Pediatrics

Question 1

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

Answer 1

acute infantile convulsion
exterior evil qi attack

DU 14, Jing Well pts., LI 11, LI 4, LV 3, PC 3, BL 40

Question 2

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

Answer 2

acute infantile convulsion
terror attacking

Yin Tang, DU 21, HT 7, KD 1

Question 3

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

Answer 3

acute infantile convulsion
phlegm-heat accumulation

DU 26, RN 12, ST 40, HT 7, LV 3, Si Feng

Question 4

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

Answer 4

mumps
warm-toxin attacking superficials (wind-heat)

ST 6, SJ 17, SJ 5, LI 4, SJ 1, SJ 3

Question 5

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

Answer 5

mumps
toxic heat accumulation

DU 14, LI 11, LI 4, SJ 3, GB 41, ST 6, SJ 17, ST 44

Question 6

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

Answer 6

mumps
toxic heat trapped in HT and LV (heat in blood level)

DU 20, DU 26, LV 2, PC 8, Shi Xuan

Question 7

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

Answer 7

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

Question 8

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

Answer 8

whooping cough
initial stage (1-2 weeks, superficial)

BL 12, LI 4, LU 7, ST 40

Question 9

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

Answer 9

whooping cough
spasm stage (2-6 weeks)

BL 12, BL 13, LU 5, LU 6, ST 36, ST 40

Question 10

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

Answer 10

whooping cough
recovery stage (2 months)

BL 13, LU 9, ST 36, KD 3, SP 6

Question 11

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

Answer 11

malnutrition
initial stage (SP-ST xu), qi stage

RN 12, LV 13, BL 20, BL 21, ST 36, SP 4, Si Feng

Question 12

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

Answer 12

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

Question 13

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

Answer 13

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

Question 14

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

Answer 14

enuresis
KD qi xu

RN 3, RN 4, BL 23, BL 28, SP 6

Question 15

bedwetting, frequent, small amount of daytime urination, pale complexion, shortness of breath, weak appetite, weak limbs, poor digestion

t: pale
p: soggy, deep

Answer 15

enuresis
LU-SP qi xu

RN 6, LU 9, ST 36, SP 6

Question 16

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

Answer 16

infantile indigestion
food retention (first stage)

RN 12, ST 21, ST 25, RN 6, ST 36, Li Nei Ting

Question 17

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

Answer 17

infantile indigestion
SP xu w/ food retention (second stage)

RN 10, BL 20, BL 21, ST 36, SP 3, Si Feng

Question 18

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

Answer 18

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

Question 19

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

Answer 19

infantile cerebral palsy
SP-ST xu

DU 20, Si Shen Cong, LI 11, SJ 5, RN 12, RN 4, ST 36, SP 6

Question 20

delayed intelligence, bad temper, inability to listen or sit still

t: red, dry
p: thready, rapid

Answer 20

restless syndrome/ADHD
KD xu w/ LV hyperactivity

Si Shen Cong, BL 18, DU 4, RN 4, SP 6

Question 21

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

Answer 21

restless syndrome/ADHD
SP xu w/ LV hyperactivity

Si Shen Cong, BL 15, BL 20, PC 6, HT 7, SP 6, SP 3