| Song mingsuo (1954,7-), chief physician and professor, majored in TCM pediatrics, prestigious physicians, excellent experts in Shanxi, Master’s Supervisor, advisor of the fifth inheritance work of academic experience of national aged Chinese traditional medicine experts. The author had the opportunity to study with Teacher Song mingsuo for 3 years. The title of the essay is "the conclusion of Song mingsuo’s academic thoughts and clinical experience, and the study on treatment rules of pediatric anorexia."Song mingsuo gradually formed his unique characteristics during 40 years’clinical practice based on his teachers Zhang gang and Hao yuming’s academic experience. Academically, attention is paid to qi aspect in the treatment of external contraction, and spleen and stomach aspect in the treatment of internal damage. He emphasized that characteristics of pediatric natural endowment and the function of spleen and stomach have pivotal role in the course of attack and recovery. And he also had rich experience in the syndrome differentiation rules of the treatment of pediatric miscellaneous disease by regulating the spleen and stomach with great creative effect. He has rich experience in the treatment of pediatric miscellaneous disease with more than 20 effective prescriptions, among which 8 prescriptions are about regulating the spleen and stomach.1 Introduction of chief Song mingsuo1.1 Purgative method in the treatment of febrile diseaseThe purpose of purgative method is to eliminate the pathogenic factors. The pathogenic factors are eliminated, so the vital energy is strengthened. The purgative method can remove stagnation, clear heat, harmonize and regulate the body. Previous saying goes, serious diseases can not be treated without purgative method in pediatrics. It may have broader meaning, but to some extent, it is true. The purgative method should halt when getting effect, and pay attention to harmonizing and protecting stomach and spleen, the compatibility of medicine and safety.1.2 take spleen and stomach as a pivot in treatmentSome factors can influence the function of spleen and stomach including insufficiency of spleen in children, eating disorders and infection of dampness pathogen, which can result in a series of diseases of digestive systems. The disharmony between spleen and stomach can lead to diseases, which can also influence the function of lung, heart, liver and kidney. Common diseases including anorexia, food stagnation, diarrhea, recurrent respiratory tract infection, night crying, Tourette syndrome, enuresis, hydrocele, pediatric poliosis and some dermatosis, diseases in blood aspects can diagnose and treat from spleen and stomach aspects. Teacher Song Implemented his academic thought diagnosis and treatment of pediatric miscellaneous disease from spleen and stomach properly and correctly.1.3 Prescription and method following criterionThe method of regulating spleen is steady and smooth, which is called the king of method. Purging excess should be fast and tonifying deficiency should be slow in the treatment of pediatric diseases. The treatment of pediatric chronic diseases is progressive clinically, and the TCM practioners should be stick with and good at following the methods and prescriptions.For example, one treatment course of recurrent respiratory tract infection, pediatric anorexia and enuresis is three months, and that of infantile asthma, epilepsy and Tourette syndrome is six months. This so called "no shortcut in realization final goal, but it’s always beneficial to use them frequently." The expected effect can be achieved by correct syndrome differentiation, proper prescription and following methods when dealing with subtle "final goal" in the treatment of pediatric chronic disease.2 Conclusion of Director Song mingsuo’s clinical experience2.1 Song mingsuo’s clinical experience in the treatment of pediatric anorexiaPediatric anorexia is a common disease and frequently-occurring disease, and the main pattern is changed from deficiency-cold in spleen and stomach, qi deficiency of spleen and stomach to disorder of spleen and stomach, intermingled deficiency and excess in the recent 40 to 50 years. As a result, Teacher Song summarized Regulating spleen and harmonizing the middle decoction which is suitable for the treatment of pediatric anorexia nowadays. Teacher Song makes a conclusion that the treatment course of this disease is three months.2.2 Song mingsuo’s clinical experience in the treatment of pediatric abdominal pain.Doctors and experts from generation to generation have accumulated rich experience in the treatment of pediatric abdominal pain. Owing to kids’bad at speaking, missed diagnosis and diagnostic errors happened easily epically for abdominal pain in Infant. Based on that, teacher Song emphasizes the importance of integrated Chinese and Western medicines in the treatment of this disease, and some necessary assistant examination has great significance. Regulating spleen and dissipating binds decoction, the conclusion of the experience of the treatment of pediatric mesenteric lymph node enlargement, is a classic example of the idea of integrated Chinese and Western medicines.2.3 Song mingsuo’s clinical experience in the treatment of pediatric abdominal painDiarrhea is a common disease and frequently-occurring disease for kids, especially in summer and autumn. Teacher Song uses Xianggeqiyue Decoction and its modified formula to treat this kind of disease, which is made up of 11 types of Chinese herbs, including Pogostemon cablin, Radix Puerariae, Atractylodes lancea, Wolfiporia extensa, Scorched hawthorn fruit, Coloured malt, Radix paeoniae alba, Radix aucklandiae, Tangerine Peel, Rhizoma Coptidis and glycyrrhiza. The dose-effect relationship of this formula is interesting. It doesn’t have to reduce or add Chinese herbs, just to adjust the dosage to deal with pediatric diarrhea with different patterns. For example, increase the dosage of Rhizoma Coptidis for patients with heat syndrome; increase the dosage of Radix Puerariae, Atractylodes lancea and Wolfiporia extensa for patients with spleen deficiency pattern; increase of the dosage of Coloured malt for patients with food accumulation pattern; increase the dosage of Pogostemon cablin for patients with dampness pattern; increase the dosage of Radix paeoniae alba, Radix aucklandiae for patients with crying and screaming.2.4 The clinical experience of Teacher Song mingsuo in the treatment of pediatric recurrent respiratory tract infection.Recurrent respiratory tract infection (RRTI) is divided into three stages clinically, including infective stage, protraction stage and recovery phase. The characteristic of Teacher Song in the treatment of RRTI is that focus on the treatment of protraction stage and recovery stage. And regulating spleen and harmonizing the middle decoction is often used in the second stage.The treatment time of this stage is long, so attention should be paid to following the method and prescriptionAnd the changes of methods and prescriptions are not recommended. After confirming that the syndrome of regulating spleen and harmonizing the middle is improved without excess pattern and it’s mainly about deficiency syndrome, the patients can enter the treatment of stage three. The treatment of recovery stage should make proper choice according to pediatric constitution, and some prescriptions such as regulating spleen and tonifying qi decoction, regulating spleen and nourishing yin decoction can be used.In conclusion, not matter in the treatment of disease with middle energizer and spleen stomach disorders such as anorexia, abdominal pain and diarrhea, or pediatric recurrent respiratory tract infections of upper energizer, Teacher Song mingsuo emphasizes the importance of regulating the spleen and the stomach everytime and everywhere. Teacher Song establishes the series formula of regulating spleen on purposes, and treat pediatric miscellaneous disease from the spleen, which is one of the most significant character of Teacher Song in the treatment of pediatric miscellaneous disease clinically.
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