Nocturnal crying is a condition in which the child often cries at night. Some bouts of crying and crying, after crying can still sleep. Some stay up all night, all night long, as usual during the day, then cry at night. It is usually seen in infants and young children under half a year old, and its duration varies from a few days to several months.
Etiology and pathogenesis.
Nocturnal crying in children is mostly caused by cold in the spleen, heat in the heart, panic, and food accumulation.
Chinese medicine believes that because of the spleen cold in the middle Jiao, the cold attracts, Qi and blood stagnation; fetal heat in the heart and spleen, the evil heat up to the heart and disturb the heart and mind; occasionally see foreign objects, violent fright, so that the mind is restless, the mind does not guard the house; or food accumulation in the stomach and epigastric, stomach and restlessness, resulting in the child’s yin and Yang imbalance, sleeplessness and crying.
Tuina treatment: 1.
1.Treatment principle.
The principle of treatment for this disease is to calm the mind and calm the will. If the spleen is cold, warm the middle and disperse the cold, strengthen the spleen and tranquilize the mind; if the heart is hot, clear the heart and remove the fire, and calm the mind; if the heart is frightened and fearful, calm the mind; if the milk and food is stagnant, eliminate the stagnation, and calm the mind.
2.Basic operation.
(1) The child should be held by the parents in sitting or supine position: press and knead Baihui 100 times, massage fontanel for one minute, press and knead Renzhong 100 times; clear liver wood 100 times, clear heart fire 100 times, and knead Xiaotianxin 100 times.
(2) prone position of the child: palm massage the spine from top to bottom 3 to 5 times; chiropractic 3 to 5 times, press and rub Diaphragm Yu, Liver Yu, Heart Yu, Spleen Yu, Stomach Yu, Kidney Yu, Life Gate, Waist Yang Guan, Bladder Yu, each point for about half a minute; rub the lumbosacral area horizontally to penetrate heat.
3.Discriminative treatment.
(1) Spleen cold in the middle jiao.
Tonic the spleen earth 300 times, pushing San Guan 50 times, kneading Wai Lao Gong 100 times; taking the corner of the belly 5-8 times, masturbating the abdomen in a clockwise direction for 5 minutes, vibrating the abdomen for one minute or to the degree of heat penetration; kneading the spine 3-5 times, pressing and kneading Spleen Yu, Stomach Yu and Foot San Li, each point for about half a minute; rubbing the lumbosacral region horizontally to the degree of heat penetration.
(2) Heat accumulation in the heart meridian.
Clear the heart fire 300 times, clear the liver wood 100 times, clear the small intestine meridian 100 times; pinch the total tendons 10 times, divide the abdominal yin and yang 50 times; knead the small heavenly heart 100 times, knead the inner labor palace 50 times, knead the Shen Men 100 times; clear the heavenly river water 100 times, retreat the six internal organs 50 times; push the Yongquan 100 times.
(3) Apprehension and fear.
Press and knead Baihui 100 times, Mo fontanel two minutes; clear heart fire 100 times, clear liver wood 200 times, replenish kidney water 300 times; pinch the small heavenly heart 50 times; Mo spine 2 to 3 times.
(4) Breast-feeding stagnation.
Rubbing Panmun 100 times, tonifying Spleen Earth 100 times, clearing Stomach meridian 100 times; clearing Large Intestine meridian 100 times, full movement of the Inner Bagua 50 times; rubbing Zhongguo 100 times, moxibustion for 3 minutes in clockwise direction, rubbing navel and Tianshu 100 times; kneading the spine 3 to 5 times, rubbing Guiwei 100 times, pushing the lower seven bones 100 times.
Appropriate techniques.
1. Chinese medicine.
For cold spleen, use Rizhong Pill with Cicada and Huang Lian; for panic, use An Xin Ding Zhi Wan; for food accumulation, use Xiao Yi Wan; for kidney deficiency, use Kidney Qi Wan.
2. Ear point therapy.
Using the ear pressure method in the heart, liver, kidney, spleen, Shen Men, endocrine, identify the evidence of acupuncture points were selected 2 to 3 points, alternating left and right, medium stimulation, 10 days as a course of treatment.
3. Acupoint injection.
Select the foot San Li, San Yin Jiao points, with vitamin B 1100 mg (a ml) and B12 250 mg (2.5 ml), inject the taken points, once a day or every other day.
Precautions.
1. Crying itself is an instinct of the child to survive, it reflects the child’s restlessness and needs, so the treatment should also distinguish between sporadic crying and frequent crying. Hunger, thirst, cold, heat, wet urine, itchy body or wrapped too tight, etc. can produce temporary crying, as long as the cause is removed, the cry will stop, is not pathological, no treatment.
2.Small and timid, avoid foreign voices and foreign objects, be careful to prevent panic.
3.Proper care, proper diet, appropriate temperature and cold.
4.Parents should actively cooperate with the treatment and wake up regularly at night to urinate.