The Research On TCM Syndromes And Treating Methods Of Infantile Recurrent Abdominal Pain

The purpose and significance:Summing up the treatment experience of the ancient and modern medicine on infantile Recurrent Abdominal Pain (RAP), reasoning the etiology, pathomechanism, and the rule of TCM syndromes. Summing up the pathogenesis,clinical symptoms and physical signs of RAP through 79 cases.Methods:1. Literature Parts:Collating the ancient literature and clinical literature of RAP over the past 2 decades, carrying out statistical analysis, drawing treatment experience, reasoning the laws of dialectic.2. Clinical parts:Collecting the cases of RAP, carrying out statistical analysis, summing up its pathomechanism, clinical symptoms, physical signs.Results:1. Literature Parts:Ancient literature research find that the syndrome of abdominal catching cold and the syndrome of deficiency-cold in middle energizer are more common. Modern literature research gives priority to the syndrome of dysfunction of the liver and spleen, qi stagnancy and blood stasis, food dyspepsia, etc. Statistics show that herb Gancao and Shaoyao use most.2. Clinical parts:The most commonly type of RAP is the retention of heat in the stomach and intestine, which accounting for 24.05%, followed by the syndrome of abdominal catching cold (21.52%), the syndrome of qi stagnancy and water retention(20.25%), the syndrome of food stagnation (18.99%), the weakness of middle energizer at least (15.19%). The common syndrome of RAP is always combining with the stagnant of qi and dampness. The syndrome of the retention of heat in the stomach and intestine is often seen at the early course of the disease and has a clear inducement. Who usually easy to get a cold or diarrhea is more prone to get the syndrome of abdominal catching cold. Who gets the syndrome of food stagnation has higher infection rate of HP. The one whoes age is larger or the duration of the disease is longer is more likely to catch the syndrome of qi stagnancy and water retention.Conclusions:1. The basic pathogenesis of RAP is the weakness of the middle energizer, and the failure of qi activity. The pathological changes include the stagnancy of cold and qi, blood stasis, dyspepsia, retention of water and dampness, etc. The treatment rule of RAP is to invigorating qi and strengthening the middle energizer, and regulating qi activity.2. RAP can be mainly typed into:syndrome of retention of heat in the stomach and intestine, syndrome of abdominal catching cold, syndrome of qi stagnancy and water retention, syndrome of food stagnation, syndrome of the weakness of middle energizer. Syndromes are combined and mutative in the treatment process. The related factors such as age, courses and physique affect the formation of syndromes.