Just before I move into the breakdown of each decoction and so on, there are a few things to take care of.
Special Guidelines
So there are quite a few special guidelines to follow in the administration of the herb as:
- Just in time Administration, Accuracy with Cautiousness
- Sufficient and stop
- Preparation methods
Just in time Administration, Accuracy with Cautiousness
The child being possessed of Juvenile Yin and Juvenile Yang quality reveal as the vibrant development will react to medication at a fast rate. So the administration and accuracy with caution of the relevant medication are very important.
Sufficient and stop
Therefore, the cautious selection of the herbs in terms of specific taste and property depicting the usage is important in the child's treatment.
The usage of certain herbs that possess the strong taste of:
And the specific property of :
- Poisonous
- Very cool
- Very warm
are prohibited or use only a small quantity sufficient for one dosage and stop when the required recovery is obtained.
Preparation methods
Very well, I'll move on to the preparation of the decoction.
By and large, the preparation of the decoction for the child is similar to the adult in terms of:
- Which are those herbs to be cook first
- Which are those herbs to be added later
- Which are those herbs to be filled in sachet
- How to add in the instant or creamy herb
Next, the quantity of the decoction dosage will be decided according to the following:
- Infant=60 to 100 ml
- 1 year old to 3 years old=150 to 200ml
- Preschooler=200 to 250ml
Treatment
The usual treatment for children are categorised and strictly complied with the guidelines below:
(Each category has 2 formulas and which one that will turn up to be more appropriate in the application selection will be discussed later in the next few blogs)
Relief Wind and Resolve the Ache
Flu caused by Feng Han=
- 1)Ma Huang Tang
- 2)Jing Fang Bai Du Tang
Flu caused by Feng Re=
Relief Cough and Ease Asthmatic Condition
Flu with Cold phlegm trapped deeply can be relieved by warming the lung and disperse the cold, dissolving the deep phlegm and relieving the asthmatic condition. Treatment formulas are:
- Xiao Qing Long Tang
- She Gan Ma Huang Tang
Flu with Heaty phlegm contained deeply can be relieved by removing the heat and dissolve the phlegm, clear the lung airway and relieving the asthmatic condition.
Treatment formulas are:
- Ding Chuan Tang
- Ma Xing Shi Gan Tang
When the child has been coughing for a reasonable time, the intrinsic body nature being easily infected with the cold or heaty virus would result in kidney deficiency and the TCM remedy for this condition is to warm the kidneys and to improve air intake and circulation.
Treatment formulas are:
Remove Heat and Detoxification
This method of treatment is used when heat is concentrated and the following terminologies are very vital in all future TCM treatment applications:
- Using sweet flavour and cooling property herbs to clear heaty virus infections
- Using bitter flavour and cooling property herbs to clear heaty virus infections
- Using bitter flavour and cooling property herbs to dissipate heaty virus infections
- Using salty flavour and cooling property herbs to clear heaty virus infections
Like I mentioned earlier, this new chapter will be a new opening to how to analyse the therapeutic functions of the various decoctions.
So the application of the correct decoction would be determined by the degree of heat concentrations at these levels:
- Superficial level
- Interior level
- Wei, Qi, Ying, Xue, 4 levels
When the heaty infection is in between superficial and interior levels, the treatment formulas are:
- Zhi Zi Chi Tang
- Ge Gen Huang Qin Huang Lian Tang
So when the heaty infection gets into the Yang Ming level which is also the interior level, the treatment formula is:
The next stage would be the heat combined with the wetness to turn into what TCM termed as Fire which will cause intermittent fever and the treatment formulas are:
- Bai Tou Weng Tang
- Yin Chen Hao Tang
- Gan Lu Xiao Du Dan
If the heaty infection further worsens and penetrates to the Ying Xue level,with the expected observation would be seizure with rashes, the treatment formulas are:
- Qing Ying Tang
- Xi Jiao Di Huang Tang
Over here, I pause awhile to introduce more TCM terminologies for considerations in herbs selection in all future analyses:
- Qing Re Jie Du Liang Xue
- Ding Chuang Zou Huang
- Xia Li Nong Xue
- Jie Du Xie Huo
These terminologies will be explained in the next blog as it is rather academic and lengthy.
And now I'll move back to the last part of this blog, so when the condition further worsens as dysentery pus is observed with boils on the skin turn red and painful. The treatment formulas are:
- Huang Lian Jie Du Tang
- Xie Xin Tang
I hope this blog is not too confusing and therefore I'll list the terminologies and the decoctions at the beginning of the next blog as the continuation of this therapeutic analysis.
Best of all
Xiong
***Reference:
( Emperor's Interior Sutra is available on sales better known as the esoteric scripture of the yellow emperor in Amazon, it's just a different way of naming the book cover)