Infantile Malnutrition
Infantile malnutrition is characterized by emaciation , sparse hair , distended
belly with outstanding blue veins , loss of appetite , and listlessness .
The cardinal causes of this disease are irregular intake of food , improper
nursing , parasitoids , and general debility due to a chronic illness which
injures the spleen and stomach .
Etiology and Pathogenesis
Irregular intake of food may impair the spleen and stomach . It is important
to feed the children regularly with suitable food . Irregular food intake with
indulgent ingestion of greasy , sweet , raw and cold food usually leads to
retention of undigested food . Long - standing food retention damages the spleen
and stomach , so that the refined nutrient from food and milk fails to be
transported . Thus the qi and blood in zang - fu organs are lack of nourishment ,
resulting in malnutrition and emaciation with insufficiency of qi and fluid .
Malnutrition may also be due to improper feeding or feeding with indigestible
food which in the long run will bring on emaciation , deficiency of qi and fluid ,
and retardation of development . In addition , improper nursing after a chronic
disease or parasitoids may also impair the functions of the spleen and stomach
and consumes body fluid . Thus food can not be digested , and stagnancy of
undigested food will lead to transformation into heat and ultimately to
malnutrition .
Differentiation
Main manifestations : Gradual onset of slight fever or tidal fever in the
afternoon , dryness of the mouth , abdominal distension , diarrhea with offensive
odor , rice - water like urine , crying with irritability , and anorexia . Then ,
distended belly with protruding umbilicus due to internal stagnation , sallow
complexion , emaciation , scaly and dry skin , sparse hair , dirty and sticky
coating of the tongue , or complete loss of coating , and weak pulse . The above
symptoms are related to deficiency of the spleen and stomach . If there is
abnormal intake of food with irregular hunger or satiety , or craving for
unnatural articles of food , the malnutrition is probably due to parasitoids .
Analysis
Long retention of undigested food or milk causes production of heat , so
there is slight fever or tidal fever in the afternoon and crying with
irritability . When the spleen fails in transportation , the damp heat is liable
to be accumulated , hence there are loose bowel movements with offensive odor ,
rice - water - like urine , dryness of the mouth and abdominal distension .
Impairment of the spleen and stomach results in anorexia and the long time
stagnation causes potbelly and protruding umbilicus . The impaired spleen and
stomach fail to digest food and transport the refined nutrients to nourish
zang - fu organs , qi and blood , skin , muscles and hair . This is manifested by
sallow complexion , emaciation , scaly dry skin and sparse hair . The grimy and
sticky tongue coating reveals the internal retention of food , while the
complete loss of coating demonstrates exhaustion of body fluid . Weak pulse
indicates impairment of the spleen and stomach . Parasites in the abdomen
disturb the stomach and intestines , resulting in abnormality of food ingestion
and craving for unnatural food .
Treatment
Method : Points of Foot Taiying and Foot Yangming Meridians are selected to
reinforce the spleen and remove the stagnation . Superficial pricking with
filiform needles is applied and the needles are not retained .
Prescription : Xiawan ( Ren 10 ) , Weishu ( B 21 ) , Pishu ( B 20 ) , Zusanii ( S 36 ) ,
Sifeng ( Extra ) . Taibai ( Sp 3 ) . Supplementary points : Baichongwo ( Extra ) for
parasitosis . Analysis : Infantile malnutrition is after all due to dysfunction
of the spleen and stomach in transportation and transformation . If the spleen
and stomach are active in
Function , the food stagnation can be removed and the source of essential
nutrients can be regained . So Xiawan ( Ren 10 ) is applied to harmonize the
stomach and eliminate heat . Zusanii ( S 36 ) , the Lower He - ( Sea ) Point of the
stomach , is used to build up earth and to replenish the qi in the middle jiao .
Taibai ( Sp 3 ) , the Shu - ( Stream ) Point of the Spleen Meridian , is employed to
reinforce the spleen and remove the stagnation . Sifeng ( Extra ) is an extra
point beneficial for treating infantile malnutrition . Application of Pishu ( B
20 ) and Shenshu ( B 23 ) can invigorate the qi of spleen and stomach and restore
their function of transportation and transformation . Bai - chongwo ( Extra ) is a
special point to treat parasitoids .
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