Anorexia is characterized by a longer period of loss of appetite, lack of desire to see food, reduced food intake, aversion to eating, and even refusal to eat.
1.The main points of diagnosis are.
(1) loss of appetite, reduced food intake, distension of the stomach and abdomen after eating, nausea and vomiting in the morning, or abdominal pain, dry and thin stools, and other symptoms lasting for more than 2 months.
(2) The body is thin, but the weight is more than 90% of the normal average, there may be less flushed face, dry hair and less moist, but the spirit is still good and the activity is as usual.
(3) Exclude chronic enteritis, myocarditis, hepatitis, gastritis, nephritis, tuberculosis and other diseases and loss of appetite due to drug factors.
(4) Low trace elements such as zinc and copper as seen in blood or hair laboratory tests.
(5) A history of improper feeding, dietary disorders, dietary partiality, or a history of post-illness physical weakness and loss of conditioning.
2, the main causes of anorexia are.
(1) improper feeding, mainly because parents are afraid of their children losing at the starting line, one-sidedly giving high nutrition or tonic food, encouraging or even forcing children to eat, exceeding the child’s digestive capacity, and weakening digestive function over time.
(2) Disorders after illness, especially diarrhea, pneumonia, repeated respiratory infections, etc., which deplete qi and yin and cause malfunction of the spleen and stomach to receive and transport.
(3) Congenital deficiencies, such as multiple births, premature babies, low birth weight babies, etc., resulting in weakness of the spleen and stomach.
(4) Capricious and obstinate, spoiled and spoiled, irregular food, lack of regularity, wantonness and snacking, resulting in damage to the spleen and stomach.
(5) Psychological factors, some parents often criticize their children at the dinner table, causing them to lose their appetite; other children are influenced by their parents’ weight loss and slimming, afraid to eat, afraid of gaining weight, so they become anorexic and refuse to eat. The stomach is the main receiver and the spleen is the main transporter. Whatever the cause, it leads to dysfunction of the spleen and stomach, which affects the receipt and transport of food and drink, thus causing anorexia.
3.There are many ways to prevent and control anorexia.
(1) Find out the cause of anorexia and take targeted measures. Parents should master the correct feeding methods, according to the age of children to give a variety of easily digestible food, correct bad eating habits, less fatty, sweet and thick-tasting food, do not force children to eat; pay attention to spiritual care, so that children have a good mood, enhance appetite, do not criticize children at the dinner table.
(2) Stomach like as a tonic, first induce appetite with the child’s favorite food, and then replenish according to the needs of growth and development.
(3) Modern research suggests that anorexia is related to the lack of trace elements such as zinc in the body, and that zinc supplementation therapy is partially effective.
(4) Tui na pinch accumulation therapy and ear point pressure bean therapy also have certain effects.
The basic principle of TCM treatment for anorexia is to regulate the spleen and stomach, because the spleen is healthy, it is more expensive to transport than to supplement, so the main focus is to strengthen the spleen and help transport, commonly used Cang Zhu, Cardamom, Citrus Aurantium, Chen Pi, Huo Xiang, Sha Ren, Calamus and other drugs to regulate the qi, transport the spleen and open the stomach, on the one hand, Chinese medicine itself is rich in zinc and other trace elements, on the other hand, Chinese medicine can adjust the digestive function of the spleen and stomach.
4.Treatment according to clinical manifestations.
(1) No other symptoms except loss of appetite and lack of desire for milk, if the food accumulates but does not dissolve and the stomach and abdomen are full, most of them are due to loss of spleen health, spleen and stomach disharmony, so we often use Tune Spleen San and Qu Mai Citrus Pill with addition and subtraction, or use Jian Gastric San to transport the spleen and stomach, and open the stomach to eat.
(2) Those with loss of appetite, reduced food intake, loose stools, or undigested food residues, or lack of energy, withered complexion, and easy sweating, mostly belong to deficiency of spleen and stomach qi, and are often treated with Isogong San, Ginseng and Atractylodes San, and Pediatric Qi Spleen Pill with addition or subtraction, or with Pediatric Tune the Stomach San to strengthen the spleen and benefit the qi, and appetite.
(3) Loss of appetite, stuffiness in the chest and epigastrium, nausea and vomiting, or loose stools, heavy limbs and laziness, white and thick tongue coating, mostly belong to phlegm and dampness obstruction, and Qi is not smooth, commonly used Xiang Sha Ping Gastric San, Wu Jia Min Zheng Qi San to resolve dampness and move Qi, to open the stomach to eat.
(4) Those with Yin deficiency, or those suffering from fever and injuring Yin for a long time, not wanting to eat, or eating less and drinking more, with red tongue and less fluid, with flaking tongue, less or no moss, mostly belong to Yin deficiency of the spleen and stomach, commonly used to nourish the stomach and increase liquid soup, Yi stomach soup plus or minus to generate fluid and nourish Yin, to open the stomach and eat.
(5) Those with heat offending the stomach, over-eating spicy food, eating fatty and sweet meat, loss of appetite, reduced food intake, dry stools, and red tongue with thick yellow coating are mostly suffering from heat in the stomach, and are often treated with Qian Jin Di Huang Wan and Lian Ru Ping Gastric San plus or minus to clear stomach heat and appetite.