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Children's intestinal obstruction pain

　　Children's intestinal obstruction pain is a disease characterized by sudden abdominal colic, bending of the waist and legs, and ceaseless crying. Sudden abdominal colic, bending of the waist, and crying are clinical features of pediatric diseases. It is more common in newborns and infants. Abdominal cold, overeating cold drinks, overfeeding, or milk containing too much sugar can all trigger this disease. Most children have occasional attacks of one or two times and recover spontaneously, while some children have intermittent attacks and relapses for several years. Treatment mainly focuses on warming the middle-jiao, dispersing cold, promoting Qi, and relieving pain. It is equivalent to pediatric abdominal pain in Western medicine.

Table of Contents: 1. What are the causes of children's intestinal obstruction pain?
2. What complications can children with intestinal obstruction pain easily lead to?
3. What are the typical symptoms of children with intestinal obstruction pain?
4. How should children with intestinal obstruction pain be prevented?
5. What kind of laboratory tests should children with intestinal obstruction pain undergo?
6. Dietary taboos for children with intestinal obstruction pain
7. The conventional method of Western medicine for treating children's intestinal obstruction pain

1. What are the causes of children's intestinal obstruction pain?

　　The pain in children's intestinal obstruction is often caused by exposure to wind and cold, or eating while exposed to wind, overeating cold foods, cold congealing and Qi stasis, or irregular feeding, overeating, damaging the spleen and stomach, and food accumulation and Qi stasis, with Qi flow obstruction. This disease is often due to cold in the abdomen, cold pathogenic factors clashing with the colon, cold congealing and Qi stasis, meridian blockage, and Qi and blood congestion. It can also be caused by food accumulation and stasis in the intestines, with Qi flow obstruction leading to pain.

　　1, Abdominal cold

　　Symptoms include sudden abdominal绞痛, bending the waist and crying, pale complexion, dark purple lips, even ring-shaped blue and black lips, sweating, cold limbs, vomiting, constipation, thin white tongue coating, deep pulse. Treatment should be to warm the middle and disperse cold, commonly using Yangzang Powder with modifications.

　　2, Milk and food retention

　　Symptoms include abdominal绞痛, bending the waist and crying, pale yellow complexion, loss of appetite for milk and food, frequent vomiting, constipation or only a small amount of yellow-green feces, abdominal distension, white greasy tongue coating, deep and slippery pulse. Treatment should be to promote qi and relieve retention, commonly using Baohuo Pill and Bimeng Siaoxie Tablet as the main formula.

2. What complications can intestinal colic pain in children lead to

　　1, Liver qi attacking the spleen, symptoms include abdominal distension and pain, diarrhea immediately after pain, less defecation, reduction of abdominal distension and pain after defecation, chest stuffiness and belching, lack of appetite and poor appetite, occasional constipation, often发作 due to emotional depression and anger, thin white tongue coating, wiry pulse. Treatment should be to purge the liver and strengthen the spleen.

　　2, Dampness and turbidity affecting the spleen, symptoms include abdominal distension and pain, intestinal noise and diarrhea, exacerbation of abdominal pain and diarrhea due to improper diet, poor appetite and indigestion, nausea and vomiting, fatigue and body weight, difficult urination, pale and bloated tongue, white greasy tongue coating, slippery or soft pulse. Treatment should be to strengthen the spleen and transform dampness.

　　3, Spleen and stomach weakness, symptoms include intermittent loose stools, indigestion of food and grain, increased frequency when eating greasy food, lack of appetite and poor appetite, chest stuffiness and abdominal distension, pale yellow complexion, fatigue and weakness, pale tongue, weak pulse. Treatment should be to strengthen the spleen and stomach.

　　3, Yang deficiency of the spleen and kidney, symptoms include diarrhea at dawn, abdominal pain with rumbling, relief after defecation, abdominal cold preference for warmth, emaciated limbs, pale or yellow complexion, poor appetite, fatigue, soreness in the loins and knees. Pale tongue, thin white tongue coating, deep and fine pulse. Treatment should be to warm and tonify the spleen and kidney.

3. What are the typical symptoms of intestinal colic pain in children

　　Common clinical types include:

　　1, Cold retention in the gastrointestinal tract type intestinal colic pain

　　Symptoms include paroxysmal abdominal pain, bending the waist and crying, soft abdomen, preferring warmth and pressure, pain reduced by heat, blue lips, pale complexion, cold hands and feet, white tongue coating, deep and wiry pulse. Treatment should be to warm the middle and disperse cold, using Liangfu Pill.

　　2, Milk and food retention type intestinal colic pain

　　Symptoms include abdominal绞痛, abdominal distension, refusal to press, loss of appetite for milk and food, pale yellow complexion, vomiting sour milk, foul-smelling stools, thick and greasy tongue coating. Treatment should be to promote qi and relieve retention, using Baohuo Pill and other formulas.

4. How to prevent intestinal colic pain in children

　　Intestinal colic pain is characterized by cold pain in the intestines, bending the waist and not feeding, frowning the eyebrows. The pain is relieved by warm and middle-temperature dispersing powder, and the external treatment method is to warm the umbilicus. There is currently no effective preventive measure for this disease, and early detection and early diagnosis are the key to prevention and treatment.

5. What laboratory tests are needed for children with intestinal colic pain

　　Abdominal pain, distension, pale complexion, hot pain, thick and greasy tongue coating, cold hands and feet, wiry pulse. Intestinal spasm is caused by the strong contraction of the smooth muscle of the intestinal wall, and its clinical manifestation is paroxysmal abdominal pain. The characteristic of this disease is sudden onset, and even during the intermission period or during the attack, there are no specific signs. This condition can usually be relieved naturally.

6. Dietary taboos for children with intestinal colic pain

　　1. Treatment Principle for Cold Stagnation of Qi

　　Warming the middle and relieving pain.

　　Main Formula: Modified Good附Pill combined with Aucklandia and Cinnamon formula for expelling cold.

　　Adjustments: For severe cold and severe pain, add prepared Aconitum carmichaelii 3 grams (decocted first) and Corydalis 6-10 grams; for abdominal preference for warmth, add Sichuan pepper 1.5-3 grams and Foeniculum vulgare 1.5-3 grams; for white and greasy tongue coating, add Magnolia officinalis 3-6 grams and Pinellia ternata 3-6 grams.

　　Analysis of the Main Formula: The Good附Pill is a formula for warming the middle and dispelling cold, promoting qi and relieving pain. In the formula, Gallanga officinalis warms the middle and stomach, dispels cold and relieves pain, while Cyperus rotundus relieves liver depression and promotes qi and relieves pain. The Aucklandia and Cinnamon formula for expelling cold is an experienced formula, in which Aucklandia, Cinnamon, Vouacapoua, and ginger warm the middle and regulate qi, relieve pain, and Amomum villosum promotes qi, White peony relieves spasms, and Poria ater promotes the spleen and transforms dampness.

　　Prescription Example:

　　Gallanga officinalis 3-6 grams, Cyperus rotundus 3-6 grams, Aucklandia 1.5-3 grams, Vouacapoua 3-6 grams, White peony 3-6 grams, Corydalis 3-6 grams, Cinnamon 1.5-3 grams, Citrus reticulata 1.5-3 grams, Amomum villosum 1.5-3 grams (added later), Licorice 1.5-3 grams.

　　2. Treatment Principle for Internal Accumulation of Breast Milk and Food

　　Promote Qi and Relieve Stagnation.

　　Main Formula: Modified Xiangsha Pingwei Powder.

　　Adjustments: For constipation, add Rhubarb 1.5-3 grams (added later) and Semen Armeniacae 3-6 grams; for abdominal distension, add Aucklandia 1.5-3 grams and Citrus reticulata 1.5-3 grams; for yellow and greasy tongue coating, add Coptis 0.9-1.5 grams and Gardenia 3-6 grams.

　　Analysis of the Main Formula: This formula is for regulating qi and drying dampness. Atractylodes, Magnolia officinalis, Citrus reticulata, and Licorice in the formula strengthen the spleen and dry dampness, Cyperus rotundus and Amomum villosum regulate qi and relieve pain, Maltose, hawthorn, and broom corn promote digestion and relieve constipation, Bupleurum dilates the middle and regulates qi, and White peony relieves spasms and relieves pain.

　　Prescription Example:

　　Fructus Cyperi 3-6 grams, Amomum Villosum 1.5-3 grams (added later), Atractylodes 3-6 grams, Magnolia Officinalis 3-6 grams, Citrus Peel 1.5-3 grams, Massa Medicata Fermentata 3-6 grams, Crataegus 3-6 grams, Radix Paeoniae Alba 3-6 grams, Pericarpium Citri Reticulatae 1.5-3 grams, Broom Corn 3-6 grams each, as the disease primarily affects infants, the above dosages are prescribed according to the age requirements of infants and children, with smaller doses used.

7. The conventional method of Western medicine for treating infantile abdominal pain

　　1. Treatment Principle for Cold Stagnation of Qi

　　Warming the middle and relieving pain.

　　Main Formula: Modified Good附Pill combined with Aucklandia and Cinnamon formula for expelling cold.

　　Prescription Example:

　　2. Treatment Principle for Internal Accumulation of Breast Milk and Food

　　Promote Qi and Relieve Stagnation.

　　Main Formula: Modified Xiangsha Pingwei Powder.

　　Prescription Example:

　　Hedyotis diffusa 3-6 grams, Amomum villosum 1.5-3 grams (added later), Atractylodes 3-6 grams, Magnolia officinalis 3-6 grams, Citrus reticulata 1.5-3 grams, Maltose 3-6 grams, White peony 3-6 grams, Bupleurum 5-3 grams, Broom corn 3-6 grams each. Since the age of onset of this disease is mostly in infants, the above dosage is prescribed according to the age requirements of infants and children, and the dosage is small.

Recommend: Malrotation of the intestinal loop in children , Childhood anemia and dysentery , Pediatric malabsorption syndrome , Children's gypsum syndrome , Bacterial dysentery in children , Congenital megacolon in children

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