Such children generally develop well, and defecation is often difficult to solve, which is time-consuming and laborious. There is fresh blood on the surface of anal fissure occasionally. Because the children are young, parents dare not use rhubarb, senna and other conventional bitter and cold laxatives, so when there is no choice, they should use Kaisailu or seek Chinese medicine treatment.
The author thinks that most of these patients are depressed liver and spleen deficiency, irritable, and even love to hit and bite, hyperactive and sweaty. They often have fever in their palms, loss of appetite at first, loss of appetite after constipation, and parents are afraid of malnutrition after loss of appetite, which increases protein's diet. Such a vicious circle leads to intractable diseases, double diet, injury to the spleen and stomach, which will lead to weakness of the spleen and stomach and even malnutrition for a long time. The author often uses Xiaochaihu decoction to treat it, and often gets good results.
Treating constipation with Jiawei Xiaochaihu decoction is inspired by the provisions of Xiaochaihu decoction in synopsis of the golden chamber. It is recorded in synopsis of the golden chamber: Twenty-one syndromes and treatments for postpartum diseases of women: "The puerpera is depressed, unable to eat with weak pulse, and has a firm stool, but her head is sweating, so if so, she will faint due to blood deficiency. If you want to solve your own problems, you have to sweat. Syncope due to blood deficiency, solitary yang ascending, so head sweating. Therefore, pregnant women like sweating, while yin and blood are deficient and yang is full, so yin and yang are complicated when sweating. Xiaochaihu decoction is the main prescription for hard stool and vomiting. 」
In the original text, this prescription is intended to treat constipation caused by postpartum hemorrhage and sweating and loss of body fluid. However, constipation children, due to excessive intake of high protein, lead to excessive calories, frequent sweating, excessive exercise, excessive sweating, stagnation of body fluid, leading to stomach dryness, which can be treated with Xiaochaihu Decoction.
Case 1: Xiong, male, 3 years old. I went to see a doctor on April 7, 20 15. Her mother said that the child's appetite has increased greatly recently, and then the stool becomes dry, like sheep manure, once every two days, without abdominal pain, abdominal distension and vomiting, normal urination, dry nasal cavity, occasional nosebleeds, normal tongue coating and heavy pulse.
Prescription: Bupleurum chinense 10g, Glehnia littoralis 10g, Scutellaria baicalensis 3g, Pinellia ternata 6g, Radix Glycyrrhizae Preparata 3g, candied dates 30g, Ginger 1g, Fructus Trichosanthis 10g, Fructus Aurantii Immaturus 10g, Radix Paeoniae Alba/kloc. Five doses.
After taking the medicine, the stool formed smoothly that night. After taking five doses, the stool was no longer dry, and he was told to control the intake of high protein, and the diet should be mixed with meat and vegetables.
Case 2: Lu Mou, male, 1 year and 6 months. 2015101October 5. Parents describe the child's long-term dry stool, such as sheep dung, bad temper, excessive sweating but not thirst, normal urination, red tongue and thin white fur, and purple fingerprints.
Prescription: Bupleurum chinense 10g, Scutellaria baicalensis 6g, Pinellia ternata 10g, Codonopsis pilosula 6g, Fructus Aurantii Immaturus 10g, Radix Paeoniae Alba 10g, Radix Glycyrrhizae 3g, Fructus Jujubae 6g, and Rhizoma Zingiberis Recens1g. Three doses.
The defecation was smooth after returning to take the medicine, and normal after stopping taking the medicine. I asked to stop taking drugs for observation and then carry out health education.