The internal therapies commonly used in pediatrics include dispelling wind to relieve exterior, stopping cough and asthma, clearing away heat and toxic materials,
cooling blood to stop bleeding, eliminating colic caused by as caris, promoting digestion and removing food stagnancy, relieving convulsion for resuscitation,
inducing diuresis to remove edema, strengthening spleen and replenishing qi, reinforcing primordial qi to supplement kidney, activating blood circulation to resolve
blood stasis and restoring yang from collapse. The application of these therapeutic methods in the treatment of infantile diseases will be discussed in the sections
Activation of the spleen
Activation of the spleen is a therapeutic method of regulating the spleen and stomach and promoting transformation and transportation to restore the normal
physiological functions of the spleen. This therapeutic method is of ten used to treat syndrome due to dysfunction of the spleen. It has the characteristics of
tonifying without stagnating and impairing healthy qi. Activation of the spleen and reinforcement of the spleen (reinforcing the spleen qi, nourishing spleen blood,
nourishing spleen yin and warming spleen yang) are relative, the former can be categorized into activating the spleen to resolve dampness, activating the spleen
to promote appetite, regulating qi to promote transformation, and warming and activating the spleen yang. Clinically these therapeutic methods are used in
coordination with other methods, such asnourishing the spleen and promoting digestion to remove stagnation. Activation of the spleen can be used extensively to
treat disorders of the spleen and stomach, such as infantile anorexia, diarrhea, abdominal pain, vomiting and malnutrition. The compatibility of drugs in the
application of this method is modified according to the pathological conditions of the patients.
Activating the spleen to resolve damphess
This method is used to treat the syndrome due to encumbering of the spleen by dampness marked by chest distress, anorexia, epigastric fullness, abdominal
distension,greasy taste in the mouth without thirst, scanty urine and diarrhea as well as thick and greasy tongue fur. Cangzhu (Rhizoma Atractylodis) is the main
drug used to activate the spleen by eliminating dampness and dispersing yang to remove turbidity because it tends to migrate. Other commonly used medicinal
herbs are Huoxiang (Herba Agastachis ), Peilan (Herba Eupatorii), Baidoukou ( Semen Amomi Cardamoni ), Banxia (Rhizoma pineltiae), Houpohua ( Flos Magnoliae
Officinalis ), Dadouhuangjuan (Doujuan), Biandou (Semen Dotichoris) and Cheqianzi ( Semen Plantaginis ), etc. The commonly used prescription is Buhuanjin
Activating the spleen to promote appetite
This method is used to treat retention of food marked by abdominal distension, belching with putrid odor, nausea, anorexia, abdominal pain, diarrhea, foul stool
with indigested material, restless sleep and dirty greasy tongue fur as well as improper feeding before the onset of the disease. The commonly-used medicinal
herbs are Cangzhu ( Rhizoma Atractylodis ), Jiaoshanzha ( carbonized Fructus Crataegi ), Jineijin ( Endothelium Corneum Gigeriae GaUi ) , Shenqu ( Massa
Fermentata Medicina-tis), Guya ( Fructus Oryzae Germinatus ) and Maiya ( Fructus hordei Germinatus ), etc.. The commonly used prescriptions are Baohe Pill
(Lenitive Pill) and Xiaoru Pill (Pill for Promoting Digestion of Milk).
Regulating qi to supplement transformarion and transportation
This method is used to treat the syndrome due to disorder of qi activity marked by retention of food, abdominal distension like tympanites, belching, abdominal
pain which alleviate after defecation and breaking wind, thin whitish tongue. The commonly used medicinal herbs are Chenpi (Pericarpium Citri Reticutatae ),
Muxiang (Radix Aucklandiae ), Zhike ( Fructus Aurantii ), Binglang ( Semen Arecae ), Dafupi ( Pericarpium Arecae), Dingxiang (Flos Caryophylli) and Laifuzi (Semen
Raphani), etc.. The prescription used is Muxiang Binglang Pill (Pill of Aucklandia and Areca Seed).
Warming and activating spleen yang
This method is used to treat inactivation of spleen Yangmarked by sallow complexion, dispiritedness, averinto cold, fatigue, cold abdominal pain, poor appetite,
postcibal distention, drooling, loose stool, clear profuse urine, pale tongue, and thin whitish tongue fur. The commonly used medicinal herbs are Paojiang ( baked
gin-get), Cangzhu ( Rhizoma Atractyoodis ), Roudoukou (Semen Myristicae ) , Caodoukou ( Semen Alpiniae KatSumadai), Sharen ( Fructus Amomi), Yizhiren (
Fructus Alpiniae Oxyphyllae), etc.. The prescription used is Fuzi Lizhong Pill (Pill of Aconit Root for Regulating Middle Energizer).
Invigorating qi to supplement transformation and transportation
This method is used to treat failure of the spleen in transportation and transformation due to asthenia marked by lusterless complexion, emaciation, lusterless hair,
dispiritedness, lassitude, susceptibility to sweating, anorexia, loose stool, liability to diarrhea after meal, pale tongue and thin whitish fur. The commonly used
medicinal herbs are Dangshen (Radix Codonopsis Pilosulae ), Baizhu (Rhizoma Atractylodis Macrocephalae ), Shanyao ( Rhizoma Dioscoreae ), Cangzhu (Rhizoma
Atractylodis), Fuling ( Poria ), Chenpi ( Pericarpium Citri Reticulatae), Jiaoshanzha ( carbonized Fructus Crataegi) and Gancao (Radix Glycyrrhizae), etc.. The
prescriptions used are yigong Powder (Powder with Marvelous Effect) and Zisheng Jianpi Pill.