Infantilc malnutrition/diarrhea

Question 1

Cause of infant malnutrition

Answer 1

1. irregular diet
   Improper diet, improper nursing
2. Chronic disease:
   Digestive tract disease
   Wrong treatment with high amount of antibiotics, can impact future health
   after use can take up for 3 months to recover
3. Constitutional disease
   Premature labour, multiple labours, retardation of development

Question 2

Why should we differentiate Shen?

Answer 2

Normal Shen - Sp working well
Listlessness, - Blood fail to nourish the heart
Irritable, hyper, crying all the time - Excess in the liver
Listlessness, SOB, unwilling to speak - essence, Qi damage,
Differentiate appetite 1. Poor appetite: Sp/St Def
2. No Appetite: St Qi Depletion

Question 3

POT of infant malnutritiom

Answer 3

Strength Sp/St, disperse accumulation

Question 4

Basic points for infant malnutrition and which meridian would you use?

Answer 4

Ren, Sp and St meridian + BS points 
Si feng (usually left till the end)
Ren 12 moxa 
Ren 10
Ren 13
Pc 6
Sp 3

Question 5

Education for new mothers (infant malnutrition)

Answer 5

Learn the knowledge of how to feed the baby and education the parents
Feeding liquid(soup) - dry foods – vegetables and fruits to eat, less to more
* SI 1 is good for increasing milk flow/lactation/ ear seeds
Pig feet soup to help increase milk flow as well
After about 4-6 months, babies can be introduced to vegetable and working up to meat
Try to teach good eating habits, no picking of foods, or over eating, encourage outdoor eating
Prevent parasites and germs - hand washing
Exposure to sunlight
Encourage breast feeding

Question 6

How would you diagnosis infant malnutrition

Answer 6

a. Emaciation: Small, thin and fragile skin, muscle atrophy, frequently gets sick, diarrhea, pale complexion
b. Subcutaneous fat: use skin folding (belly fat)
- Degree 1: 0.8 - o.4 cm - Mild
- Degree 2: Less than 0.4 cm - Moderate
- Degree 3: no cm - severe

Question 7

List the different stages of infant malnutrition

Answer 7

Early stage (Gan Qi) - Loss weight, but not obvious, spare hair, poor appetite, easily angered, loose stools, constipation, thin white tongue, thin slippery pulse
Middle Stage (Gan Ji) - Loss of weight, more obvious, distended abdomen with protruding umbilicus, sallow complexion, sparse hair, listlessness, poor appetite or eat alot (ji accumulation) irritability, poor sleep, abnormal behaviour ( pick nose, chew nails, eating dirt), soft pulse, crying 
Late Stage (Gan gan) - Loss of muscle, listlessness, crying with weak voice, all muscle atropy, loose stool/constipation, low graded fever, pale tongue with little coating, belly is depressed - SEVERE CASE,
extreme emaciation, dry skin wrinkled like an old man, weak pulse

Question 8

Points based on the 3 stages

Answer 8

Gan Qi: ST 37
Gan Ji: Sifeng, UB 20
Gan Gan: Sp 6 Baichongwo

Question 9

What is the case of infant diarrhea

Answer 9

bacterial infection or non bacterial related to poor digestion

Question 10

Signs of mild and severe diarrhea

Answer 10

mild: less than 10x/day
stools: less than 10ml/kg and depends on body weight

Severe: more than 10x a day
BM more than 10ml/kg includes nausea, vomiting, fever, loss of consciousness, dehydration (moderate-severe)

Question 11

Patterns for Infant diarrhea

Answer 11

1. Food retention
2. W-C invasion
3. D-H (bad diarrhea with strong smell
4. Sp Deficiency
5. Yang Qi Def

Question 12

POT infant diarrhea

Answer 12

Regulate intestine to stop diarrhea

Question 13

Auricular for infant diarrhea

Answer 13

Sp, St, SI, Sympathetic

Question 14

Moxa points for infant diarrhea

Answer 14

An tian xue
Rn 12, St25, UB 25, St 36
Herbal on umbilicus and change after 24 hours

Question 15

Basic points and points related to infant diarrhea patterns

Answer 15

Basic points: ST 25, LI 4, ST 36, PC 6
Food Retention : Rn 12 or 3 edge needles
Damp heat: UB 25
Sp Def: DU 20
Yang Def: Rn 4
2-3 points, quick withdrawal and even method

Question 16

Sn and Sx of infant malnutrition

Answer 16

Emaciation, little hair, belly distention with distending blue veins, loss of appetite, listlessness, falls ill easily, edema, diarrhea, loose stools