Is Pear with Chuanbei and Rock Sugar Safe for Infants with Phlegm?

Stewed Pears with Chuanbei and Rock Sugar

Hello Dr.
Lin: My younger brother was previously diagnosed with pharyngitis and acute bronchitis.
During a chest X-ray, it was found that there is phlegm accumulation in his lungs, and I was advised to help him with expectoration.
I found a recipe online for stewed pear with Chuanbei and rock sugar, which is said to help moisten the lungs and clear phlegm.
I would like to know if a child under one year old with phlegm in the lungs can consume this, and how much can be consumed in a day? How much Chuanbei should be used for a one-year-old child to avoid overdose?

Zhuang Tai Tai, 20~29 year old female. Ask Date: 2013/04/06

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear Mrs.
Chuang / 29 / 1 Online Friend,
Hello,
1.
Your younger brother was previously diagnosed with pharyngitis and acute bronchitis.
A chest X-ray revealed the presence of phlegm in the lungs, and I recommend that you help him with expectoration.
He should continue follow-up visits and medication to improve his pharyngitis and acute bronchitis.
2.
The recipe for stewed pear with Chuanbei and rock sugar is a common dietary therapy used in Traditional Chinese Medicine for treating coughs.
However, it is easier to understand if you purchase Chuanbei from a Chinese medicine shop.
Chuanbei has cough-suppressing and phlegm-reducing properties, functioning to relieve cough and eliminate phlegm.
It has a slightly bitter and sweet taste and is often used to resolve phlegm, relieve cough, and moisten the lungs.
3.
You can use one pear, cored and cut open, about 2 taels of Chuanbei, and a small piece of rock sugar weighing about 3 taels.
Add water and simmer for about 30 minutes.
Allow it to cool or place it in a baby bottle for frequent sipping, but be careful to avoid choking.
4.
The above quantity can be divided over 1 to 2 days for adjustment based on the child's response.
It can be used regularly to help with a cough-prone constitution.
5.
However, do not forget that the medication prescribed by the doctor for improving pharyngitis and acute bronchitis should be continued until the condition improves.
Finally, I wish you well.
Director of the Department of Traditional Chinese Medicine, Fengyuan Hospital
Associate Professor, Nursing Department, Hungkuang University
Dr.
Lin Ching-Chung

Reply Date: 2013/04/06

More Info

When considering the use of pear with Chuanbei (a traditional Chinese herbal remedy) and rock sugar for infants, especially those with phlegm or respiratory issues, it's essential to approach this with caution and a thorough understanding of both the benefits and potential risks.

Chuanbei, or Chuanbei Mu, is often used in Traditional Chinese Medicine (TCM) for its purported ability to clear phlegm and soothe the lungs. It is commonly combined with pears, which are believed to have a cooling effect and can help moisten the lungs and relieve cough. Rock sugar is typically added for sweetness and to enhance the palatability of the mixture.
For infants, particularly those under one year of age, the introduction of any new food or remedy should be done with careful consideration. The digestive systems of infants are still developing, and they may react differently to certain substances compared to older children or adults.

Safety Considerations:
1. Chuanbei Dosage: There is limited research on the safe dosage of Chuanbei for infants. While it is generally considered safe in small amounts for older children and adults, the exact amount that is safe for infants is not well established. It is crucial to consult a pediatrician or a qualified healthcare provider before introducing Chuanbei to an infant's diet.

2. Rock Sugar: While rock sugar is a common ingredient in many traditional remedies, it is still a form of sugar. Infants should have limited sugar intake, as excessive sugar can lead to dental issues and may contribute to unhealthy eating habits later in life.
3. Pear: Pears are generally safe for infants and can be beneficial due to their high water content and fiber. However, they should be prepared appropriately (e.g., cooked and pureed) to ensure they are easy to digest.

4. Underlying Conditions: Given that your brother has been diagnosed with pharyngitis and acute bronchitis, it is essential to monitor his overall health and consult with a healthcare professional. If he is experiencing significant respiratory issues, it may be more beneficial to focus on prescribed medications and treatments rather than home remedies.

Recommendations:
- Consult a Pediatrician: Before introducing any new food or remedy, especially one that includes herbal components like Chuanbei, it is vital to consult with a pediatrician. They can provide guidance based on your brother's specific health needs and conditions.

- Start with Small Amounts: If you receive approval from a healthcare provider, start with a very small amount of the pear and Chuanbei mixture to see how your brother reacts. Monitor for any adverse reactions, such as allergies or digestive issues.

- Hydration and Other Remedies: Ensure that your brother stays well-hydrated, as fluids can help thin mucus. Additionally, consider other remedies that are known to be safe for infants, such as saline nasal drops or a humidifier in his room, which can help alleviate congestion.

In summary, while pear with Chuanbei and rock sugar may have traditional uses for respiratory issues, the safety and efficacy for infants, particularly those under one year of age, should be approached with caution. Always prioritize professional medical advice and consider established treatments for respiratory conditions in young children.

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