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Pediatrics > Poor Appetite (Yan Shi) > Flashcards

Poor Appetite (Yan Shi) Flashcards

1
Q

Poor appetite is also known as what?

What organ location?

A

Aversion to food

Spleen

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2
Q

What age is it mostly seen in children? What season? What can it lead to?

A

Age: 1-6 years old
Season: Summer Heat and summer season
Lead to: malnutrition, development disorders

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3
Q

What are characteristics or clinical manifestations of Summer Heat?

A
  • Yang Pathogen
  • Occurs in summer or in tropical countries
  • Extremely hot nature
  • Damages body fluids
  • Easily combines with dampness
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4
Q

What are the main signs and symptoms of Summer Heat?

A
  • Fatigue
  • Fever
  • Lack of appetite
  • Sweating
  • Thirst or no thirst if too much damp
  • Yellow urine
  • Tongue: red with yellow coat
  • Pulse: floating, rapid, slippery
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5
Q

What are four patterns for Exterior Summer Heat Invasion?

A
  1. Summer-heat Damaging Qi and Body Fluids
  2. External Summer-heat Damp Syndrome
  3. Summer-heat Invading Pericardium Causing Cloudy Mind
  4. Summer-heat affecting Flow of Qi Mechanism
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6
Q

Summer Heat damaging Qi and BF unique S/S?

A
  • Aversion to heat
  • Desire to drink
  • Fatigue
  • Profuse sweating
  • Scanty dark urine
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7
Q

External Summer Heat Damp syndrome unique S/S?

A
  • Tiredness
  • Thick yellow or white fur
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8
Q

Summer Heat Invading PC and Clouding Mind unique S/S

A
  • Affects the mind
  • Cold limbs
  • Cramps
  • Fainting/Syncope
  • Liver wind
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9
Q

Summer Heat Affecting Qi Flow Mechanism uniqe S/S

A
  • Chest distress
  • Lack of appetite
  • Nausea
  • Vomit
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10
Q

Main symptoms of poor appetite?

A
  1. Abdominal distention
  2. Aversion to food
  3. Belching
  4. Foul smell
  5. Nausea
  6. Pale complexion
  7. Weakness
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11
Q

Pathogeny/Pathogenesis for poor appetite

A
  1. Emotions
  2. Poor diet
  3. Poor pre-heavenly essence
  4. Spleen damage
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12
Q

Differential diagnosis and things to watch for?

A
  • Anemia
  • Anorexia nervosa
  • Constipation
  • Depression
  • Medication
  • Sickness
  • Slow growth rate
  • Stress
  • Worms
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13
Q

What are the three main patterns for poor appetite (not counting Summer-heat ones)?

A
  1. Spleen Dysfunction in T & T
  2. Stomach Yin Deficiency
  3. Spleen and Stomach Qi Deficiency
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14
Q

Main principle for poor appetite?

A

Awaken the Spleen
Regulate the Stomach Qi

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15
Q

Spleen Dysfunction in Transformation and Transportation S/S

A
  • Poor appetite
  • Aversion to eating
  • Belching
  • Distention
  • Inconsistent defecation
  • Nausea
  • Normal physique
  • No taste for food
  • Occasional binge eating
  • Tongue: pale with thin white or thin greasy coat
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16
Q

SP Dysfunction in T & T
TXP and Formula

A

TXP:
Harmonize Spleen and Stomach
Boost Spleen to increase appetite

Formula:
Bu Huan Jin Zheng Qi San
Rectify the Qi Powder Worth More Than Gold

17
Q

Bu Huan Jin Zheng Qi San ingredients and fx

A
  1. Cang Zhu (Atractylodes) Strongly dry damp, Tonify Spleen
  2. Chen Pi (Tangerine Peel)
  3. Hou Po (Magnolia bark) Movement of Qi down, Drain damp, Transform phlegm
  4. Huo Xiang (Patchouli) Aromatically transform damp, Release ext, Transform turbidity
  5. Pei Lan (Eupatorium) Aromatically transform damp
  6. Shen Qu (Massa) Relieve food stagnation, grains
  7. Mai Ya (Barley sprouts) Relieve food stagnation
  8. Zhi Ke (Bitter Orange) Regulate Qi, Remove stagnated food
18
Q

Acupuncture points for SP Dysfunction in T & T

A
  1. ST36
  2. SP6
  3. SP9
  4. BL20
19
Q

Stomach Yin Deficiency S/S

A
  • Poor appetite, no desire to eat
  • Constipation
  • Dry mouth with thirst
  • Dry skin
  • Dry stool
  • Five palm heat
  • Infrequent urination
  • Irritable
  • Poor sleep
  • Yellow urine
  • Tongue: slightly red and dry or peeled coat
  • Pulse: thready
20
Q

Stomach Yin Xu
TXP and Formula

A

TXP:
- Nourish Yin
- Boost Stomach
- Increase T & T

Formula:
Yang Wei Zeng Ye Tang modified
Nourish Stomach and Fluid Decoction

21
Q

Yang Wei Zeng Ye Tang with modifications ingredients and fx

A
  1. Bai Shao (White Peony) Preserve Yin, Nourish blood
  2. Gu Ya (Rice Sprouts) Reduce food stagnation, Promote digestion, Strengthen SP, Encourage appetite
  3. Mai Men Dong (Ophiopogon) Nourish ST and LU Yin, Generate fluid
  4. Sha Shen (Glehnia) Nourish Yin (ST, LU, KI)
  5. Shi Hu (Dendrobium) Nourish Yin, Clear heat, Generate fluid, Tonify KI, Augment Jing
  6. Wu Mei (Mume fruit) Astringe, Generate fluid, alleviate thirst
  7. Xiang Yuan
  8. Yu Zhu
22
Q

Acupuncture points for Stomach Yin Xu poor appetite?

A
  1. ST36
  2. SP6
  3. BL20
  4. BL21
23
Q

Spleen and Stomach Qi Deficiency S/S

A
  • Poor appetite with less eating
  • Emaciation (slight)
  • Profuse defecation with undigested food
  • Reluctance to talk
  • Sallow complexion
  • Tongue: pale with thin white coat
  • Pulse: slow, weak
24
Q

SP/ST Qi Xu
TXP and Formula

A

TXP:
- Fortify Spleen
- Boost Qi
- Promote T & T

Formula: Yi Gong San (Extraordinary Merit Powder) with Chai Hu and Bai Shao

25
Q

Yi Gong San
ingredients and fx

A
26
Q

Acupuncture points for SP/ST Qi Xu poor appetite

A
  1. ST36
  2. SP6
  3. SP9
  4. PC6
  5. CV12

Pediatrics (12 decks)

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