Constipation refers to constipation, prolonged intervals between bowel movements, or difficulty in passing stool despite the intention to do so. Constipation is a common clinical symptom in pediatrics and can occur alone or in other acute and chronic diseases. The occurrence of constipation is related to dietary habits. According to the different causes and symptoms, constipation can be divided into two categories: actual constipation and deficiency constipation. The constipation is dry and knotted due to heat accumulation in the intestines and stomach, loss of fluid, dryness in the intestines, and loss of conduction; or congenital deficiency, spleen deficiency due to prolonged illness, weakness of transportation and transformation, and lack of source of biochemistry of qi and blood, resulting in deficiency of qi and blood, lack of power to warm and warm, and condensation of yin qi, resulting in difficult and difficult stools; and deficiency of blood and fluid, and loss of moistening of the intestines, resulting in constipation.
Clinical manifestations
(1) Real constipation: dry and obstructed stools, or prolonged intervals between bowel movements, red face and body heat, bad breath and lips, thirst and cold drinks, short and red urine, chest and hypochondriac fullness, reduced food intake, abdominal distension and pain. The coating is yellow and dry, the pulse is smooth and the fingerprints are purple.
(2) Deficiency constipation: difficulty in passing stools, banging white face, thinness, fatigue. The tongue is light with thin white coating, the pulse is thin, and the fingerprints are light in color.
Massage therapy]
(1) Treatment principles: laxative and laxative. If the actual constipation, it is appropriate to diarrhea heat and relax the stool; if the deficiency constipation, it is appropriate to benefit Qi and nourish blood.
(2) Treatment steps
① Clear the large intestine: use the radial side of the right thumb to push from the child’s tiger mouth to the fingertips 200 times.
②Press and knead the shoulder Yangchi: with the thumb or the end of the middle finger, knead the central depression of the transverse wrist of the back of the child’s hand at 3 inches after 100 times.
③Mo abdomen: use the palm side of the palm or the index, middle and ring finger side of the hand to make clockwise circular strokes on the child’s abdomen for 5 minutes.
④ rubbing the tianshu, foot three li points: with the thumb or the end of the middle finger to rub the umbilical cord next to 2 inches of the tianshu point, the lower limbs of the foot three li points 50 to 100 times each.
⑤ rubbing the tail of the turtle: using the thumb or the end of the middle finger to rub the end of the tail vertebrae of the child 100 times.
⑥Push the lower seven bones: use the radial side of the thumb or the index finger and the middle finger to make a straight push from top to bottom 100~200 times.
(7) If the actual secret
a. Clear Tianheshui: Using the thumb or the ribbed side of the index and middle fingers, push from the transverse wrist line to the transverse elbow line 200 times along the middle of the forearm.
b. Retreat the six internal organs: use the thumb ribbed surface or the index and middle fingers ribbed surface to apply force along the ulnar side of the forearm of children, pushing from the transverse wrist line to the transverse wrist line 100 times.
c. Rubbing the rib cage: the child’s two hands are lifted or placed on the head, and the operator uses the palms of both hands to rub the child’s two axillae to the Tianshu point 100 times.
d. Transport within the bagua: thumb ribbed surface force, in the child’s hand palm around the bagua points for 50 times.
(8) If deficiency and constipation
a. Tonic spleen meridian: Use the ribbed side of the thumb to apply force and push 300 times on the ribbed side of the thumb of the child.
b. Pushing San Guan: Using the thumb or the ribbed side of the index and middle fingers, push along the radial side of the forearm from the transverse wrist to the transverse elbow 200 times.
c. Knead the second horse: use the end of the thumb to knead the recess behind the metacarpophalangeal joint of the ring finger and little finger on the back of the child’s hand 100 times.
d. Chiropractic: use the thumb, index finger and middle finger to pinch the skin in the middle of the spine, from the turtle tail point pinch to the large vertebrae point, alternating twisting hands to push forward, and lifting hard 3 to 5 times.
(3) course of treatment: massage treatment once a day, 5 times for a course of treatment. After the massage treatment, symptoms significantly improved, still must continue to massage until the normal bowel movements.
【Caution】 (1)
(1) Pay attention to the regulation of diet, eat more fruits and multi-fiber vegetables, to develop good bowel habits.
(2) Enhance the child’s independent exercise, appropriate outdoor activities to improve the physical quality of children.