Introduction：Pediatric Tuina is a traditional therapy of Chinese medicine, which is widely used in pediatrics. It acts on specific parts of the child’s body surface through some specific techniques to adjust the physiological and pathological state of the body. Therefore, pediatric Tuina can be used to treat pediatric fever, diarrhea, enuresis, cough, constipation and other diseases. Tonic Lung Meridian/Clear Lung Meridian Points: Lung Meridian (Lung Gold) Location: Palm surface of ring finger Operation: ①Tonic Lung Meridian: rotate and push on the surface of the ring finger, see the middle picture, about 200 to 400 times. ② clear the lung meridian: face the direction of the root of the finger straight push see the figure below, clear 200 to 400 times. Indications: fever, cough, asthma, chest tightness, sore throat. Clearing Tianhe Shui Clearing Tianhe Shui (from the middle of the inner forearm to the wrist cross stripe to the elbow cross stripe) 100 times Acupuncture point: Tianhe Shui Location: the middle of the inner forearm, from the wrist cross stripe to the elbow cross stripe in a straight line. Operation: Push from the transverse carpal stripe to the transverse elbow stripe with the abdomen of the index and middle fingers, see the figure above. Push about 100 to 500 times. Indications: Fever, restlessness, thirst, mouth and tongue sores, panic attacks and all other heat symptoms. Open the Gate of Heaven Open the Gate of Heaven (from the center of the child’s eyebrows to the edge of the front hairline) 100 times Points: Gate of Heaven (Zanzhu) Location: From the middle of the two eyebrows to the front hairline in a straight line. Operation: Using the two thumbs from the center of the eyebrows, alternately push upward straight to the front hairline, about 30 to 50 times. Indications: Cold and fever, headache, mental depression, and windstorm. Kneading the Sun Kneading the Sun (press and knead the solar plexus point after the tip of the eyebrow) 100 times Acupuncture point: Sun Location: in the depression after the tip of the two eyebrows. It is said that the left is the Sun and the right is Tai Yin. Operation: Two thumbs or two middle fingers on the left and right solar plexus points respectively. Knead forward for tonic, behind the ear for diarrhea. Knead 30 times. Indications: external fever, headache and dizziness Acupuncture point massage for the treatment of fever in children Clinically, the child’s fever is more external, so the child can try the above techniques if the fever is low, so that it is convenient, but also to avoid the side effects of drugs. This kind of children start more urgent, massage treatment effect is better, but parents at home when the effect of self-treatment is not good, must go to the hospital to receive formal treatment. Because of the different physique of children, the changes in the condition are more complicated, so pediatric massage must be combined with the season, climate and symptomatic manifestations of the differences to identify and deal with. In addition, children should pay attention to the weather changes with the addition or subtraction of clothing, in order to prevent colds and fevers. When the difference in temperature is large, parents must add or subtract clothes for children to prevent colds. Pay attention to reasonable feeding, not over-eating fatty food, so as not to hurt food stagnation, thus causing fever. Drink plenty of water and eat a light diet when you have a fever. Generally speaking, acute fever needs 1 to 3 days to be cured, long-term low fever and the effect of medication is not good for children with relatively longer treatment time, because the treatment of long-term low fever children generally need to start from the original cause of the disease. High fever: I believe that everyone has had the experience of high fever, forehead hot, dizziness, severe not only body pain, and even burned to blurred consciousness, convulsions. A person’s normal body temperature is about 37.2℃. Unless the body temperature exceeds 38.5℃ (adults) or 39℃ (children), there is no need to be too nervous. In fact, a high fever is not a disease in itself, but a symptom that alerts your body to the possible presence of an illness. As a matter of fact, heat dissipation is good for the body, and this internal defense has the function of destroying foreign germs. If the temperature has not risen too high, you may want to let it dissipate naturally, which will help eliminate toxins. Acupressure point massage for wind-cold cold in children Wind-cold cold: symptoms of severe cold, light fever, no sweating, headache, limbs and joints, nasal congestion, runny nose, cough, cough sputum, pale tongue, thin moss, white. Commonly used techniques: ① heavy push San Guan point 500 times. ② rub the outer Laogong 100 times. Acupuncture points: external Laogong (external) Location: the center of the back of the hand and the internal Laogong opposite. Operation: Rub it with the end of the thumb or middle finger, about 50 to 100 times. Indications: wind-cold flu, abdominal pain, abdominal distension, diarrhea, intestinal tinnitus. ③ Lift and hold the muscles at the shoulder well point area with both hands for 5 to 7 times. Acupuncture Point: Shoulder Well Location: At the midpoint of the line connecting the great vertebrae and the shoulder peak, at the shoulder tendons. Operation: Use the thumb and forefinger of both hands to pinch and hold the big tendon on the shoulder with relative force, said to take the shoulder well, about 5 to 10 times of pinching and holding. Indications: Colds, convulsions, shoulder and back pain. ④ Rub the two doors with the index and middle fingers for 50 times, rubbing with a little force and at a fast speed. Acupuncture Point: Er Fan Men Location: In the depression on both sides of the middle finger root on the back of the hand. Operation: Pinch and knead with the two thumbnails, pinch 5 to 10 times, knead 100 to 300 times. Indications: Frightened wind, fainting, body heat without sweating. Acupressure point massage for wind-heat cold in children Symptoms: heavy fever, slight malignant wind or cold, sore throat, dry mouth, sweating, red face, nasal congestion, yellow runny nose, coughing with yellow sputum, red tongue edge, thin yellow moss. 1. Clear the lung meridian 300 times, clear the Tianhe water 100 times. Acupuncture point: Lung Meridian (Lung Gold) Location: Palm surface of ring finger. Operation: ① tonic lung meridian: in the ring finger surface of the rotary push, see figure, about 200 to 400 times. ② Clearing the Lung Meridian: push straight towards the root of the finger, see the right diagram, clear 200-400 times. Indications: fever, cough, asthma, chest tightness, sore throat. Acupuncture point: Tianhe Shui Location: In the middle of the inner forearm, from the wrist cross stripe to the elbow cross stripe in a straight line. Operation: Use the abdomen of the two fingers of the index and middle fingers to push from the transverse stripe of the wrist to the transverse stripe of the elbow, see the picture above. Push about 100 to 500 times. Indications: Fever, restlessness, thirst, mouth and tongue sores, panic attacks and other fever. 2.Press and knead the Great Vertebral Point for 1～3 minutes. Acupuncture point: Great Vertebrae Location: Between the 7th cervical vertebra and the spinous process of the 1st thoracic vertebra. Operation: Press and knead with the end of the middle finger, or use the thumb and the index, middle and ring fingers to exert symmetrical force, pinching and squeezing the large vertebrae. Press and knead about 100 to 300 times, pinch and squeeze 10 to 15 times. 3.Rub the sacrococcygeal area horizontally with the palm to the extent of penetrating heat. 4.Take shoulder well 3～5 times. Acupuncture point: Shoulder well Location: At the midpoint of the line connecting the great vertebrae and the shoulder peak, at the tendons of the shoulder. Operation: Use the thumb and forefinger of both hands to pinch and hold the big tendons on the shoulder with relative force, said to take the shoulder well, about 5 to 10 times of pinching and holding. Indications: colds, convulsions, shoulder and back pain. 5, cough and phlegm, plus press and knead the day of the Turku, Fenglong points for 1 minute each, push the small horizontal stripe 100 times, push the danzhong 100 times. Acupuncture point: tian du Location: the upper fossa of the sternum in the center. Operation: Press and knead with thumb or middle finger. About 15-30 times. Indications: Coughing and wheezing, chest tightness, nausea and vomiting. Acupuncture point: Fenglong Location: 8 inches above the ankle, 1.5 inches lateral to the anterior border of the tibia, between the tibia and fibula. Operation: Rub with the end of the thumb or middle finger. For about 1 to 3 minutes. Indications: Excessive phlegm, asthma, chest tightness, etc. Acupuncture point: Small transverse stripe Location: At the ulnar head of the palmar line under the root of the little finger on the palm surface. Operation: Press and knead with the end of the thumb or middle finger, see above. Knead about 100 to 300 times. Indications: Bronchitis, whooping cough, pneumonia, etc. Acupuncture point: Tanzhong Location: Middle point of the line connecting the two nipples. Operation: divided into kneading and pushing method, kneading with the middle finger end of the kneading, about kneading 50 ~ 100 times; push with both thumbs from the danzhong point to the outside of the push, about 50 ~ 100 times. Indications: chest tightness, coughing, asthma, vomiting, palpitations, etc.. 6, high fever convulsions, plus clearing the lung meridian 300 times, clearing the heart meridian 300 times, pushing the Yongquan 200 times, clearing the Tianhe water 500 times. Acupuncture point: Heart meridian (heart fire) Location: palm surface of middle finger. Operation: ① tonic heart meridian: in the child’s middle finger surface for the rotary push, see the figure, about 100 to 200 times. ② clear heart meridian: fingertip to the root of the finger straight push, see the figure below, clear 100 to 300 times. Indications: high fever, fainting, irritability, night crying, mouth and tongue sores, short and red urine. Acupuncture point: Yongquan Location: Junction of the first 1/3 and 2/3 of the palm of the foot. Operation: Use the thumb to push the heel of the foot to the tip of the foot, said to push the Yongquan. See the picture on the right, push 100 to 500 times. Use the end of the thumb to press and knead on the acupoint, called kneading Yongquan, see the left picture. Knead 30 to 50 times. Indications: Fever, vomiting, diarrhea, five heartburn. Acupressure point massage for children with loss of appetite and indigestion For loss of appetite, add 100 times of rubbing Panmen, 3 minutes of moxibustion of the middle epiglottis, and 1 minute of pressing and kneading of the foot-sanli point Acupuncture Points: Panmen Location: the large fishbowl of the palm of the hand. Operation: Use the end of the thumb to press and knead the middle point of the big fishbone, about 200 to 400 times. Indications: Loss of appetite, weakness of limbs, stagnation, obstructive diarrhea, abdominal distension. Acupuncture Points: Middle Epigastric Position: 4 inches above the umbilicus (the middle point of the line from the lower end of the sternum to the umbilicus). Operation: ① Rubbing the middle epigastric method: with the end of the finger or the root of the palm on the acupoint kneading, kneading about 2 to 5 minutes. ② Mo the middle epigastric method: with the palm or four fingers Mo the middle epigastric, about 5 to 10 minutes. Indications: Diarrhea, vomiting, abdominal pain, bloating, loss of appetite, etc. Acupuncture point: Foot Sanli Location: 3 inches below the eye of the outer knee, about one transverse finger on the lateral side of the tibia. Operation: Press and knead with the end of the thumb. About 1 to 3 minutes. Indications: Abdominal distension, abdominal pain, loss of appetite, diarrhea, constipation, weakness of limbs. Add or subtract according to the evidence If the symptoms of runny nose and sore throat are severe, commonly used techniques are added ① Tap and knead Fengchi point for 1 minute. Press and knead Quchi and Hegu points for 1 minute each. Acupuncture point: Hukou (Hegu) Location: in the depression between the thumb and forefinger, at the edge of the middle point of the 2nd metacarpal bone. Operation: Rub with the thumb or hold symmetrically with the thumb and index finger. Hold it about 3 to 5 times and knead it 100 to 300 times. Indications: wind-cold cold, crooked mouth and eyes, toothache. ③Rub the solar plexus more. Acupuncture point: the sun Location: in the two eyebrows after the depression. The left is the sun, the right is the Taiyin said. Operation: two thumbs or the end of the two middle fingers in the left and right two solar plexus points, respectively, kneading. Knead forward for tonic, behind the ear for diarrhea. Knead 30 times. Indications: External fever, headache, dizziness. If the fever is high, commonly used techniques plus ① clear the Tianhe water 300 times, clear the lung meridian 300 times. ② Straight push the spine 5 to 10 times. Acupuncture point: spine Location: the large vertebrae to the tailbone in a straight line. Operation: Use the stomach of the index and middle fingers or the root of the palm to push straight down from the top, said to push the spine, about 100 to 300 times. Indications: Prolapse, constipation, diarrhea. ③ Rub Yongquan 300 times. For those who have weak spleen and stomach, and have loss of appetite, the commonly used techniques are ① 100 times of tonifying spleen meridian and 100 times of pushing San Guan. Acupuncture point: Spleen meridian (spleen earth) Location: radial side of the thumb. Operation: ① Tonic Spleen Meridian: make the child’s thumb slightly flexed, the operator with the thumb surface along the radial edge of the child’s thumb to the root of the palm straight push, see the middle picture. ② Clearing the spleen meridian: push straight on the surface of the child’s thumb, see figure below. Push about 100 to 300 times. Indications: indigestion, diarrhea, vomiting, chancre, weakness of the limbs, etc. Acupuncture point: San Guan Location: On the radial side of the forearm, from the wrist cross stripe to the elbow cross stripe in a straight line. Operation: Use the thumb or the second finger of the food and middle finger to push from the transverse wrist stripe to the transverse elbow stripe, about 100 to 300 times. Press and knead the middle epigastric and foot-sanli points for 1 minute each. Location: 4 inches above the umbilicus (the midpoint of the line from the lower end of the sternum to the umbilicus). Operation: ① kneading in the epigastric method: with the end of the finger or the root of the palm on the acupoint kneading, kneading about 2 to 5 minutes. ② Mo the middle epigastric method: with the palm or four fingers Mo the middle epigastric, about 5 to 10 minutes. Indications: diarrhea, vomiting, abdominal pain, abdominal distension, and loss of appetite.