Paediatrics

The Pediatrics Department of Hangzhou Red Cross Hospital was established in the early years after liberation and has a history of more than 70 years. In 2017 it was listed as a key discipline of Hangzhou (Category 2); in 2018 it was included in the “13th Five-Year Plan” Zhejiang Province Traditional Chinese Medicine (Integrated Chinese and Western Medicine) Key Discipline Construction Program; in 2019 it was included in the “13th Five-Year Plan” Zhejiang Province TCM (Integrated Chinese and Western Medicine) Key Specialty Construction Program; in 2019 it was listed as the Zhejiang Province TCM Center for the Prevention and Treatment of Major Diseases: the TCM Prevention and Treatment Center for Children's Respiratory Diseases. In 2021 it was listed as a key discipline of Hangzhou. Over the past 3 years, it has successively been approved as a National TCM Advantageous Specialty, a construction unit of the National Clinical Collaboration Project for Major and Difficult Diseases (refractory nephropathy in children) with integrated Chinese and Western medicine, deputy leader unit of the Zhejiang Province TCM Advantageous Specialty Alliance, a “14th Five-Year Plan” Zhejiang Province TCM (Integrated Chinese-Western Clinical Pediatrics) Key Discipline, the Zhejiang Province TCM Prevention and Treatment Center for Major Diseases (children's respiratory diseases), and a Hangzhou construction unit for the special project of inheriting renowned TCM (national) masters, forming a focus on pediatric respiratory diseases and digestive system diseases as key research directions; it is an influential pediatric specialty in Hangzhou with distinct integrated Chinese-Western medicine characteristics, has participated in formulating the “Clinical Diagnosis and Treatment Guidelines of TCM Pediatrics” (neonatal jaundice, rhinitis, neurogenic (psychogenic) frequent urination and enuresis), is the chairman unit of the Pediatrics Professional Committee of the Hangzhou Integrated Chinese and Western Medicine Society and of the Hangzhou TCM Society, is the president unit of the Hangzhou Integrated Chinese and Western Medicine Children's Respiratory Disease Association, and is a member unit of the Children's Pneumonia Alliance of the China Association of Chinese Medicine. The department has 41 medical and nursing staff and 45 beds, including 9 chief physicians, 7 associate chief physicians, 5 attending physicians, 3 resident physicians, 1 person with a doctorate, 15 with master's degrees, 1 deputy chief nurse, 12 supervisor nurses and 4 staff nurses; it has a neonatal ward, pediatric ward, pediatric outpatient clinic, pediatric emergency department and a children's pulmonary function room, and is also equipped with a children's bronchoscopy room, children's desensitization room, children's attention assessment room and children's constitution testing room. The department adheres to the discipline development tenet of “integrating Chinese and Western medicine, combining internal and external treatments, and developing multiple specialties,” and has opened many specialty and expert clinics, such as the integrated Chinese-Western medicine children's respiratory clinic, the children's precocious puberty and growth-and-development clinic, the neonatal feeding and health care clinic, the renowned TCM master studio, the children's digestive disease clinic, the children's TCM nursing clinic, the TCM and integrated Chinese-Western medicine pediatrics clinic, and specialty and expert clinics for children's obesity, children's enuresis, chronic cough and allergy, etc.; every specialty clinic has dedicated personnel in charge, forming its own distinct integrated Chinese-Western medicine characteristics. The neonatology unit is equipped with advanced devices such as air-oxygen blenders, non-invasive multifunctional monitors, double-sided blue-light phototherapy units, incubators, radiant warmers, invasive ventilators, high-frequency ventilators and NCPAP ventilators, and has accumulated experience in diseases such as premature infants, neonatal asphyxia, neonatal wet lung, neonatal pneumonia, meconium aspiration syndrome, neonatal jaundice and pulmonary air leak. Among these, it has developed a TCM jaundice-removing lotion for TCM fumigation and washing of neonatal jaundice, a red-bottom ointment for neonatal diaper rash, and an eczema ointment for topical TCM application on eczema, achieving fairly good clinical treatment results. Children's respiratory and chronic cough direction: Equipped with advanced children's pulmonary function instruments and FeNO testing instruments, it provides a basis for the diagnosis and differential diagnosis of chronic cough and wheezing, such as cough-variant asthma, upper airway cough syndrome, bronchial asthma and post-infectious cough; on the premise of standardizing children's asthma, it promotes self-monitoring and self-assessment of children's asthma; in clinical treatment, the department has developed a series of special preparations (Qingfei Yin, Kechuan Oral Liquid, Runfei Mixture, etc.) as well as Chinese herbal granule formulas such as Zhisou San, Liuwei San and Qufeng Zhike Formula, combined with various comprehensive treatment methods such as inhalation therapy, treating winter diseases in summer, herbal pastes, acupoint application and laser acupuncture, greatly improving the clinical efficacy for children's asthma and chronic cough, raising the hospital's diagnosis and treatment level for children's asthma and chronic cough, and winning praise from sick children and their parents. Clinically, through changes in pulmonary function and FeNO data and bronchoscopic pathogen testing, combined with the release of inflammatory factors, and using the department's self-developed Chinese herbal preparations (Kechuan Oral Liquid, Qingfei Yin) and new Chinese herbal dosage forms (granules), it observes the improvement of airway obstruction by Chinese herbal medicine and its regulatory effect on the release of inflammatory mediators, clarifies the preventive and therapeutic effects of Chinese medicine on airway inflammation at the cellular and molecular level, and provides clinical experimental evidence for the TCM treatment of respiratory diseases. Desensitization therapy is actively carried out. Applying the theory of “treating disease before it arises” (preventive treatment of disease), combined with the theory of the “Zhejiang School of Pediatrics” and the experience of the provincial renowned TCM master Professor Shao Zhengyang, during the disease control period it prepares “treating winter diseases in summer” and “treating winter diseases in winter” acupoint applications and winter herbal pastes, and has developed an aromatic orifice-opening essential oil for external use, achieving the goal of “preventing disease before it occurs and preventing transformation after disease occurs,” providing new ideas for clinical TCM treatment. Children's growth and development direction: The hospital has established a children's bone age assessment center, equipped with AI intelligent bone age diagnosis software, and has standardized the reading of bone age and height prediction, providing trend analysis of children's growth and development. On the basis of standardized Western medical treatment, it focuses on clinical research on Chinese herbal medicine in children's growth and development delay (non-growth-hormone-dependent type); according to the theory of syndrome differentiation and treatment, it applies series of set prescriptions for children's short stature and precocious puberty: short stature is treated by strengthening the spleen and tonifying the kidney and by calming the heart and tranquilizing the mind; precocious puberty is treated by nourishing yin and reducing fire and by clearing the liver and draining fire; combined with external therapies such as laser acupuncture, Chinese herbal growth-promoting ointment combined with pediatric tuina massage, acupoint application therapy and auricular acupuncture, it has achieved significant clinical efficacy. Children's adenoid hypertrophy direction: The department has set up a special-demand (VIP) outpatient clinic for integrated Chinese-Western treatment of adenoid hypertrophy, carrying out integrated Chinese-Western diagnosis and treatment for children with adenoid hypertrophy and obstructive sleep apnea-hypopnea syndrome; the children's condition is comprehensively evaluated through lateral nasopharyngeal radiographs and refined sleep apnea monitoring, combined with internal administration of Chinese herbal medicine based on pattern differentiation, and comprehensive treatment is carried out with TCM external therapies such as acupoint application, auricular point bean pressing, pediatric tuina massage, nasal irrigation and aromatherapy, with remarkable efficacy. Children's enuresis and hematuria direction: The department is a construction unit of the National Clinical Collaboration Project for Major and Difficult Diseases (refractory nephropathy in children), and carries out long-term cooperation with Zhejiang Children's Hospital on refractory nephropathy in children; it is skilled in treating children's enuresis and hematuria with integrated Chinese and Western medicine. Treating children's enuresis through Chinese herbal pattern-differentiation treatment and TCM external therapies (acupoint application, moxibustion and Fuyang cupping) produces remarkable results.

Academic status: National TCM Advantageous Specialty; Construction unit of the National Clinical Collaboration Project for Major and Difficult Diseases (refractory nephropathy in children) with integrated Chinese and Western medicine; Deputy leader unit of the Zhejiang Province TCM Advantageous Specialty Alliance; “14th Five-Year Plan” Zhejiang Province TCM (Integrated Chinese-Western Clinical Pediatrics) Key Discipline; Zhejiang Province TCM Prevention and Treatment Center for Major Diseases (children's respiratory diseases); Zhejiang Province TCM Prevention and Treatment Center for Major Diseases: TCM Prevention and Treatment Center for Children's Respiratory Diseases; Hangzhou Key Discipline (pediatric respiratory diseases and infectious diseases); Hangzhou construction unit for the special project of inheriting renowned TCM (national) masters.

Technical advantages: It owns modern equipment such as children's pulmonary function instruments, non-invasive ventilators, ECG monitors, various nebulization (atomization) inhalation therapy devices, infantile pneumonia and diarrhea treatment devices and children's nutrition monitoring systems. Its self-made Chinese medicines include “Qingfei Yin,” “Kechuan Oral Liquid,” “Tiaozhong Yin” and “Zhitu (anti-emetic) Patch,” etc.: Qingfei Yin and Kechuan Oral Liquid treat children's acute and chronic cough with significant efficacy; Tiaozhong Yin is used to improve children's gastrointestinal motility and to treat children's chronic and recurrent abdominal pain; the Zhitu Patch, applied externally, is used to reduce side effects such as vomiting and abdominal pain caused by azithromycin and erythromycin. Intravenous indwelling catheterization techniques are carried out in full to reduce children's suffering. Growth and development direction: According to the theory of syndrome differentiation and treatment, series of set prescriptions for children's short stature and precocious puberty are applied, combined with external therapies such as laser acupuncture, Chinese herbal growth-promoting ointment combined with pediatric tuina massage, acupoint application therapy and auricular acupuncture, with significant efficacy. Adenoid direction: Through oral Chinese herbal treatment based on pattern differentiation, combined with TCM external therapies such as acupoint application, auricular bean pressing, pediatric tuina massage, nasal irrigation and aromatherapy, comprehensive treatment is carried out. The outpatient clinic has no holidays or weekends, is open 365 days a year, and has senior physicians attending; the emergency department is open 24 hours; expert clinics are held every morning from Monday to Sunday. A one-day (day-care) ward has been established for the convenience of children's treatment.

Research directions: pediatric respiratory diseases, pediatric infectious diseases and TCM external therapy.