If a child has symptoms of vomiting, the first thing to do is to find out the cause. There are many reasons for a child to vomit, it may be caused by eating bad food, it may be caused by wind-heat, or it may be caused by stomach cold. Different causes require different treatment methods. ① Vomiting due to food poisoning: Children have small and weak stomachs. If they are not fed properly, eat too much milk or milk, or eat too quickly, older children will eat too much raw, cold, greasy and other difficult to digest food, which will accumulate in the stomach and cause congestion in the middle burner. As a result, the stomach cannot accept the food, the spleen cannot function properly, and the ascending and descending qi mechanisms are disordered, so the qi goes up and vomits. Main symptoms: Vomitus is mostly sour and smelly milk lumps or undigested food, no appetite for milk and food, foul breath, abdominal distension, feeling relieved after vomiting, constipation or sour and smelly diarrhea, red tongue, thick and greasy tongue coating, slippery, rapid and strong pulse. Treatment principle: Digest food, relieve stagnation, harmonize the stomach and reduce reflux. Prescription: Baohe Pills with modifications. Commonly used medicines: Patchouli, tangerine peel, Jiao Sanxian, Amomum villosum, radish seed, Poria cocos, Forsythia suspensa, Pinellia ternata, and ginger. Constipation: add cooked armywood. Irritability: Add Uncaria rhynchophylla and mother of pearl. Abdominal pain: add costus root, white peony root and yanhusuo. ② Vomiting due to exogenous pathogens: due to improper care, the patient may be affected by exogenous pathogens, which may damage the gastrointestinal tract and cause stomach dysfunction and vomiting. A. Wind-heat vomiting: Main symptoms: sudden vomiting with sour and smelly vomitus, accompanied by runny nose, sneezing, aversion to wind and fever, discomfort in the head and body, dry mouth and thirst, red and swollen sore throat, pale red tongue, pale yellow tongue coating, and slippery and rapid pulse. Treatment principle: Soothe wind and relieve exterior symptoms, harmonize the stomach and reduce reflux. Prescription: Yinqiao Powder with modifications. Commonly used medicines: honeysuckle, forsythia, fermented black beans, burdock seeds, mint, platycodon, reed root, pinellia, ginger, and bamboo shavings. Abdominal distension, sour and smelly stool: add Jiao Sanxian and costus root. B. Summer-heat and dampness vomiting: more common in summer. Main symptoms: nausea and vomiting, fever without sweating, headache, nasal congestion, heaviness and drowsiness, chest tightness, aversion to wind and cold or diarrhea and loose stools; pale red tongue with white or light yellow greasy coating, and slippery and rapid pulse. Treatment principle: Clear away heat and relieve exterior symptoms, harmonize the stomach and stop vomiting. Prescription: Huoxiang Zhengqi Powder with modifications. Commonly used medicines: Patchouli, Cymbidium, Tangerine Peel, Talcum, Poria, Honeysuckle, Houttuynia Cordata, Pinellia, and Ginger. High fever: add gypsum and bupleurum. ③ Stomach heat and vomiting: clinical manifestations are acute gastritis. Main symptoms: frequent vomiting, vomiting soon after eating, sour and smelly vomit, dry mouth and thirst, preference for cold drinks, constipation, and yellow urine. The tongue is red with yellow coating, and the pulse is slippery and rapid. Treatment principle: Clear away stomach heat, harmonize the stomach and stop vomiting. Prescription: Modified Weiling Decoction. Commonly used medicines: tangerine peel, pinellia, poria, bamboo shavings, magnolia bark, coptis chinensis, scutellaria baicalensis, and Jiao Sanxian. Severe fever: add Patchouli and Gypsum. Wetness and heaviness: add Liuyi Powder. Abdominal pain: add Toosendan fruit, costusroot, white peony root, and licorice. Constipation: add cooked armywood. ④ Stomach cold and vomiting: equivalent to some chronic gastritis, with a longer course of illness. Main symptoms: Slow onset, long course of illness, vomiting after a long time of eating, or vomiting in the evening after eating in the morning, the vomitus is light, not sour or smelly, pale complexion, mental fatigue, cold limbs, or persistent abdominal pain, loose stools, and clear urine. The tongue is pale with white coating and the pulse is thready and weak. Treatment principle: Warm the middle and dispel cold, harmonize the stomach and reduce counterflow. Prescription: Dingyu Lizhong Decoction with modifications. Commonly used medicines: Codonopsis pilosula, Atractylodes macrocephala, dried ginger, licorice, cloves, Evodia rutaecarpa, tangerine peel, Pinellia ternata, and Poria cocos. Abdominal pain, loose stools, and cold limbs: add cooked aconite, galangal, and cinnamon. |
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