Pediatric tui na is a traditional therapy in Chinese medicine, which is widely used in pediatrics. It acts on specific parts of the affected child’s body surface through some specific techniques to adjust the physiological and pathological state of the organism. Therefore, pediatric tuina can be used to treat pediatric fever, diarrhea, enuresis, cough, constipation and other diseases. According to the etiology of pediatric fever, TCM is divided into various types, such as external fever, yin deficiency fever, and wounded food fever. The child described earlier was identified as having fever due to external wind-cold, and Dang Weili, Department of Pediatrics, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine, used to clear the Lung meridian (pushing the fingerprint from the end of the palm side of the ring finger to the fingertip) 300 times. Acupoints: 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 diagram, about 200-400 times. ② Clear the lung meridian: push straight towards the root of the finger, see the diagram on the right, clear 200-400 times. Main treatment: fever, cough, asthma, chest tightness, sore throat, etc. Clear Tianheshui (from the medial forearm to the transverse wrist stripe to the transverse elbow stripe) 100 times. Operation: Use the index and middle fingers to push from the transverse wrist to the transverse elbow, see figure. Push about 100-500 times. Indications: Fever, restlessness, thirst, sores on the mouth and tongue, frightening wind and all other heat symptoms. Open Tianmen (from the center of the child’s eyebrows to the edge of the front hairline) 100 times. Operation: from the center of the eyebrows with two thumb surfaces, alternately push upward straight to the front hairline, about 30 to 50 times. Main treatment: cold and fever, headache, depression, shock and wind. Push the kangong (from the center of the child’s eyebrows along the end of the eyebrows to the ends of the eyebrows) 100 times, rub the sun (press and rub the solar plexus after the eyebrows) 100 times and other massage methods: acupuncture point: sun Location: in the depression behind the two eyebrow tips. It is said that the left is the Sun and the right is Taiyin. Operation: two thumbs or two middle finger ends on the left and right of the two solar acupuncture points respectively rubbing. Knead in front for tonic, knead behind the ear for diarrhea. Rub 30 times. Indications: External fever, headache, dizziness. To achieve the purpose of promoting the lung and relieving fever. Generally, the body temperature of these children can be lowered after one massage treatment, and the body temperature will fluctuate slightly in the afternoon, and the next day, the body temperature will be basically controlled in the normal range after the same treatment. The fever in children is mostly external, so children with low fever can try the above techniques, which are convenient and can avoid the side effects of drugs. However, if parents do not get good results at home, they should go to the hospital to receive regular treatment. Because of the different physical conditions of children and the complex changes in their conditions, pediatric tui-na must be identified and treated with the differences in seasonality, climate and symptoms. In addition, children should pay attention to adding and subtracting clothes according to weather changes to prevent colds and fevers. Now it is spring, the weather changes a lot and the daily temperature difference is also big, parents must add and reduce clothes for children at the right time to prevent colds. Pay attention to reasonable feeding, do not eat too much fatty food, so as not to hurt food stagnation, thus causing fever. Drink more water and eat lightly when you have a fever. Generally speaking, acute fevers take 1 to 3 days to heal, and children with long-term low-grade fever and poor medication take longer to treat, because the treatment of children with long-term low-grade fever generally needs to start with the original cause of the illness. The treatment of children’s fever acupressure fever, I believe that everyone has a high fever experience, forehead rolling, dizzy, serious, not only body pain, and even burn to blurred consciousness, convulsions. The normal body temperature of a person is about 37.2℃. Unless the body temperature exceeds 38.5°C (adults) or 39°C (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 that a disease may be present. In fact, heat dissipation is good for the body, and this internal defense has the function of destroying foreign germs. If the temperature does not rise too high, you may want to let it dissipate heat naturally, which will help eliminate toxins. Physical therapy: (1) Tianheshui (key points): Shaku. Radial groove. Rub from distal to proximal end with a cloth． With warm or cool water (that is, stretch your hand straight, palm up. From the wrist to the middle of the elbow ditch) (2) clear the lung meridian: hand ring finger belly. Both hands have, both massage. From the proximal end of the finger to the distal end of the push (note that this point to the child six years old disappeared) (3) open the door of heaven: thumb push the Hall of Indigo to the hairline (push until red. Do not push the baby’s skin) now understand the treatment of children with fever acupressure points. Acupressure points for pediatric wind-cold cold: wind-cold cold: symptoms see heavy cold, fever light, no sweat, headache, joint pain in the limbs, nasal congestion, runny nose, cough, coughing sputum thin, light tongue, thin moss, white. Commonly used techniques ① Push the San Guan point 500 times. ②Rubbing the Outer Labor Palace 100 times. Point: Wai Lao Gong (Outer Labor) Location: in the center of the back of the hand opposite to the Inner Labor. Operation: Rub it with the end of the thumb or middle finger, about 50 to 100 times. Indications: wind-cold colds, abdominal pain, abdominal distension, diarrhea, intestinal tinnitus, etc. ③Take the muscles of the shoulder well point area with both hands 5 to 7 times. Point: shoulder well Location: at the midpoint of the line between the large vertebrae and the shoulder peak, at the shoulder tendons. Operation: Use the thumb and index finger of both hands to pinch and hold the shoulder tendons, called shoulder well, about 5 to 10 times. Main treatment: cold, convulsions, pain in the back of the shoulder. ④ knead the two fanmen 50 times with the index and middle fingers, knead with a little force, speed should be fast. Point: Erfanmen Location: in the recesses on both sides of the root of the middle finger on the back of the hand. Operation: pinch and knead with both thumbs, pinch 5 to 10 times, knead 100 to 300 times. Main treatment: wind, fainting, body heat without sweat. Pediatric wind-heat cold points massage: symptoms see fever heavy, slightly evil wind or evil cold, sore throat, dry mouth, sweating, red face, nasal congestion, yellow runny nose, cough yellow sputum, tongue edge red, thin yellow moss. ① Clear the Lung meridian 300 times, and clear the Tianhe water 100 times. Acupoints: Lung meridian (Lung Jin) Location: on the palm side of the ring finger. Operation: ①Tonic lung meridian: rotate and push on the surface of the ring finger, see middle diagram, about 200-400 times. ② Clear the lung meridian: push straight towards the root of the finger, see the diagram on the right, clear 200-400 times. Main treatment: fever, cough, asthma, chest tightness, sore throat, etc. Point: Tianheshui Location: in the middle of the inner forearm, in a straight line from the transverse wrist stripe to the transverse hour stripe. Operation: Push from the transverse wrist line to the transverse elbow line with the index and middle fingers, see Figure. Push about 100-500 times. Indications: fever, restlessness, thirst, sores on the mouth and tongue, wind and other heat symptoms. ②Press and rub the Dazhi point for 1 to 3 minutes. 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 squeeze the large vertebrae with symmetrical force. Press and knead about 100 to 300 times, and squeeze 10 to 15 times. ③ Rub the sacrococcygeal region with the palm across the body, to the extent that the heat is penetrating. ④Take the shoulder well 3 to 5 times. Point: shoulder well Location: at the midpoint of the line between the large vertebrae and the shoulder peak, at the shoulder tendons. Operation: Use the thumb and index finger of both hands to pinch and hold the shoulder tendons with relative force, called taking the shoulder well, about 5 to 10 times. Main treatment: cold, convulsions, pain in the back of the shoulder. (3) For coughing with phlegm, press and knead the Tiantu and Fenglong points for 1 minute each, push the small horizontal stripe 100 times, and push the Tanzhong 100 times. Point: tiantu Location: right in the middle of the upper sternal fossa. Operation: Press and rub with the thumb or middle finger. About 15 to 30 times. Main treatment: cough and asthma, chest tightness, nausea, vomiting, etc. Point: Fenglong Location: 8 inches above the outer ankle, 1.5 inches lateral to the front edge of the tibia, between the tibiofibula. Operation: Rub it with the end of the thumb or middle finger. About 1 to 3 minutes. Indications: Phlegm, shortness of breath, chest tightness, etc. Point: small transverse stripe Location: at the ulnar head of the palm under the root of the little finger on the palm surface. Operation: Press and knead with the thumb or the end of the middle finger, see the figure on the right. About 100 to 300 times rubbing. Main treatment: bronchitis, whooping cough, pneumonia, etc. Point: Tanzhong Location: midpoint of the line between the two nipples. Operation: divided into kneading and pushing method, kneading with the end of the middle finger, about 50 to 100 times; push with the belly of both thumbs from the Tanzhong point to push, about 50 to 100 times. Main treatment: chest tightness, coughing and wheezing, vomiting, palpitations, etc. (4) For high fever convulsions, add clearing the lung meridian 300 times, clearing the heart meridian 300 times, pushing the Yongquan 200 times, and clearing the Tianhe water 500 times. Point: Heart meridian (heart fire) Location: palm side of middle finger. Operation: ① mend the heart meridian: in children’s middle finger surface for rotary pushing, see the middle diagram, about 100-200 times. ② clear the heart meridian: fingertip to finger root straight push, see the right figure, clear 100 ~ 300 times. Treatments: high fever, faintness, irritability, night crying, sores on the mouth and tongue, short urine, etc. Point: Yongquan Location: the front 1/3 and 2/3 junction of the palm of the foot. Operation: Use the belly of the thumb to push from the heel to the tip of the foot, called pushing the spring. See the figure on the right, pushing 100-500 times. With the end of the thumb on the acupuncture point, said to knead the spring, see the left. Knead 30 to 50 times. Main treatment: fever, vomiting, diarrhea, five heartburn. (5) For loss of appetite, add rubbing the Pan Men 100 times, massage the middle cavity for 3 minutes, and press and rub the foot San Li point for 1 minute Acupuncture point: Pan Men Location: palm of the hand, large fish interval. Operation: press and knead with the end of the thumb at the midpoint of the large fissure, about 200-400 times. Indications: loss of appetite, weakness of the limbs, stagnation, obstructive diarrhea, abdominal distension, etc. Location: 4 inches above the umbilicus (midpoint of the line from the lower end of the sternum to the umbilicus). Operation: ① knead the middle epigastric method: knead the point with the end of the finger or palm root, about 2 to 5 minutes. ②More Zhonggui method: use the palm or four fingers to massage Zhonggui, about 5-10 minutes. Main treatment: diarrhea, vomiting, abdominal pain, bloating, loss of appetite, etc. Acupuncture point: foot three miles Location: 3 inches below the outer knee eye, about one cross finger on the outer side of the tibia. Operation: Press and rub with the end of the thumb. About 1 to 3 minutes. Indications: abdominal distension, abdominal pain, loss of appetite, diarrhea, constipation, weakness of the limbs, etc. Add or subtract with evidence (1) If symptoms such as runny nose and sore throat are heavy, commonly used techniques are added ① Point rubbing Fengchi point for 1 minute. (2) Press and rub the Quchi and Hegu points for 1 minute each. Point: tiger mouth (hegu) Location: in the depression between the thumb and index finger, at the edge of the midpoint of the second metacarpal. Operation: Press and knead with the thumb or hold with the thumb and index finger symmetrically. About 3 to 5 times, knead 100 to 300 times. Main treatment: wind-cold colds, crooked mouth and eyes, toothache, etc. ③ more rubbing of the solar plexus. Point: Sun Location: in the depression behind the two eyebrow tips. It is said that the left is the Sun and the right is Taiyin. Operation: two thumbs or the ends of two middle fingers on the left and right two solar acupuncture points to knead respectively. Knead in front for tonic, knead behind the ear for diarrhea. Rub 30 times. Indications: External fever, headache, dizziness. (2) If the person has high fever, commonly used techniques plus ① clear the Tianhe water 300 times, clear the lung meridian 300 times. (2) Directly push the spine 5 to 10 times. Acupuncture point: spine Location: a straight line from the large vertebrae to the caudal vertebrae. Operation: Use the abdomen of the index and middle fingers or the root of the palm to push straight downward from above, called pushing the spinal column, about 100 to 300 times. Main treatment: prolapse, constipation, diarrhea, etc. (3) rubbing Chung Quan 300 times. (3) weak spleen and stomach, loss of appetite, commonly used techniques plus ① supplementing the spleen meridian 100 times, pushing three Guan 100 times. Point: Spleen meridian (spleen earth) Location: radial side of the thumb. Operation: ①Tonic Spleen meridian: make the child’s thumb slightly flexed, and the operator pushes straight along the radial edge of the child’s thumb toward the palm root with the thumb surface, see middle diagram. ②Clear the spleen meridian: push straight on the thumb surface of the child, see the figure on the right. Push about 100 to 300 times. Indications: Indigestion, diarrhea, vomiting, chancre, weakness of the limbs, etc. Point: San Guan Location: On the radial side of the forearm, in a straight line from the wrist line to the elbow line. Operation: Use the thumb or middle finger to push from the transverse wrist line to the transverse elbow line, about 100-300 times. Main treatment: ② Press and knead the Zhonggui and Sanli points for 1 minute each. Location: 4 inches above the umbilicus (midpoint of the line from the lower end of the sternum to the umbilicus). Operation: ① knead the middle epigastric method: use the end of the finger or the root of the palm to rub on the point, about 2 to 5 minutes. ②More Zhonggui method: use the palm or four fingers to massage Zhonggui, about 5-10 minutes. Main treatment: diarrhea, vomiting, abdominal pain, abdominal distension, loss of appetite, etc.