Η ασθένεια της συσσώρευσης τροφής του στομάχου

　　1Injury to food:Due to irregular milk and food, improper feeding, overeating of thick and greasy foods, leading to injury of the spleen and stomach, dysfunction of transportation and transformation, disharmony of rising and descending, and retention and indigestion of milk and food.

　　2Deficiency of stomach Yang:If stomach Yang is excessive, it will often be turbid and unclear. If there is deficiency of stomach Yang, food will be retained and distended, and food is easy to stagnate. Eating cold things easily leads to stomach injury.

　　3Deficiency of spleen Yang:Deficiency of spleen Yang will lead to undigested food, retention of food, and abdominal fullness and distension.

　　The face is yellowish, the muscles are thin, there is no desire for food, the spirit is not vigorous, sleep is不安, sweating at night, stool is sometimes dry and sometimes loose, abdominal distension and fullness, less urine, frequent low fever, halitosis, purple stasis of the finger, red tongue, thin yellow fur. The pathological mechanism of the disease is irregular diet, injury to the spleen and stomach by food, retention of food not digested, and stagnation of turbid Qi, leading to insufficient production of Qi and blood, and thus giving rise to the pathological and pathological symptoms of food retention in children.

　　Food retention is a common disease of the spleen and stomach in children caused by improper feeding, internal injury of milk and food, retention and stagnation in the gastrointestinal tract, and dysfunction of the spleen. The clinical features are lack of desire for milk and food, abdominal distension and belching, acid and smelly stool or constipation. Food retention is also called retention. It is similar to dyspepsia in Western medicine. This disease can occur throughout the year, with higher incidence in summer and autumn when dampness and heat are prone to constrain the spleen. Children of all ages can be affected, but it is more common in infants and young children. It often occurs with common cold, diarrhea, and malnutrition. Infants and young children with weak spleen and stomach, congenital deficiency, and artificial feeding are prone to recurrent attacks. A few children with long-standing food retention and delayed treatment may have severely damaged spleen and stomach function, leading to nutritional and growth and development disorders in children, with the body becoming thinner day by day, which can transform into malnutrition. Therefore, there is the saying of the ancients, 'Retention is the mother of malnutrition, and without retention, there is no malnutrition.' The 'retention not digested for a long time' and 'overeating injury' recorded in 'Zhu Bing Yuan Hou Lun · Miscellaneous Diseases of Children' are the earliest records of this disease. Subsequently, 'Huo You Xin Shu' and 'Ying Tong Bai Wen' respectively proposed the names of 'retention syndrome' and 'retention retention'.

　　In 'Bao Ying Zhu Yao · Food Retention Cold and Heat', it is said: 'Children with food retention are caused by deficiency of the spleen and stomach, indigestion of milk and food, and accumulation over a long time.' This clearly points out the cause of the occurrence of food retention in children.

　　Massage therapy

　　The food retention should be understood as a 'syndrome', and there are many reasons for food retention, but these reasons are difficult to find clinically, hence it can be called 'primary food retention'. The 'food retention' found with a cause is called 'secondary food retention'. Among children with secondary food retention, some can be treated with massage therapy, while others cannot. Therefore, massage therapy is mainly suitable for primary food retention. Different techniques should be used for different types of primary food retention.

　　First, 'Food Accumulation with Cold' type

　　Treatment principle: Warm the middle, invigorate the spleen, and eliminate food accumulation.

　　Techniques: Pushing, kneading, palm rubbing, kneading.

　　Acupoints and locations: Pi Tu point, Wanyin points on the wrist, Sanguan points, Bagua points, Zusanli points, navel and abdominal area around the navel.

　　Operation method and requirements:

　　1Supplement the 'Pi Tu' point:There are two methods to supplement the 'Pi Tu' point: one is to treat the Pi Tu point with finger kneading; the other method is to bend the interphalangeal joint of the patient's thumb and push from the distal end of the radial edge to the proximal end. The practitioner can choose one of the two methods to push three hundred times.

　　2Separately push:Make the child's palm face up, and the practitioner uses the index, middle, ring, and little fingers of both hands to support the child's hand from the sides of the wrist and hand; with the thumbs, push from the midpoint of the wrist palmar surface to the sides of the wrist, about one hundred times.

　　3Push the 'Sanguan' point:Since it is treating 'food accumulation with cold', the number of times to push the 'Sanguan' point should be more, about six hundred times.

　　4Yun Bagua points:Make the child's palm face up, and the practitioner uses the distal palmar surface of one finger as the contact surface, to perform finger rubbing on the child's Bagua points, which is called 'Yun Bagua points', about three hundred times.

　　5Separately push the Abdominal Yin and Yang points:Make the child lie on their back, and the practitioner uses the fingers of both hands (usually the thumbs, but also the index and middle fingers) to push from the lower end of the sternum along the costal arch to the midaxillary line on both sides, pushing two hundred times.

　　6Rub and knead the navel and abdomen:Make the child lie on their back, and the practitioner uses one hand to rub the navel and its surroundings with the palm rubbing method, for several minutes, and then perform palm kneading or palm root kneading on the navel and abdomen to create a strong warm feeling.

　　Second, 'Food Accumulation with Heat' type

　　Treatment principle: Relieve heat, invigorate the spleen, and eliminate dampness.

　　Techniques: Pushing, finger kneading, palm rubbing, palm kneading.

　　Acupoints and locations: Pi Tu point, Wanyin points on the wrist, Sanguan points, Liufu points, Four Horizontal Lines points, Wailaogong points, Abdominal Yin and Yang points, Zusanli points.

　　Operation method and requirements:

　　1Clear the 'Pi Tu' point:Make the child's palm face up, and the practitioner uses the finger pushing method, pushing from the proximal end of the child's thumb to the distal end, which is called 'Qing Pi Tu', three hundred times.

　　2Supplement the 'Pi Tu' point:First treat the child with the 'Qing Pi Tu' method, and then use the 'Bu Pi Tu' method, which is called 'first clearing and then supplementing'. When there is 'food accumulation with heat', the 'first clearing and then supplementing' method is often used.

　　3Separately push the 'Wanyin' points on the wrist:About one hundred times.

　　4Push the 'Sanguan' point:About two hundred times.

　　5Push the 'Liufu' point:About six hundred times. The number of times to push the 'Liufu' point should be more than that of the 'Sanguan' point because it is due to 'food accumulation with heat'.

　　6Push the 'Four Horizontal Lines' point:There are two different positions for the 'Four Horizontal Lines' point, which is a general term for the four acupoints. The positions mentioned here are located on the palmar side of the metacarpophalangeal joints of the index, middle, ring, and little fingers. The practitioner treats the above-mentioned areas in sequence with the pushing method, for about a few minutes.

　　7、揉外劳官穴：外劳官穴正对掌心劳官穴处。医者用一般作顺时针方向的指揉数十下。

　　食积胃病的诊断除了依靠临床表现外，相关的检查也是必不可少的。上消化道造影，胃超声检查，电子胃镜，胃泡鼓音区，胃运动功能测定。

　　食积胃病除了常规的治疗外，患者应注意清淡饮食，尽量远离辛辣刺激食物，不要进食油腻食物，同时注意均衡饮食，保证营养。

　　1、治疗方法：健脾消食，软坚散结。

　　2、方药组成：三甲三仙散

　　穿山甲5g鳖甲5g龟板5g山楂10g麦芽10g神曲10g白术12g黄连9g。

　　3、服用方法：本方既可作汤剂，又可作散剂。汤剂每日1剂，具体用法是：将上药置于医用煎药锅中，加水约500ml左右，浸泡药约25分钟，煎煮约30分钟，取出药汁，再加水300ml左右，再煎约15分钟，取药汁，合并2次药液，每日分6服。散剂制法是：将上药研为细粉状，每次用3～5g，每日分3服。

　　4、用药要点：方中穿山甲消食散结。鳖甲软坚散结。龟板消食软坚。山楂消一切饮食积滞，偏于消肉食。麦芽消一切饮食积滞，偏于消面食。神曲消一切饮食积滞，偏于消油腻陈腐。白术健脾和胃。黄连清泻积热。诸药相互为用，以奏健脾消食，软坚散结之效。

　　5、Προσαρμογή φαρμάκων：Αν η κόπρανα είναι σκληρά και κολλημένα, προσθέστε μακροβιά και τζίντζερ για να διευκολύνετε την εξόρυξη και την αποτοξίνωση του σώματος; Αν τα κόπρανα είναι λιπαρά και λεπατά, προσθέστε φουντούκια και βελόνισμα για να ενισχύσετε το σπλάχνο και να σταματήσετε τη διάρροια; Αν υπάρχει έντονη δυσφορία από το αίσθημα του πέους, προσθέστε λάχανο και σιναπέ για να εξασθενήσει το αίσθημα του πέους και να εξαλείψει την δυσφορία; Αν υπάρχει αδυναμία, προσθέστε σπόρους σκόρδου και γαρύφαλλο για να ενισχύσετε το μεσοσχεδόν κύριο.

　　6、Σημεία προσοχής：Η λήψη αυτής της συνταγής πρέπει να είναι σταθερή, δεν πρέπει να εγκαταλείψετε την ενδιάμεση.