Table of Content

25 December 2024, Volume 16 Issue 6 Previous Issue   

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Diagnosis and treatment guideline for functional dyspepsia in children with the integrated traditional Chinese and western medicine WANG Xuefeng, WU Jie, GONG Sitang, XIONG Lei, JIANG Mizu, WANG Baoxi, XU Hua, PENG Yu 2024, 16 (6):  461-468.  doi: 10.3969/j.issn.1674-3865.2024.06.001 Abstract ( 97 )   PDF (1049KB) ( 111 )   Save Functional dyspepsia,as one of the most common functional diseases of upper digestive tract,seriously affects the quality of life and growth and development of children in China.Due to the changing definition and symptom spectrum of functional dyspepsia in children,its diagnosis and treatment are controversial.In order to standardize the diagnosis and treatment of children with functional dyspepsia with integrated traditional Chinese and western medicine,and effectively solve the clinical problems in the diagnosis and treatment of children with functional dyspepsia,this guideline is formulated to guide the standardized diagnosis and treatment of children with functional dyspepsia with integrated traditional Chinese and western medicine. Related Articles | Metrics

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Treatment experience of functional dyspepsia in children by the "Spleen regulation and mediation method" of the Huang's Pediatric School in central Guizhou Province PENG Yu, WU Min, LIU Qiyan, CHEN Zhu, SUN Haipeng, YANG Jianhui, LENG Li, PANG Ping, YE Qian 2024, 16 (6):  468-472.  doi: 10.3969/j.issn.1674-3865.2024.06.002 Abstract ( 62 )   PDF (996KB) ( 99 )   Save Functional dyspepsia (FD) is a common digestive disorder among children. Clinically, it is primarily characterized by postprandial fullness, early satiety, upper abdominal pain, or a burning sensation in the upper abdomen. It may also be accompanied by symptoms such as belching, acid regurgitation, nausea, vomiting, poor appetite, and abdominal distension, presenting a wide range of manifestations. FD is prone to recurrence and has a relatively prolonged course. According to its main symptoms, it is categorized into conditions such as "abdominal pain," "abdominal distension," "epigastric fullness," and "vomiting" for syndrome differentiation and treatment in traditional Chinese medicine (TCM). The etiology of FD is often attributed to improper diet or post-illness disorders, with the pathogenesis being dysfunction in the ascending and descending mechanisms of the spleen and stomach qi. In Huang's Pediatric School of central Guizhou Province, it is believed that whether it is deficiency or excess, "the failure of the spleen to transport and regulate" is the key to the pathogenesis of pediatric FD, and it is also the core pathogenesis of the symptoms such as "epigastric fullness, distension, and pain." In clinical practice, the severity of symptoms, duration of the disease, and characteristics of the nasal root and eyelids are assessed to determine the nature of the syndrome, including cold, heat, deficiency, and excess. Thus, the "Spleen regulation and mediation method" is established, and the "Spleen-regulating and Fullness-relieving powder" is used for syndrome-differentiated treatment, aiming to rapidly restore the "spleen-transporting" function in children with FD and achieve the state of the spleen "regulating the qi of the four viscera," which provides a clinical reference for TCM treatment of pediatric FD. Related Articles | Metrics

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Analysis of the experience of the Diannan School of Pediatrics in differentiation and treatment of pediatric functional dyspepsia based on the theory of "yang is exposed to wind and yin is exposed to dampness" HE Xiying, XIONG Lei, CAO Ting 2024, 16 (6):  473-476.  doi: 10.3969/j.issn.1674-3865.2024.06.003 Abstract ( 56 )   PDF (982KB) ( 68 )   Save Functional dyspepsia (FD) is a common gastrointestinal disorder in pediatrics,closely associated with poor diet and lifestyle habits.The main clinical manifestations include upper abdominal fullness,pain,anorexia,belching,nausea,vomiting,and acid regurgitation.If not intervened in time,this disease may lead to growth retardation and malnutrition.In western medicine, this disease is often managed by symptomatic therapy,such as using prokinetic and antisecretory drugs to improve children's appetite and relieve abdominal distension and abdominal pain,but it is easy to recur.Numerous studies have proved that traditional Chinese medicine (TCM) is safe and effective in improving anorexia,belching,abdominal distension,abdominal pain,vomiting,etc.,and can be used alone to treat children with FD.Prof.Xiong Lei,a representative figure of the Diannan School of Pediatrics,believes that the origin of this disease is always in the spleen and stomach:it may be because "yang is exposed to wind" and the pathogenic qi invades the stomach,blocking the flow of qi in the middle jiao,or it may be because "yin is exposed to dampness" and the dampness is trapped in the spleen,resulting in the dysfunction of spleen,which leads to FD.Based on the theory of "yang is exposed to wind and yin is exposed to dampness",prof.Xiong believes that when the spleen and stomach are trapped,non-aromatic TCM cannot activate them.In clinical practice,the use of TCM formulas with aromatic characteristics can activate the spleen and eliminate dampness,regulate qi of the middle jiao,and restore the function of the spleen and stomach,thereby having significant therapeutic effects in the treatment of FD. Related Articles | Metrics

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Exploring the pathogenesis of pediatric functional dyspepsia based on the theory of "spleen deficiency as the root" WANG Na, LIU Shiyu, LIU Jie, YU Jian, XIONG Lei 2024, 16 (6):  477-481.  doi: 10.3969/j.issn.1674-3865.2024.06.004 Abstract ( 58 )   PDF (1035KB) ( 33 )   Save Functional dyspepsia(FD) is a common chronic gastrointestinal disorder in children,characterized by symptoms such as upper abdominal discomfort,abdominal distension,poor appetite,and acid regurgitation.The pathogenesis of FD is complex,involving multiple factors such as gastrointestinal motility disorders,visceral hypersensitivity,and brain-gut axis dysfunction.In traditional Chinese medicine (TCM),it is believed that the theory of "spleen deficiency as the root" is the core pathological mechanism.Specifically,spleen deficiency impairs the normal flow of qi,leading to the accumulation of dampness and stagnation,which brings about gastrointestinal motility issues and visceral hypersensitivity.Furthermore,spleen dysfunction weakens qi and hinders digestive absorption and blood production,worsening gut microbiota imbalances and disrupting brain-gut axis regulation.The TCM treatment strategy for FD involves four key approaches:strengthening the spleen,regulating spleen qi,activating spleen function,and balancing qi flow.Strengthening the spleen and eliminating dampness enhances gastrointestinal motility and removes stagnation.Regulating spleen qi improves digestion and relieves food retention.Activating spleen function restores healthy digestion and absorption.Balancing qi flow ensures smooth coordination of qi ascending and descending to relieve stagnation.These TCM methods align closely with modern medical strategies of regulating gastrointestinal motility,reducing visceral hypersensitivity,and balancing brain-gut axis.This study systematically explores the pathogenesis of FD and the treatment strategy of integrating TCM with modern medicine from the perspective of "spleen deficiency as the root".It highlights the intricate interactions among spleen function,the brain-gut axis,and gut microbiota.This research provides theoretical foundation and guidance for the treatment of children with FD. Related Articles | Metrics

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Research progress in the external treatment of Bi Qiu (allergic rhinitis) deficiency in children from lung and spleen ZHANG Wenwen, XU Yuan, MA Yueyu, LIU Weiwei 2024, 16 (6):  482-485.  doi: 10.3969/j.issn.1674-3865.2024.06.005 Abstract ( 57 )   PDF (971KB) ( 52 )   Save Allergic rhinitis in children falls under the category of "Bi Qiu" in traditional Chinese medicine, which is a disease with a relatively high incidence among school-age children, and  its incidence rate in Chinese children has been increasing year by year.In traditional Chinese medicine it is believed that the incidence of Bi Qiu in children is mainly related to the deficiency of lung, spleen and kidney, and external treatment methods of traditional Chinese medicine such as massage, acupuncture, acupoint patching, Chinese medicine fumigation, and nasal drops can effectively relieve the clinical symptoms and reduce the recurrence rate in the children.This paper summarizes the external treatment methods of traditional Chinese medicine for Bi Qiu deficiency in children from lung and spleen in the recent five years, which can be used as clinical reference. Related Articles | Metrics

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Research progress in the treatment of pediatric diseases with Traditional Chinese Medicine Hot Ironing CHEN Kezhu, ZHANG Wei 2024, 16 (6):  485-488.  doi: 10.3969/j.issn.1674-3865.2024.06.006 Abstract ( 63 )   PDF (979KB) ( 76 )   Save With the development of traditional Chinese medicine(TCM) in the field of pediatrics，the TCM external treatment methods have become more and more important in the treatment of pediatric diseases. TCM Hot Ironing, as one of them, through the inheritance and development of doctors of various generations as well as the combination with modern medicine and innovation, has been gradually progressing from daily health care to clinical treatment. Through the discussion of its historic evolution, mechanism of action and clinical application, this article explores the feasibility and rationality of TCM Hot Ironing in pediatric field. and sorts out the relevant literature on its actual clinical application, so as to provide theoretical support and clinical application reference for its further development in the field of pediatrics. Related Articles | Metrics

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Analysis of the association between risk factors and TCM constitution in children with recurrent respiratory tract infections WANG Yulin, WANG Xuefeng, ZHNAG Xiuying, ZHAO Xue, KONG Xinyue 2024, 16 (6):  489-494.  doi: 10.3969/j.issn.1674-3865.2024.06.007 Abstract ( 53 )   PDF (1004KB) ( 16 )   Save Objective：To explore the risk factors of recurrent respiratory tract infections(RRTI) and the distribution of TCM constitution in children with RRTI and their prone types.Methods：A total of 193 children with RRTI were selected as observation group,who were admitted to the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from June 2023 to March 2024，and 212 healthy children were selected as control group during the same period.Based on the TCM constitution theory founded by Academician Wang Qi,the TCM constitution of these children was divided into nine types，and the risk factors and TCM constitution types were investigated in the two groups.Results：Biased TCM constitution,poor appetite or anorexia,poor sleep quality,antibiotic use more than 3 times per year,history of allergic diseases and history of neonatal pneumonia were the risk factors for RRTI.Among the biased TCM constitution types,qi-deficiency constitution,yin-deficiency constitution and inherited special constitution were the prone types of the disease,while the balanced constitution was the protective type of the disease.Conclusion：In terms of risk factors,the children with biased TCM constitution,poor appetite or anorexia,poor sleep quality,antibiotic use more than 3 times per year,history of allergic diseases,and history of neonatal pneumonia are more likely to develop RRTI.Among the biased TCM constitution types,qi-deficiency constitution,yin-deficiency constitution and inherited special constitution are the types of TCM constitution prone to RRTI. Related Articles | Metrics

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Analysis of the distribution of traditional Chinese medicine constitution and susceptible risk factors of severe Mycoplasma pneumoniae pneumonia in children KONG Xinyue, WANG Xuefeng, WANG Yulin 2024, 16 (6):  495-499.  doi: 10.3969/j.issn.1674-3865.2024.06.008 Abstract ( 45 )   PDF (997KB) ( 9 )   Save Objective：To explore the characteristics of TCM constitution and susceptible risk factors of children with severe Mycoplasma pneumoniae pneumonia.Methods：A total of 122 children treated in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from December 2023 to June 2024 were selected as the observation group,and 90 healthy children receiving physical examination during the same period were included as the control group.The two groups of children were required to fill in the risk factor questionnaire and TCM constitution identification scale.Results：The distribution of the top four constitutions in children with SMPP was as follows:qi-deficiency constitution (34 cases,27.9%),yin-deficiency constitution (29 cases,23.8%),inherited special constitution (15 cases,12.3%),and qi-stagnation constitution (13 cases,10.7%).There were statistically significant differences in balanced constitution,qi-deficiency constitution,yin-deficiency constitution,allergy,dieting structure,exercising habits and antibiotic use habits between the two groups of children (P<0.05).According to binary Logistic regression analysis,unreasonable dieting structure,less exercise,and frequent use of antibiotics were likely to be risk factors for the occurrence of SMPP in children,while balanced constitution was likely to be a protective factor for the occurrence of SMPP in children.Conclusion：TCM constitution,dieting and exercising habits and frequent use of antibiotics are related to the occurrence of SMPP in children,and it is recommended to pay attention to the daily physical care,the development of good living habits and the rational use of antibiotics in children. Related Articles | Metrics

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Risk factors for Mycoplasma pneumoniae pneumonia with plastic bronchitis in children:a systematic review and Meta-analysis LUO Zihao, GENG Gang, WANG Yanhong, LI Shaojun 2024, 16 (6):  500-508.  doi: 10.3969/j.issn.1674-3865.2024.06.009 Abstract ( 46 )   PDF (3957KB) ( 9 )   Save Objective:To systematically evaluate the risk factors for Mycoplasma pneumoniae pneumonia with plastic bronchitis in children.Methods:Computer retrieval was conducted in PubMed,Embase,Web of Science,Cochrane Library,CBM,Chinese Medical Journal Full-text Database,Wanfang Database,VIP and CNKI to collect related studies on risk factors for Mycoplasma pneumoniae pneumonia with plastic bronchitis in children.The retrieval period was from the establishment of the databases to February 2024.Meta-analysis was performed using Stata 18.0 and RevMan 5.4 software.Results:A total of 17 studies were included,all being case-control studies,involving 4 336 children.The results of Meta-analysis showed that fever duration［OR=4.45,95%CI(3.32-5.96),P<0.001］,C-reactive protein(CRP)［OR=1.45,95%CI(1.28-1.65),P<0.001］,D-dimer［OR=2.21,95%CI(1.27-3.85),P=0.005］,neutrophil ratio(N%)［OR=1.47,95%CI(1.17-1.85),P=0.001］,pleural effusion［OR=3.63,95%CI(2.77-4.76),P<0.001］,atelectasis［OR=4.03,95%CI(2.46-6.63),P<0.001］ and allergy history［OR=3.04,95%CI(2.39-3.78),P<0.001］ were positively correlated with Mycoplasma pneumoniae pneumonia complicated with plastic bronchitis in children,while lymphocyte ratio(L%)［OR=0.71,95%CI(0.52-0.96,P=0.030)］ was negatively correlated with it,and lactate dehydrogenase(LDH)［OR=1.02,95%CI(1.00-1.03),P=0.020］ was not an influencing factor for it.Conclusion:Current evidence shows that the longer the fever duration,the higher the proportion of CRP,D-dimer and neutrophils,and the lower the proportion of lymphocytes;combination with atelectasis,pleural effusion,and allergic history are risk factors for Mycoplasma pneumoniae pneumonia with plastic bronchitis in children. Related Articles | Metrics

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Clinical characteristics of childhood nocturnal enuresis with different severity LI Jie, XU Yuanyuan, GAO Jie, RONG Liping, JIANG Xiaoyun, CHEN Lizhi 2024, 16 (6):  508-512.  doi: 10.3969/j.issn.1674-3865.2024.06.010 Abstract ( 52 )   PDF (1022KB) ( 10 )   Save Objective：To explore the differences in clinical characteristics between children with severe nocturnal enuresis(NE) and those with non-severe NE.Methods：The clinical data of children with NE who were admitted to Department of Pediatric Nephrology and Rheumatology,The First Affiliated Hospital,Sun Yat-sen University from July 2014 to August 2023 were retrospectively analyzed.The patients included in the study were divided into severe NE group (n=256) and non-severe NE group (n=62) according to the number of wet nights per week.The clinical characteristics of the two groups were compared.Results：Among the 318 NE children with a median age of 8.0(6.3,10.6) years at visiting the hospital,there were 197 boys.The proportion of the children in severe NE group was higher,who had NE in the first half of the night,large amount of enuresis（P<0.05），difficulty in awakening after bedwetting(P<0.001) and wearing diapers during sleep (P<0.01).Conclusion：Difficulty in awakening is the most common clinical manifestation in children with severe NE.Sleeping state and bladder function should be paid attention to in the children with severe NE in order to take individualized diagnosis and treatment measures. Related Articles | Metrics

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Investigation in abnormal changes of T wave in electrocardiogram of children and the influencing factors HE Tao, YAO Zhao, ZHU Tongqiu 2024, 16 (6):  513-517.  doi: 10.3969/j.issn.1674-3865.2024.06.011 Abstract ( 57 )   PDF (1001KB) ( 10 )   Save Objective：To investigate the status quo and influencing factors of abnormal changes of T-wave in electrocardiogram of children in the department of cardiology.Methods：A retrospective study was used.A total of 3 571 children were chosen as the study subjects,who were admitted to the Department of Cardiology of Hunan Children′s Hospital from January 2019 to December 2023,and they were divided into abnormal T-wave group (n=749) and control group (n=2 822) according to whether they had abnormal T-wave or not.The types of T wave abnormalities,age distribution,gender ratio and some other indicators were analyzed,and correlation analysis was carried out by statistical methods to explore the possible influencing factors.Results：A total of 3 571 children in the Department of Cardiology were included,including 749 (20.97%) with abnormal T-wave.T-wave abnormalities occurred mainly in 350 cases of pericarditis (46.73%),followed by 157 cases of myocarditis/cardiomyopathy (20.96%).There was no statistically significant difference in gender or age between the two groups(P>0.05).The proportion of overweight in the abnormal T-wave group was higher,and there was statistically significant difference (P<0.05).The proportion of respiratory system diseases,digestive system diseases,neurological diseases and infectious diseases in abnormal T-wave group was higher,the difference being statistically significant (P<0.05).Logistic regression analysis showed that body mass (overweight),combination with respiratory diseases/digestive diseases/neurological diseases,pericarditis,and myocarditis/cardiomyopathy were independent risk factors for abnormal changes of T-wave in electrocardiogram of children in the Department of Cardiology (P<0.05).Conclusion：Abnormal changes of T wave in electrocardiogram are more common in children in the cardiology department,and the children with pericarditis and myocarditis/cardiomyopathy are more prone to such abnormalities.Meanwhile,attention should also be paid to the children with respiratory diseases,digestive diseases,and neurological diseases,for the risk of abnormal changes of T-wave in their electrocardiograms is also higher. Related Articles | Metrics

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Analysis of TCM syndromes of feeding intolerance in neonates receiving intervention for preventing mother-to-child transmission of HIV MA Bingnan, ZHOU Jiewen, GAO Zhiqun 2024, 16 (6):  517-520.  doi: 10.3969/j.issn.1674-3865.2024.06.012 Abstract ( 43 )   PDF (1007KB) ( 13 )   Save Objective：To provide a theoretical basis for traditional Chinese medicine(TCM)syndrome differentiation and treatment of feeding intolerance in neonates who received intervention for preventing mother-to-child transmission of human immunodeficiency virus(HIV)by summarizing its TCM syndrome characteristics and analyzing its TCM pathogenesis rules.Methods：TCM syndrome investigation was carried out in the feeding intolerance neonates who had received intervention for preventing mother-to-child transmission of HIV from January 2018 to December 2023 in our hospital， and the relevant information and data were collected by TCM physicians using the TCM Symdrome Questionnaire of Feeding Intolerance Neonates Receiving Intervention for Preventing Mother-to-Child Transmission of HIV, and the TCM syndrome characteristics and TCM pathogenesis rules were analyzed on the basis of summarizing the data.Results：A total of 94 neonates with feeding intolerance who had received intervention for preventing mother-to-child transmission of HIV were included in the study， and the top 5 symptoms and signs were abdominal fullness(68 cases, 72.3%)，vomiting(56 cases, 59.6%)，anorexia (52 cases, 55.3%)，mucus stool(45 cases, 47.9%) and bloody stool(38 cases, 40.4%). The TCM syndrome classification included 3 types: syndrome of qi-deficiency of spleen and stomach(46 cases, 48.9%)， syndrome of yang-deficiency of spleen and stomach (26 cases, 27.7%) and syndrome of qi stagnation in middle-jiao(22 cases, 23.4%). The neonates with syndrome of qi-deficiency of spleen and stomach and syndrome of yang-deficiency of spleen and stomach had lower gestational age and birth body mass than those with syndrome of qi stagnation in middle-jiao, and there were statistically significant differences (P<0.05); the mothers of the neonates with syndrome of qi-deficiency of spleen and stomach and syndrome of yang-deficiency of spleen and stomach had longer time of HIV infection than the mothers of those with syndrome of qi stagnation in middle-jiao, the differences being statistically significant (P<0.05).Conclusion：The main cause of feeding intolerance in neonates who have received intervention for preventing mother-to-child transmission of HIV is the disorder of the mothers, which affects the fetuses. The locus of the disease is the spleen, stomach and intestine, the nature of the disease is qi-deficiency inside the body，and the TCM pathogenesis is spleen deficiency affecting digestion and absorption and disorder of qi movement. Related Articles | Metrics

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Risk factors and prediction model for pressure injury in children undergoing extracorporeal circulation surgery YANG Bo, TENG Sisi 2024, 16 (6):  521-525.  doi: 10.3969/j.issn.1674-3865.2024.06.013 Abstract ( 43 )   PDF (1008KB) ( 5 )   Save Objective：To investigate the current situation of pressure injury in children undergoing extracorporeal circulation surgery and construct a prediction model to better understand and predict the risk of pressure injury.Methods：The data of children with pressure injury during extracorporeal circulation surgery treated in Hunan Children's Hospital from July 2021 to December 2023 were retrospectively analyzed,and the current situation was investigated and a prediction model was established.Results：A total of 283 subjects were included in this study,59 of which had pressure injury,with an incidence of 20.8%.Gender,preoperative Braden score,anesthesia grade and intraoperative blood loss were the factors influencing the occurrence of pressure injury in children undergoing extracorporeal circulation (P<0.05).Prediction model:Logit(P)=-1.383+1.403×gender+1.149×anesthesia grade -1.537×preoperative Braden score+0.770×intraoperative blood loss;the sensitivity was 0.749 and specificity was 0.832.Conclusion：The incidence of pressure injury in children undergoing extracorporeal circulation surgery is relatively high,and it is affected by four factors:gender,preoperative Braden score,anesthesia grade and intraoperative blood loss.The risk prediction model based on the above four risk factors has a good effect,which can be used for clinical screening of children at high risk of pressure injury during extracorporeal circulation surgery. Related Articles | Metrics

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Expression level of serum vitamin D in children with simple obesity and its correlation with obesity QI Ling, QIAN Hongping, YING Bo 2024, 16 (6):  526-529.  doi: 10.3969/j.issn.1674-3865.2024.06.014 Abstract ( 47 )   PDF (1037KB) ( 25 )   Save Objective：To investigate the difference in serum vitamin D (25-hydroxyvitamin D3) level between simple obese children and normal-weight children and the correlation between obesity and serum 25-(OH)D3.Methods：We selected 80 cases of children with simple obesity as the obesity group,who visited our hospital between December 2020 and December 2022.Additionally,we included 80 cases of normal-weight children without obesity as the control group,who visited our hospital during the same period.The obesity group included 25 cases of mild obesity,45 cases of moderate obesity,and 10 cases of severe obesity.Both groups were recorded for gender,age,height,weight and body mass index(BMI),and their serum 25-(OH)D3 levels were determined.The baseline data of two groups of children were compared and analyzed.The difference in serum 25-(OH)D3 expression levels was compared among the children with mild obesity,moderate obesity and severe obesity.Pearson′s correlation analysis was used to analyze the correlation between serum 25-(OH)D3 levels and Z-BMI in the children of the two groups.Results：The children in the obesity group had an average weight of (59.01±13.63)kg and an average BMI of 25.72±3.24.In comparison,the control group had an average weight of (41.37±12.10)kg and an average BMI of 19.26±2.42.The difference between the two groups was statistically significant (P<0.001).The average serum 25-(OH)D3 of children in the obesity group was (19.95±7.10) μg/L,which was significantly lower than the average serum 25-(OH)D3 of children in the control group,which was (29.33±6.39) μg/L (P<0.001).Among the obese children,those in the mild,moderate,and severe groups had serum 25-(OH)D3 levels of (25.25±5.51)μg/L,(19.78±8.05)μg/L,and (14.46±6.37)μg/L,respectively,and the difference among the three groups was statistically significant (P<0.001).No gender difference was found in serum 25-(OH)D3 levels among children in the three groups (P>0.05).Pearson′s correlation analysis revealed a negative correlation between serum 25-(OH)D3 levels and Z-BMI in children(r=-0.473,P<0.05).Conclusion：Serum 25-(OH)D3 levels are significantly lower in children with simple obesity than in normal-weight children,and there is a negative correlation between the degree of obesity and serum 25-(OH)D3 levels in children.Obese children should take vitamin D supplements. Related Articles | Metrics

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Clinical observation on acupuncture treatment for simple obesity in children YANG Bingbin, GUO Kai, WANG Hongjuan, CHEN Yanxia, MAO Na, XIAO Heyin 2024, 16 (6):  530-533.  doi: 10.3969/j.issn.1674-3865.2024.06.015 Abstract ( 46 )   PDF (982KB) ( 7 )   Save Objective：To observe the clinical efficacy of acupuncture treatment for children with simple obesity characterized by stomach heat and dampness blockage.Methods：A total of 120 children diagnosed with simple obesity (stomach-heat and dampness-blockage type) were randomly assigned into two groups by an online random method,each consisting of 60 participants:a control group receiving dietary and exercise management,and an observation group that additionally received acupuncture therapy.After a treatment period of 12 weeks,we compared the clinical outcomes as well as changes in obesity indexes (body weight,body fat percentage,and body mass index),traditional Chinese medicine syndrome scores,leptin levels,and serum insulin between the two groups.Results：(1) The overall effective rate of the observation group was 86.7% (52/60),significantly higher that that of the control group (40.0%,24/60),the difference being of statistical significance (P<0.05).(2) Both treatment regimens exhibited statistically significant differences in their effects on body weight,BMI,body fat percentage,TCM syndrome scores,insulin and leptin levels among children with simple obesity (P<0.05),which showed that combining acupuncture with dietary management plus exercise was superior to solely diet management plus exercise.Conclusion：Acupuncture therapy is an effective intervention for childhood simple obesity;it markedly improves body weight,BMI,body fat percentage and TCM syndrome scores,whose mechanism may be related to improving glucose metabolism and leptin resistance,and inhibiting appetite. Related Articles | Metrics

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Analysis of the experience in differential treatment of pediatric acute milk moth based on "heat-toxicity theory" DONG Wenjin, DUAN Xiaozheng, ZHANG Wei, JI Kexin, MIAO Xiaoyu 2024, 16 (6):  534-536.  doi: 10.3969/j.issn.1674-3865.2024.06.016 Abstract ( 48 )   PDF (953KB) ( 60 )   Save Acute milk moth is a common pharyngeal disease in children,which is acute tonsillitis and acute suppurative tonsillitis in western medicine.Guided by the "heat-toxicity theory" of Professor Wang Lie,a master of Chinese medicine,Professor Duan Xiaozheng,the instructor,analyzed the etiology and pathogenesis of the disease based on the physiological and pathological features and acquired care of children,established treatment rules,and put forward the following points:the treatment should be based on the spleen and stomach;the treatment should focus on clearing the fever and removing toxins to benefit the pharynx in the early stage;in the middle stage,the treatment should be clearing heat and removing moisture to promote digestion and invigorate the spleen;in the late stage,the treatment should be replenishing the lungs to activate the spleen.Here is a typical case to provide reference for the differential treatment of acute milk moth in children. Related Articles | Metrics

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Experience in the treatment of post-infection cough in children with dampness-heat constitution by "decomposition,diaphoresis,purgation and diuresis" LI Ruibing, SUN Liping 2024, 16 (6):  537-539.  doi: 10.3969/j.issn.1674-3865.2024.06.017 Abstract ( 40 )   PDF (952KB) ( 61 )   Save Post-infection cough is a common illness in children,and it is persistent and difficult to be cured.Based on the characteristics of children′s physique,Professor Sun Liping points out that the dampness-heat constitution factors run through the whole process of post-infection cough of children,so in the treatment Prof.Sun advocates the way of "decomposition,diaphoresis,purgation and diuresis" on the basis of the treatment for cough in order to improve the dampness-heat constitution and accelerate the recovery of children.In clinical practice,the treatment is mainly based on the syndrome differentiation of dampness and heat accumulated in lungs and dampness and heat damaging yin,and Sanren decoction combined with Zhike powder and Bufei powder with modification are used,which usually has good results. Related Articles | Metrics

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Wang Youpeng′s experience in treating pediatric eczema in cold regions based on the theory of "Interaction between Lung and Large Intestine" LIN Yuzhen, WANG Yijie, WU Honghui, QIN Wen, LIU Lujia, WANG Youpeng 2024, 16 (6):  540-543.  doi: 10.3969/j.issn.1674-3865.2024.06.018 Abstract ( 48 )   PDF (976KB) ( 91 )   Save Pediatric eczema is a common inflammatory skin disease in clinic,and the unique geographical and cultural environment of cold regions leads to repeated bouts of eczema,which seriously affects the physical and mental health of the children and their quality of life.This paper summarizes the experience of Professor Wang Youpeng in treating pediatric eczema in cold regions based on the theory of "Interaction between Lung and Large Intestine".The causes and mechanisms of pediatric eczema are concluded as wind-evil retention,dampness-heat accumulation in the intestine and internal organs,and excessive dryness and insufficient fluid.In the clinical treatment of pediatric eczema,the method of dispersing wind and dispelling evil,eliminating and dispersing,and nourishing yin and moistening dryness is used,which has achieved significant effect.A case is given here to provide a new idea for the TCM diagnosis and treatment of eczema in cold regions. Related Articles | Metrics

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Exploring the experience of treatment for children with pneumonia with dyspneic cough based on "Xuanfu theory" SUN Wenhui, SONG Yongfu, KONG Yibu, WANG Yongji 2024, 16 (6):  544-548.  doi: 10.3969/j.issn.1674-3865.2024.06.019 Abstract ( 42 )   PDF (991KB) ( 62 )   Save Pneumonia with dyspneic cough is one of the common pulmonary diseases in pediatrics,which is equivalent to pediatric pneumonia in western medicine.At present,western medicine focuses on anti-pathogenic and symptomatic support treatment,but with the continuous increase and variation of pathogens,antibiotic resistance is gradually increasing,and the toxic side effects caused by antibiotics are also worrying.The use of traditional Chinese medicine in the treatment of children with pneumonia with dyspneic cough is gaining increasing acknowledgement and favor,so it is particularly important to explore more and effective methods and means to treat pneumonia with dyspneic cough in children.Pneumonia with dyspneic cough in children is closely related to Xuanfu theory.Xuanfu is tiny and spreads all over the lungs,which is an important part of lung tissue,and the lung functions through Xuanfu.The opening of Xuanfu means the normal condition,and the closing of Xuanfu means the abnormal condition.The microscopic nature of pneumonia with dyspneic cough is the lesion of Xuanfu.Based on the Xuanfu theory and clinical experience,this paper discusses the correlation between Xuanfu theory and pneumonia with dyspneic cough in children.It points out that the closing of Xuanfu is the basic pathogenesis of pediatric pneumonia with dyspneic cough,and the basic principle of treatment for pediatric pneumonia with dyspneic cough should be the opening of Xuanfu.It is also believed that the Xuanfu-opening method should be used through the whole process of the treatment for pneumonia with dyspneic cough in children.As for the basic pathological changes of qi stagnation,phlegm obstruction,blood stasis and deficiency of qi,blood and body fluid in children with pneumonia with dyspneic cough,it is pointed out that the following methods can be used in clinical treatment according to the differentiation of disease symptoms:ventilating lung to open Xuan,clearing heat to open Xuan,resolving phlegm to open Xuan,removing blood stasis to open Xuan and tonifying deficiency to open Xuan,with the hope to provide new ideas for the clinical diagnosis and treatment of pneumonia with dyspneic cough in children. Related Articles | Metrics

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Reflections and recommendations on the "common cold" disease LIU Jianan, WANG Hai 2024, 16 (6):  548-552.  doi: 10.3969/j.issn.1674-3865.2024.06.020 Abstract ( 52 )   PDF (990KB) ( 58 )   Save Common cold is a common and frequent exogenous disease.There are many unreasonable and controversial points in the textbook of Pediatrics of Traditional Chinese Medicine.The author′s suggestions include:the time when the name of common cold first appeared should be advanced to the Northern Song dynasty(1078-1085),and "common cold" is usually known as "Shang Feng" in Chinese;common cold and seasonal influenza are different diseases,and the latter should be discussed separately in the chapter on infectious diseases;wind pathogen is not the main cause of common cold,while cold pathogen and toxic evil are more common causes;simple fever,rapid pulse and sore throat may occur in both cold and heat syndromes,and are not the specific manifestations of heat syndrome;the syndrome differentiation of common cold is more suitable for the syndrome differentiation system of six meridians,and the treatment should follow the medication rules of six-meridian diseases;Yinqiao powder is not a simple "formula of relieving exterior syndrome",whose main effect is to relieve exterior and interior syndromes. Related Articles | Metrics