Many pediatric diseases are advantageously treated with proprietary Chinese medicines, the most common being colds and coughs.

Why is it advantageous to use pCms for colds? Because many pediatric colds are viral, but there are not many antiviral chemicals, but there are too many Chinese medicines that can ease the wind and relieve the surface. Why is it advantageous to use proprietary Chinese medicines for coughs? Because most chemical cough suppressants play a role in suppressing coughs through the nervous system, and some of them are not safe enough for children, but there are too many Chinese medicines that can relieve coughs and asthma.

So having more choices is an advantage.

But to make sure that this advantage is actually realized in your own child, it's important to use the medicine wisely.

In this case, the combination of drugs is the main event, reasonable combination of twice the effort, unreasonable combination of half the effort.

Today, we will start from the pediatrics of the common 6 pCms, say this thing.

(1)

First, we list the names of these 6 pCms, their ingredients and effects.

1. Pediatric Heat Speed Clearing Granules

Ingredients Chai Hu, Scutellaria baicalensis, Panax quinquefolium, Pueraria lobata, Honeysuckle, Water Horn, Forsythia, Rhubarb.

Functions and IndicationsClearing heat, detoxifying, and relieving pharynx. This product is used for wind-heat cold, fever and headache, red and swollen throat, nasal congestion and yellow snot, cough, constipation.

2. Pediatric Lung-Heat Cough and Asthma Oral Liquid

Ingredients Ephedra, bitter almonds, gypsum, licorice, honeysuckle, forsythia, Zhimu, scutellaria, radix et rhizoma, maitake, fritillaria.

Functions and Indications Clearing heat and removing toxins, promoting the lung and resolving phlegm. It is used for fever, sweating, slight malignant wind-cold, cough, yellow sputum, or with wheezing, dry mouth and thirst caused by heat evils in the lungs and guards.

3. Pediatric Lung-Heat-Quenching Granules

Ingredients: honey-roasted ephedra, gypsum, fried bitter almonds, honey-roasted Sangbai Pi, fried Drabanemerosa hebecarpa, Angelica sinensis, Salvia divinorum, Dilangium, fried silkworms, licorice.

Functions and Indications: Clearing the lung and resolving phlegm, relieving cough and asthma. Used for pediatric acute bronchitis caused by lung heat cough, coughing up phlegm, phlegm color yellow, yellow urine, dry stools, red tongue, yellow or greasy moss, slippery pulse and other symptoms.

4. Pediatric Diao Qiao Qing Heat Granules

Ingredients Forsythia, Tempeh, Mentha piperita, Thorny mustard, fried gardenia, rhubarb, Artemisia annua, Radix Paeoniae alba, Betel nut, thick Park, Scutellaria baicalensis, Semen xia, Chai Hu, Glycyrrhiza glabra.

Functions and Indications: Dispersing wind, clearing away heat and directing stagnation. It is used for children's wind-heat cold and stagnation, symptoms: fever and cough, nasal congestion and runny nose, red and sore throat, nausea and thirst, epigastric distension, constipation or sour stools, ulcer yellow.

5. Dandelion Anti-inflammatory Oral Liquid

Ingredients Dandelion, Panax Quinquefolii, Bitter Dixin, Scutellaria Baicalensis.

Functions and Indications Clearing away heat and removing toxins, anti-inflammatory and reducing swelling. It is used for boils, mumps, pharyngitis, tonsillitis and so on.

6. Pediatric Antidote Oral Liquid

Ingredients Honeysuckle, forsythia, fried burdock, dandelion, scutellaria baicalensis, fenghuang, kudzu root, Perilla frutescens, thuja, artificial oxalis.

Functions and Indications: Promoting the lung and relieving symptoms, clearing heat and removing toxins. It is used for colds and flu caused by external wind-heat with bad cold and fever, headache and cough, nasal congestion and runny nose, sore and itchy throat.

At first glance, between these proprietary Chinese medicines, there are both the same ingredients and different ingredients, both the same efficacy and different efficacy.

In this case, how to judge whether it can be used in combination?

(2)

There is always a saying in the society that happy marriages are always similar and unhappy marriages have their own unhappiness.

This meaning is also very relevant in the case of combined use of proprietary Chinese medicines.

Reasonable combination is always similar, but unreasonable combination has its own unreasonable.

What is a reasonable combination? A reasonable association is one that is mutually necessary and complementary.

What is an irrational association? The situation is complicated. In simple terms, it is unreasonable to repeat the use of drugs, and it is unreasonable to have conflicting drug properties.

So, if two pediatric pCms need to be used together, there must be a mutual need and complementarity in composition or efficacy. In other words, if one pCm can cover all the characteristics of the condition and the dosage is appropriate, then there is no need to combine any other drugs.

For example, if there is obvious duplication in the composition and efficacy of two pCms, it is not recommended to combine them. There are many ways to define this "obvious duplication", one of which we will talk about today is called the "derivative" method.

That is, if two pCms are added or subtracted from the same basic formula, they are derivatives of the same basic formula. Then, it is not recommended to combine these two pCms in sufficient quantity.

For example, in the six pediatric cold and flu pCms that we just listed, this situation exists.

In the four pCms of pediatric heat speed clearing granules, pediatric lung heat cough and asthma oral solution, pediatric black bean and chiao clearing heat granules, and pediatric antidepressant oral solution, there is a combination of "honeysuckle - forsythia - thorns and mint", which is a derivative of Yin Qiao San.

In pediatric lung-heat cough and asthma oral solution, pediatric lung-heat clear granules, there is a combination of "ephedra - bitter almonds - gypsum - licorice", which is a derivation of ephedra-apricot and glycyrrhiza glabra.

In the four proprietary Chinese medicines, pediatric heat speed clearing granules, pediatric lung heat cough and asthma oral solution, Pu Di Lan anti-inflammatory oral solution, pediatric antiexpression oral solution, there is a combination of "Scutellaria baicalensis - Panax quinquefolium / dandelion", which is a representative formula of bitter cold and clearing heat to benefit the pharynx.

So, from this point of view, at least between these three types of pCms, should not be used in sufficient quantity.

(3)

So, what about between these three categories? Can they be used in combination?

This requires figuring out how these three types of efficacy relate to each other.

According to Yasheng Yi Yin's diagram of the Tang Liquid Meridian Method,

First, to ease the wind and relieve the epidemiology, mainly pungent medicines, honeysuckle, forsythia, jingzhihui, mint, all pungent medicines.

Second, relieve cough and asthma, mainly salty medicines, in addition to the bitter almonds + licorice bitter sweet and salty, there are also Drabanemerosa hebecarpa, rhubarb, stibnis, dillon, are salty medicines.

Third, clearing heat and relieving pharynx, mainly bitter herbs, Banlangen, Scutellaria baicalensis, Bittersweet, Gardenia, are all bitter herbs.

Xin tonifies the liver and relieves symptoms, Xian diarrhea lungs and asthma, and bitter diarrhea heart and pharynx, each with its own focus of efficacy, and they can't help each other.

In other words, different stages of the disease, the treatment strategy is different, the beginning of the cold runny nose, sneezing, Xin flavor medicine to relieve the surface is the most appropriate. The first thing you need to do is to get your hands on some of the most popular products that you can find. The first thing you need to do is to get a good deal of money to pay for the services you need, and then you can get the money to pay for the services you need.

So, strictly speaking, Pu Dilan anti-inflammatory oral solution is not a cold medicine, but a clear heat and fire medicine.

In this case, then, the combination of any two types of efficacy may not make sense.

In other words, the medication is not precise.

(d)

Of course, a sniper's rifle is a gun, and a shotgun is a gun, so when you can't figure out where the target is, and the bullets are more plentiful, there's nothing wrong with taking a shot.

Theoretically, when the condition is complex, the target is diverse, the shotgun is very good. But let's not forget that this is a pediatric cold, children do not have any underlying disease, chronic disease, although the coupling of the coupling is easy to get evil, but in general, the nature of the disease is relatively simple and pure.

At least the children's common cold, look at the high fever menacing, but there is not too complex condition.

At this time, suitable for sniper rifles, not suitable for shotguns.

But a lot of the grouping of proprietary Chinese medicines are playing shotgun.

One side of the pungent flavor to relieve the epidermis, the other side of the bitter flavor of the fire, and the other side of the hemp apricot glycerin to stop coughing and calm the wheezing.

Those bullets that can't hit the target may be able to injure the innocent. In Chinese medicine, it is called injury to the positive qi.

So, it is very important to choose the right medicine for pediatric colds.

How to be precise?

First of all, to runny nose, sneezing, fear of cold, headache-based colds, whether or not there is a fever, choose to pungent flavor of the main relief of the table Chinese medicine, such as pediatric antidote to the table oral liquid, pediatric Bei Qiao clear heat particles, pediatric heat quickly clear particles.

Among them, pediatric antiepileptic oral solution is considered to be a more traditional wind-dispersing and symptom-dispersing medicine for treating wind-heat colds.

Pediatric Bei Qiao Qing Heat Granules is also mainly to relieve the surface and clear the heat, but in order to enhance this effect, in order to increase the effect of eliminating food and stagnation, the formula is also combined with Xiao Chai Hu Tang.

Xiaochaihu preparations, as we all know, are now being developed into adult medicines whose primary function is to reduce fever, such as Xiaochaihu granules. Of course, Xiao Chai Hu Tang didn't start out as a fever reducer, it's actually a standard liver and spleen formula, more on that sometime.

So, on top of the cold symptoms, there are also children with thick tongue coating, foul breath, dislike of food, constipation, choose pediatric Bei Qiao Qing Heat Granules.

Pediatric heat speed clearing granules in the basis of the relief of the surface, added more heat detoxification bitter cold medicine, belongs to a shotgun, cold symptoms have not been resolved, the fever is relatively high, and at the same time there is a clear sore throat, suitable for the choice of children.

Note that the child who chooses the above pCms should not have obvious symptoms of coughing up phlegm.

Once the cough and phlegm symptoms are obvious, with or without the above cold manifestations, the formula should be changed to one that is mainly used to expel the lungs and relieve cough and asthma.

Note that it is not a combination, but a switch.

For example, the main function of pediatric lung-heat clear granules is to relieve cough and asthma, as evidenced by the salty medicines of Drabanemerosa hebecarpa, Dilong and Stibnis.

For example, pediatric lung-heat cough and asthma oral solution, this drug is a typical shotgun, it appeared in all the previous 3 categories of drugs. That is to say, its efficacy coverage is relatively broad.

(E)

Having said that, I feel that all of them are not recommended for combination. So, is there a possible combination?

Not really.

Let's assume that all of the pCm formulas are perfectly reasonable and not irrational. Then, it's not impossible to equip an attack amplifier in order to enhance a shotgun's attack power in a certain direction.

But two things need to be noted:

First, it is to equip an amplifier, not to strap on another gun. Therefore, this combination of Chinese medicine, the composition of the medicinal properties must be simple, the composition of the medicinal flavor must not be too much, the dosage must be in the auxiliary position.

Second, the original shotgun, the efficacy of this is relatively weak. Therefore, the original Chinese medicine, clearing the heat and detoxification medicine is the adjuvant medicine, not the king's subject medicine.

Take a look, in the six pCms mentioned earlier, only Pu Di Lan Anti-inflammatory Oral Liquid meets this condition.

Therefore, on the basis of the original efficacy of children's lung-heat cough and asthma oral solution, children's black beans and qiao clear heat particles and children's oral solution, you can reduce the dosage of Pu Dilan anti-inflammatory oral solution. The purpose is to enhance the effect of which is to clear heat and fire.

Finally, we remind you that the above is the basic principle, the specific use of drugs also need to be in the doctor's instructions under the guidance of Oh.