Paediatrics

[Guest guest]

Hi all,

 

Well, it's the last week of my degree and I'm in paediatrics. The average

age of children in the outpatient ward is 4. I think this may be due to the

fact that the number 4 (Si) in a different tone also means death and that

alot of parents become paranoid around this age, who knows.

 

What I've noticed is that alot of the complaints are either cough or fever

or both. Alot of formulas are given out, usually based on Yin Qiao Tang.

However, I was interested in the dosage element. Strictly speaking, the

dosage is half of the adult dose for 4 year olds and under and

three-quarters the adult dose for 5 - 16 year olds. I thought though, that

the doses are still a little high for infants. Of course, this could just be

racial differences in dose levels, but I wanted to ask the group what they

thought. A typical example of a case is given below:

 

Boy: 4.

 

Main Complaint: Cough which is worse in the evening for 5 days.

Symptoms: Poor appetite, bowels are a little dry for 2 days, the cough is

slight and started after a common cold. His throat is a little red whilst

his sleep is normal.

Syndrome differentiation: Wind-Heat.

Formula:

 

Zhi Ma Huang 2g, Xing Ren 6g, Zi Su Ye 10g, Niu Bang Zi 10g, Yu Xing Cao

10g, Jie Geng 6g, Zhi Qiao 6g, Lai Fu Zi 10g, Gan Di Long 10g, Lian Qiao

10g, Chan Tui 6g, Chao San Xian 20g, Ji Nei Jin 3g and Gan Cao 3g.

 

What do members think of the dosage levels? Also is it common for children

to present mainly Wind-Heat patterns?

 

Kind regards

 

Attilio

 

www.chinesedoctor.co.uk <http://www.chinesedoctor.co.uk/>

 

 

 

 

[Guest guest]

---Hi Attilo,

My professor, who is Chinese, told us that dosage is higher in China

because their systems are more accustom to herbs. Sort of a

tolerance. The child's dose that you mentioned looks like a dose I

would give an adult in America. As far as Wind heat presentation,

That can be due to the area where you are. I was in Guang Zhou, it's

very south China. We saw a lot of damp heat and wind heat.

 

warms regards

Heather Vandeburg

student of TCM

[Guest guest]

Attilio,

 

The doses look right on, to me. I actually broke into a slight smile upon

seeing them. Here in Denver, Colorado, the practice of Chinese herbalism seems

to be very conservative. In the uncommon occurence of doing a raw-herb formula,

people tend to to dose very low, generally turning a 1-day does into 3 days.

It's good to see proper dosing.

 

Attilio D'Alberto <attiliodalberto wrote:

Hi all,

 

Well, it's the last week of my degree and I'm in paediatrics. The average

age of children in the outpatient ward is 4. I think this may be due to the

fact that the number 4 (Si) in a different tone also means death and that

alot of parents become paranoid around this age, who knows.

 

What I've noticed is that alot of the complaints are either cough or fever

or both. Alot of formulas are given out, usually based on Yin Qiao Tang.

However, I was interested in the dosage element. Strictly speaking, the

dosage is half of the adult dose for 4 year olds and under and

three-quarters the adult dose for 5 - 16 year olds. I thought though, that

the doses are still a little high for infants. Of course, this could just be

racial differences in dose levels, but I wanted to ask the group what they

thought. A typical example of a case is given below:

 

Boy: 4.

 

Main Complaint: Cough which is worse in the evening for 5 days.

Symptoms: Poor appetite, bowels are a little dry for 2 days, the cough is

slight and started after a common cold. His throat is a little red whilst

his sleep is normal.

Syndrome differentiation: Wind-Heat.

Formula:

 

Zhi Ma Huang 2g, Xing Ren 6g, Zi Su Ye 10g, Niu Bang Zi 10g, Yu Xing Cao

10g, Jie Geng 6g, Zhi Qiao 6g, Lai Fu Zi 10g, Gan Di Long 10g, Lian Qiao

10g, Chan Tui 6g, Chao San Xian 20g, Ji Nei Jin 3g and Gan Cao 3g.

 

What do members think of the dosage levels? Also is it common for children

to present mainly Wind-Heat patterns?

 

Kind regards

 

Attilio

 

www.chinesedoctor.co.uk <http://www.chinesedoctor.co.uk/>