Experience in treating pediatric skin diseases from the heart and spleen theory Song? Qian B “children’s medicine evidence of straightforward” points out: “children are easy to deficiency easy to real, spleen deficiency is not subject to cold and damp, serving cold will produce cold, serving warm will produce heat, when aware of this do not be mistaken”, from the perspective of pathology, pediatric disease spleen deficiency bear the brunt. “Cover the spleen is the origin of the posterior, the source of Qi and blood biochemical, its part for the water each of the sea, so suffer from wet, its genus earth, the root of the twelve. Its potential resides in the central orphan, to irrigate the four sides, injecting four end. Spleen Qi is full, four organs are relying on Xiyu, Spleen Qi is not, four organs can not be self-generated. So the spleen and stomach health, the five viscera and six internal organs to orange nourishment.” Children are in the vigorous stage of growth and development, the nourishment of the spleen is particularly important, and children’s spleen is delicate and often prone to disease, so pediatric diseases must be treated from the spleen. Pediatric skin diseases include: rubella, toddler rash, measles, scarlet fever, infectious erythema, and neonatal exfoliative dermatitis, which are all caused by fire and heat; atopic dermatitis, papular urticaria, and infantile eczema, which are caused by water-dampness flooding the skin due to a loss of spleen health; urticaria, which is caused by a deficiency in spleen qi and a lack of harmony between Ying and Wei; and infantile eczema, neonatal herpes, and neonatal herpetic epidermolysis bullosa, which are caused by damp heat in the heart and spleen. The majority of pediatric skin muscles are closely related to the heart and spleen injury, so treatment should focus on the heart and spleen. The treatment is to clear the heart fire and detoxify the evil, strengthen the spleen qi and transport the dampness to clear the damp heat of the heart and spleen. 3 Treatment from the heart and spleen is an important rule in the treatment of pediatric skin diseases. The 19th article of the “Nei Jing” disease mechanism states that “all pains and itches and sores belong to the heart” and “all dampness and swelling and fullness belong to the spleen”, indicating the importance of treating skin diseases from the heart and spleen. A common symptom of skin diseases is itchiness, which is a skin sensation that produces the desire to scratch and is a psychological change. Itch is a skin sensation that produces the desire to scratch and is a psychological change. “The heart is the master of the mind” indicates that the feeling of itch is mastered by the heart, so itch should be treated from the heart. Another clinical manifestation of dermatosis is water-dampness flooding the skin, followed by papules, blisters, erosions, and oozing, all of which are caused by the inability of the spleen to transport water-dampness or damp-heat in the spleen meridian. Therefore, both the subjective symptoms of skin diseases and the main objective clinical manifestations should be treated from the heart and spleen. 4 The conditioning of pediatric skin diseases should also focus on the heart and spleen skin diseases are prone to recurrence, if properly regulated in the later stages of treatment. Recurrence can be avoided, especially in children with skin diseases need to pay attention to conditioning. The “baby protection summary Lou” in the infant care “tolerate three points of cold, eat seven points of full, frequent belly rub,? To belly warm, cool head, cool heart and chest, all to the theory.” Eat seven points full, frequent belly rubbing, to belly warm, that is to emphasize the care of children should pay attention to solid protection of the spleen, including prevention of dietary injury to the spleen and help the spleen transport, warm the spleen warm spleen to protect the organs; tolerate three points cold, head cold, cold heart and chest, that is to remind us to prevent the heart fire up, so as not to hurt other organs. The care of children is to protect the heart and spleen, so their conditioning should also focus on the heart and spleen. The common prescriptions for pediatric skin diseases (1) Hovenia Artery Adzuki Bean Drink: strengthen the spleen, relieve dampness, eliminate wind and relieve itching, mainly for the treatment of papular urticaria, infantile eczema, etc. Composition: fried hedgehog shell, fried from the atractylodes, sandren (after another package), motherwort, cicada molasses, adzuki bean, thorny mustard, windproof, red peony. In particular, the two main herbs Atractylodes macrocephala and Citrus aurantium, Huang Gongxiu of the Qing dynasty called the former “the first important medicine for the spleen to nourish the qi”. (2) Clearing heat from the four hearts: lotus seed core, forsythia core, gardenia core, lantern core, raw earth, mu tong, light bamboo leaf, licorice tip, carthamus seed, cicada molasses, adzuki bean, scutellaria baicalensis, etc. It is used to clear the heart and direct the redness, strengthen the spleen and resolve dampness to treat fetal heat and remove dampness and toxicity. The formula uses four cores to clear the heart, strengthen the spleen and detoxify the toxin, with raw earth, carthamus tinctorius, light bamboo leaves, red beans, sweet cold and light percolation to dispel dampness; less adjuvant mouton and scutellaria, not only to clear lung heat, but also to lower damp heat, and can prevent the disadvantage of bitter cold to cut the stomach; with cicada molting to dispel wind and permeate evil, leading the medicine to the surface. This formula is mainly used for treating infantile eczema. (3) Lian Qiao Da Qing Tang: Jin Yin Hua, Lian Qiao, Mung Bean Table, Sheng Di, Da Qing Ye, Burdock, Dan Pi, Licorice, Thornbush, Peppermint. Clearing the heart and detoxifying the toxin, promoting the lung and penetrating the rash. In this formula, Shengdi, Dampi, Forsythia, Big Green Leaf and Green DouYi clear the heart fire and detoxify the poisonous evil; with honeysuckle, burdock, thorny mustard and peppermint to propagate the lung and permeate the rash. It is used to treat various kinds of pediatric skin diseases caused by poisonous evil, such as rubella, infantile emergency rash, measles, infectious erythema, toxic erythema, etc. (4) Change Tong Diarrhea Yellow San: Huo Xiang, Perilla, Fang Feng, Jiao Shan Gardenia, raw gypsum, Licorice, Scutellaria, Safflower, Ling Xiao Hua, fried Sophora, Sheng Ma. It can clear the fire in the spleen and stomach. Indicating perioral dermatitis and seborrheic eczema in infants and young children. (5) Bai Hu Tang (加味白虎湯): Bai Hu Tang with mung bean paste and sage to clear the heart and benefit the qi, and deng xin and light bamboo leaves to diarrhea the fire in the heart (one main to reach heat out of the surface, the other main to lightly permeate and clear the interior). It is used to treat skin diseases such as summer dermatitis and prickly heat in children.