apply pressure with Wang Bu Liuxing seeds, pressing 3 to 4 times daily, alternating between both ears, changing once every 1 to 3 days, 5 times for a course of treatment
Loss of appetite how to self-massage
Introduce six simple massage health care techniques.
1, the palm of one hand and the other hand back overlap, the palm of the hand close to the upper abdomen, appropriate force to do clockwise circular motion half a minute to 1 minute, the upper abdomen has a warm feeling is good.
2, the left thumb along the outer edge of the right thumb, the direction of the root 100 times straight push (the direction must not be wrong).
3, the thumb tip of one hand, pressed on the other hand’s Hegu point (located between the tiger’s mouth, slightly off the recesses of the index finger), from light to heavy pinching for half a minute to 1 minute, alternating between the two hands.
4, the right hand half clenched fist, thumb slightly straight, thumb belly on the point (navel is about four fingers up), appropriate pressure for half a minute to 1 minute.
5, while pressing and rubbing the foot three li point (below the outer knee), the spleen point (about one finger next to the spinous process of the eleventh thoracic vertebra), and the stomach point (about one finger next to the spinous process of the twelfth thoracic vertebra) 30 times each.
6, in the back along the spine several times, and then from the back of the neck to start pinching the skin of the back of the spine to the tailbone from top to bottom; the second time, pinch 3 times after the skin up 1, called pinch 3 lift 1 method. Later alternate, a total of 7 times.
These six massages are applicable to all people, but more effective for children. Massage once in the morning and once in the evening, the massage technique for children should be gentle to prevent damage to the skin. In addition, to find out the cause of poor appetite, if accompanied by other chronic diseases, to seek early medical attention, symptomatic treatment.
Dietary regimen
1. Hawthorn and malt porridge: 6-10 grams each of raw hawthorn and fried malt, 50 grams of round-grained rice. First, decoct water of hawthorn and malt, and then use this water to cook the congee in japonica rice. Add appropriate amount of sugar and take it 1 to 2 times a day for several days.
It is suitable for children with anorexia who do not eat at the breast.
2, anorexia porridge: 10 grams of lotus meat, 30 grams of yam, 10 grams of gorgonian, 10 grams of Shen Qu, 10 grams of malt, 20 grams of lentils, 15 grams of hawthorn, add a little round-grained rice to cook porridge, can strengthen the spleen and eliminate food stagnation. Take it once a day for 3 days. It is suitable for children with anorexia who do not eat at the breast.
3, yam glutinous rice porridge: 30 grams of yam, 50 grams of glutinous rice, cooked into a thick porridge, once a day. Long-term use can achieve the function of strengthening the spleen, suitable for children with weak spleen and stomach type anorexia.
4, lotus seeds porridge: lotus seeds powder or lotus seeds heart 5 grams, glutinous rice 30 grams. First add the right amount of water to boil lotus seeds, after the softness of the glutinous rice, simmering until the lotus seeds are soft and rotten, feel free to eat, and serve for several days. Suitable for children with weak spleen and stomach type anorexia.