The procedures for child foot massage are as follows:
1) Rubbing foot:
The rubbing maneuver may be quickly and gently applied with the whole ulnar border of palm, from the ankle joint over instep (including the medial and laterl borders of the foot) to toes; and then from the heel tendon over heel and sole to toes with a force heavier than that used for the instep. For rubbing the midline of the sole, the lateral border of hypothenar prominence may be used instead. The rubbing maneuver producing a pink color and a hot sensation all over the child's feet may pro-mote their growth and development, clear heat in body, remove food stagnation, induce sweating, and expel pathogens from the body surface.
2) Pushing foot:
The pushing maneuver is forcefully applied from the mid-point of lateral border of the heel along the lateral and medial dorsoplantar boundary of the foot to the little and big toes respectively, and then the gentle rotating, digit-pressing and kneading maneuvers are applied to the little and big toes. The pushing maneuver is useful to clear heat, control convulsions, refresh the mind, open the sense organs, and enhance intelligence.
3) Digit-pressing and kneading joints:
The digit-pressing and kneading maneuvers are applied from the "ankle joint through the 1st to the 5th metatarsophalangeal joints, and finally the gentle digit-pressing maneuver is applied to all interphalangeal joints. The manipulation should be gently and nimbly applied with a proper amplitude of movement. The digit-pressing and kneading manipulation can pro-mote the development of the child's muscular and skeletal sys-tem, and the pinching and digit-pressing manipulation can be used to treat emergency cases of convulsions, but this must be quickly and accurately applied.
4) Grinding and pressing central part of sole:
The quick, gentle and nimble grinding and pressing maneuvers are applied over the central part and the part slightly anterior to the center of the sole for clearing heat, control vomiting, and promoting digestion in the spleen and stomach.
5) Gently pounding heel:
The ulnar borders of both fists are used to quickly and rhythmically pound the heels with a proper and even force for tranquilizing the mind, improving sleep, and controlling convulsions.
6) Rubbing foot:
The first manipulation is repeated as the closing step in this set of manipulations.
The feet should be soaked in warm water before applying the above manipulations, and after the foot bath, the warmth of the feet should be retained because an attack of cold to the feet may cause other diseases. The health care foot massage may be performed alone or combined with hand massage, and the frequency of manipulation may be increased. Young babies should not be forced to begin walking at a very young age because this may disturb the body's development and cause deformity of the bones and joints. Babies should be supported when walking so their legs do not carry all their body weight at the early stages of learning to walk.
Before the practitioner begins the child health care massage on hand and foot, he/she should wash his/her hands in warm water and have his/her nails cut short to avoid injury. People with hard skin, hard scars and scales on the skin, or other lesions on their hands should not use their hands to do this massage. The manipulation should be carefully applied without any violence to avoid injury. If this massage is done at home, it is best done by mothers, because sometimes men may injure the child by applying too much force.
Young children are very susceptible to attacks of pathogens because their body resistance is not yet fully strengthened. At the same time, the development of disease in children may be very rapid, and neglecting the seriousness of their illness may produce an incurable result. Therefore, young parents must not carelessly manage the disease of their children, and they should visit the pediatrician in time
Source: TCM Treat disease- Foot massage for child health care
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