Indispensable for Diasnosis TCM Pediatrics

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Observation of vitality

Vitality is a general term for living activities. In infants, the abundance of spirit, vitality, vigorous, vivid expressions, red complexion, light eyes, even breathing and fast movements usually indicate sufficient qi visceral, harmony between the qi and blood and good health. With such events in mind, even if a disease, the disease is usually superficial and easier to heal with good prognosis. The events of dispiritedness, dull expression, silence, drowsiness or dysphoria, dull eyes, irregular breathing and inflexible movement of the members are all indicating the severity of disease or poor prognosis.
Inspection

Pediatric inspection includes observation of the vitality, facial expression, physical construction, orifices, rash macular, urination, defecation and superficial venules of the index.


   Observation of skin
       
Normal skin of children, regardless of skin color is red and shiny, indicates harmony between the Qi and blood and health. The complexion of the normal newborn child is usually tender and hare. Under morbid conditions, the complexion of children also changes with the nature of the disease.

Reddish complexion
        
Reeddish complexion indicates especially heat syndromes. With the promotion of heat, more blood to face.That is why the color is reddish. Reddish complexion and red eyes, throat and tumescent floating rapid pulse usually means exogenous wind heat syndrome. If reddish complexion accompanied by high fever, thirst and urine brownish often indicates excessive internal heat. Red cheeks in the afternoon accompanied by fever and night sweating tide are signs of internal heat due to yin asthenia, cheeks bright red, while children with severe illness accompanied by pale, cold and Member of cold sweating indicate the critical deficit yang floating upwards.
Sallow
      
Sallow indicates asthenia syndromes and humidity due to failure of the spleen to transform asthenic humidity and moist heat of liquid or vapor liver and gallbladder. The complexion accompanied by emaciation, poor appetite and abdominal distension of ten means asthenia of spleen and stomach qi: bright yellow skin and eyes often indicates yang jaundice due to damp heat of the steam sallow dull yin indicates generally due to jaundice stagnation of cold and wet.

  
Whitish complexion

Whitish complexion indicates the coldest and most often asthenic syndromes caused by stagnation of cold in the vessels, the inactivation of qi and blood, and asthenia vessels and meridians. In early stage disease exogenous events pale complexion, cold limbs, and anhidrosis indicate the floating voltage pulses superficial cold syndrome due to attack by exogenous cold. Sudden pallor, accompanied by cold limbs, sweating and indistinct pulse indicate a critical condition of the sudden loss of yang-qi. Pale complexion, lips and nails usually indicate blood asthenia, and his pale complexion often means the overflow of water due to asthenia yang.
     

Bluish skin
      
Bluish skin indicates cold, algesia, seizures and syndromes of blood stasis due to stagnation of the vessels and meridians caused by unsmooth circulation of qi and blood. Other pale and bluish and worried look inside generally indicate cold and abdominal pain: cyanosed lips and complexion accompanied by shortness of ten means stagnation of qi and blood of lung due to a stagnation qi stagnation. Bluish skin tone and dull, especially the area around the nose and lips, often prescient indicates convulsion or seizure of epilepsy.

Swarthy
      
Swarthy indicates cold syndrome syndrome and severe fluid retention due to decline of yang-qi and fluid accumulation resulting from cold yin. Infantile dyed blue and black and the hands and feet cold indicates excessive cold yin inside; complexion and dark gray means lower kidney qi, dark complexion, dizziness, nausea, vomiting, low urine often signs of the upper part of the distribution of moisture due to kidney asthenia; lusterless complexion black and accompanied by abdominal pain and vomiting is usually caused by food poisoning or drugs.

Observation of the physical construction
      
Observation of construction includes the physical configuration and the formation and movement of children. The physical characteristics, active and static postures and special position "the body can be used as a basis for diagnosis and syndrome differentiation. For example, the head shaped square with little hair, metopism, deformation of the chest, ribs and lower limbs twisted cluster are usually signs of rickets, short hair, thin neck, abdomen and swelling indicate emaciation usually child malnutrition. Preference for sleep is often due to internal damage from poor diet, preferably with sleeping curled body is often due to internal cold or abdominal pain, calm supination with dull eyes means serious illness, prolonged illness or extreme weakness of constitution; sitring up ereetly with wheezing due to asthma sputum indicates, neck stiffness, spasms of the members and infant show opisthotonos convulsion; writhing because of agitation and tears with hands holding belly indicates abdominal pain.

Observation of the tongue
        
Observation of language is a method of diagnosis in traditional Chinese medicine, which can judge the essential conditions of qi, and to distinguish the depth of the location of the disease, to differentiate the nature of the pathogenic factors and deterioration or improvement of the disease. Therefore, the tongue diagnosis is very stressed in a clinic. The normal mother and child is characterized by softness, flexibility, good language reddish pale, thin and white fur and moderate humidity. The language of newborn babies is tender, red and furless.

Observation of the correct language
       
Pale correct language indicates fatigue of qi and blood red tip and margin of the tongue indicates exogenous wind and heat, prickly red tongue indicates the abundance of internal heat, red or purple tongue indicates invasion of heat in ying-blood, red tongue without fur indicates consumption of body fluid; purplish tongue indicates a stagnation of qi and blood, red as the language indicates Bayberry scarlatina toxin caused by heat; bulgy and offers language with teeth usually indicates printed asthenia of spleen and kidney or maintenance yang fluid or phlegm, tongue swollen and purple indicates intoxication; stiff language that indicates the consumption of fluids by heat predominant; shrunk crimson dry tongue is usually caused by the contraction of meridians caused by malnutrition resulting from consumption of fluids in febrile diseases, ulceration of the tongue indicates Aphtha due to hyperactivity of heart fire shake language usually indicates hypophrenia or omen of convulsion.

Observation of the tongue fur
       
Thin whitish fur indicates exogenous wind cold, white fur bold indicate the retention of moisture and cold from inside the accumulation of mucus, moisture, fat and thick fur and thick fat hard indicates the conservation of foods, bold yellow fur indicates internal heat buildup and stagnation of humid heat phlegmatic: black fur dry indicates fire transformed the stagnant humidity and consumption of body fluid; exfoliative fur like map show disruption of functions and gastrosplenic insufficiency of qi and yin-gloss mirror like language
indicates the depletion of body fluid consumption and severe stomach qi.
       
The language must be viewed in daylight and attention should be paid to the protrusion of the tongue. If the tip of the tongue is high, the tip and the margin of the tongue appear reddish. Repeated force of tongue protrusion in May make language appear reddish. In the inspection of language, attention should also be given to fur stained with certain foods or drugs. Usually, the fur is stained and faint in color, different disease fur. If the physician considers questionable, he or she should ask the child or his parents. For exam --
For example, hawthorn fruit and olive in May to run the language blackish yellow, tangerine and May ovoflavin show yellowish tongue, Bayberry, grapes and vinegar
May to review the language blackish brown, red-sugar or fruit of the tongue to appear reddish in May, milk and soy bean milk will turn the white tongue.
   These are all false manifestations of language and should not be taken as morbid.

   Observation of the throat
       
Observation throat how to inspect the changes in color and shape of the throat. In examining the infant's throat should be examined at the end of the examination. The normal condition of the infant's throat is red and slightly moist but swelling and pain. Breathing, pronunciation and swallowing are smooth. Reddish throat and fever is caused by wind and heat exogenous; antiadoncus red throat and often due to impact of wind and heat or flaring of the ordinary gastropulmo fire red throat and ulceration the amygdala (or with small whitish or yellowish with suppurative white membrane that is erasable) are usually caused by the heat retention of virulence in the throat which disintegrates and festering, white throat covered with false membranes, which are erasable and bleeding heavily when deleted or reappears after being deleted, the means of diphtheria.

Observation of the fingerprint
          
The observation of fingerprints means to control the evolution of the radial superficial veins on the index of infants under three years, a diagnostic method used to replace the pulse. Fingerprinting refers to the superficial radial vein of Hukou, the region between the thumb and forefinger to the tip of the index. The vein can be divided into three sections, i. e. wind, qi and life. The first section of the nail is called the wind passes, the second section qi passes and the third section, passing life. Clinic doctor uses his thumb to push the index of the lives of infants from the wind going to get the vein visible. Usually, the normal condition of the fingerprint infant slightly purplish and slightly visible below the wind blows. However, many factors affect the fingerprint May as age, subcutaneous fat, fitness, skin color, differences in the vessels, blood flow, oxygen in the blood temperature. Therefore, the observation of fingerprints should be done according to the normal condition of the fingerprints of children and in combination with other clinical manifestations in order to make an accurate diagnosis. 2,1.6.1 differentiation of syndromes of the exterior and interior feature of the superficial and deep fingerprints




            

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