Pediatrics Flashcards
sudden convulsion, fever, flushed face, headache, cough, runny nose, red throat, irritability
convulsion: shaking head w/ teeth showing, impairment of consciousness w/ eyes gazing upward, continuous spasm of limbs, clenched jaws, stiff neck, shortness of breath
t: thin yellow coating
p: floating-rapid
infantile index finger vein: green-purple-red in wind level
acute infantile convulsion
exterior evil qi attack
DU 14, Jing Well pts., LI 11, LI 4, LV 3, PC 3, BL 40
alternating red and green facial complexion, unstable sleep, or sleepy w/ inability to wake up, crying after waking up, fever
convulsion: shaking head w/ teeth showing, impairment of consciousness w/ eyes gazing upward, continuous spasm of limbs, clenched jaws, stiff neck, shortness of breath
t: thin white coating
p: deep-thready
infantile index finger vein: green-purplish
acute infantile convulsion
terror attacking
Yin Tang, DU 21, HT 7, KD 1
poor appetite, vomiting, abdominal pain, constipation, phlegm in throat
convulsion: fever, unconsciousness, rattling sounds in throat, abdominal distention, heavy breathing, continuous spasm of limbs, clenched jaws, stiff neck
t: yellow thick greasy coating
p: wiry-slippery
infantile index finger vein: green-purple-red; thick
acute infantile convulsion
phlegm-heat accumulation
DU 26, RN 12, ST 40, HT 7, LV 3, Si Feng
soreness and swelling in parotid region, pressure pain, elasticity while pressing, not much redness, difficulty opening mouth and chewing, mild fever, aversion to cold, red throat
t: red tip w/ thin white coating
p: floating-rapid
mumps
warm-toxin attacking superficials (wind-heat)
ST 6, SJ 17, SJ 5, LI 4, SJ 1, SJ 3
severe pain and swelling in parotid region, refuse to be pressed, difficulty opening mouth and chewing, high fever, headache, irritability, painful and swollen throat, constipation, yellow scanty urine
t: red w/ yellow greasy coating
p: wiry-rapid or slippery-rapid
mumps
toxic heat accumulation
DU 14, LI 11, LI 4, SJ 3, GB 41, ST 6, SJ 17, ST 44
severe pain and swelling in parotid region, refuse to be pressed, difficulty opening mouth and chewing, high fever, headache, irritability, fatigue, stiff neck, vomiting, spasm of limbs, or even coma
t: crimson w/ dry yellow coating
p: overflowing-rapid
mumps
toxic heat trapped in HT and LV (heat in blood level)
DU 20, DU 26, LV 2, PC 8, Shi Xuan
pain and swelling in parotid region, fever, irritability, bitter taste and dry mouth, lower abdominal pain, swollen and painful testes
t: red w/ yellow coating
p: wiry-rapid
mumps
toxic-warm stagnation in LV meridian
LV 1, LV 3, GB 41, LV 8, ST 29, DU 14, LI 11, LI 4, SJ 3, GB 41, ST 6, SJ 17
aversion to cold, mild fever, cough, sneezing, runny nose; symptoms better after 3 days, but cough gets worse
wind-heat: slight aversion to heat, sneezing, gradually worse at night, sore throat, yellow phlegm, not easily spat out
wind-cold: white profuse phlegm
whooping cough initial stage (1-2 weeks, superficial)
BL 12, LI 4, LU 7, ST 40
dry, irritating cough that evolves into coughing spells, child may turn red or purple during coughing spell, after coughing spell child may make characteristic whooping sound when breathing in or may vomit; spasm may happen more than 10 times a day, worse at night; nose bleeding, tongue ulcer, swollen tongue, reddish and swollen eyes, blood in phlegm
t: red w/ yellow-greasy coating
p: slippery-rapid
whooping cough spasm stage (2-6 weeks)
BL 12, BL 13, LU 5, LU 6, ST 36, ST 40
weak cough
LU-SP qi xu: fatigue, weak body, pale-white puffy face, shortness of breath, low voice, poor appetite, loose stool
t: pale w/ white coating
p: weak-thready
LU yin xu: dry cough w/o phlegm, irritability, insomnia, red cheeks, night sweat, five centre heat
t: red w/o coating
p: weak, thready, rapid
whooping cough recovery stage (2 months)
BL 13, LU 9, ST 36, KD 3, SP 6
weight loss (15% less than normal weight), sallow yellow complexion, poor appetite, or eating a lot w/ frequent bowel movements, alternating loose or dry stools, low energy, bad temper
t: greasy coating
p: thready-slippery
malnutrition initial stage (SP-ST xu), qi stage
RN 12, LV 13, BL 20, BL 21, ST 36, SP 4, Si Feng
obvious weight loss (25% less than normal weight), distended belly, visible veins on belly, sallow yellow complexion, sparse hair, irritability, poor appetite, grinding teeth, anorexia, eating mud, raw rice, etc.
t: pale w/ light yellow greasy coating
p: soggy, thready, slippery
malnutrition middle stage (SP-ST xu w/ food retention), stagnant stage
RN 17, RN 12, ST 25, Bai Chong Wo, ST 36, LV 13, RN 6
severe weight loss (40% less than normal weight), wrinkly, dry, squamous skin, severe fatigue, no power to cry, crying w/o tears, limb edema, bruises on skin, nose/gum bleeding
t: pale w/ little or no coating
p: weak
malnutrition late stage (qi-yin-blood xu), dryness stage
BL 17, BL 18, BL 20, BL 23, RN 4, ST 36, SP 6, Si Feng
bedwetting 1-2x per night, pale complexion, low energy, frequent and profuse day time urination, feeling of cold
t: pale w/ white coating
p: deep-weak
enuresis
KD qi xu
RN 3, RN 4, BL 23, BL 28, SP 6
bedwetting, frequent, small amount of daytime urination, pale complexion, shortness of breath, weak appetite, weak limbs, poor digestion
t: pale
p: soggy, deep
enuresis
LU-SP qi xu
RN 6, LU 9, ST 36, SP 6
yellow facial complexion, lack of lustre, irritability, crying a lot, unstable sleep, poor appetite, abdominal bloating, loose stool w/ sour foul smell; or constipation, yellow or turbid urine, low grade fever
t: red w/ greasy coating
p: slippery-rapid
infantile index finger: purplish, stagnant
infantile indigestion food retention (first stage)
RN 12, ST 21, ST 25, RN 6, ST 36, Li Nei Ting
sallow yellow facial complexion, slim body, fatigue, unstable sleep, poor appetite, abdominal bloating, preference to lie down, loose stool
t: pale red or pale w/ white greasy coating
p: slippery, thready
infantile index finger: pale, stagnant
infantile indigestion
SP xu w/ food retention (second stage)
RN 10, BL 20, BL 21, ST 36, SP 3, Si Feng
inability to move limbs, tight tendons, limited range of motion, delayed development, delayed standing, walking, and teeth generation, cognitive delay
t: red
p: wiry or wiry-thready
infantile index finger vein: purplish, stagnant
infantile cerebral palsy
LV-KD xu (stiff-type paralysis)
DU 20, DU 16, DU 12, Si Shen Cong, BL 18, BL 23, ST 36, SP 6, GB 39, GB 34
inability to move limbs, delayed development, weak muscles, inability to chew well, open mouth w/ tongue sticking out, salivation, pale yellow facial complexion, cognitive delay, cold limbs
t: pale
p: deep, weak, thready
infantile index finger vein: pale
infantile cerebral palsy
SP-ST xu
DU 20, Si Shen Cong, LI 11, SJ 5, RN 12, RN 4, ST 36, SP 6
delayed intelligence, bad temper, inability to listen or sit still
t: red, dry
p: thready, rapid
restless syndrome/ADHD
KD xu w/ LV hyperactivity
Si Shen Cong, BL 18, DU 4, RN 4, SP 6
unstable mind, inability to concentrate, slim body, poor appetite, pale yellow facial complexion, weak will-power, indecision, easily distracted
t: pale w/ thin white coating
p: weak or wiry-thready
restless syndrome/ADHD
SP xu w/ LV hyperactivity
Si Shen Cong, BL 15, BL 20, PC 6, HT 7, SP 6, SP 3