Health care and medical therapy for children is a special branch of medicine. Pediatric departments were in use in ancient China, and pediatric massage was separated from massage for adults, much welcomed by the vast Chinese people. The hand and foot massage for the health care of children is introduced as follows:
1. Hand massage for child health care:
1-Wuzhijie (five interphalangeal joints) 2-Hegu (LI 4) 3-Weiling 4-Yiwofeng 5-Outer Bagua 6-Outer Laogong 7-Jingning 8-Shangmen 9-Ershanmen 10-Right Duanzheng ll-Laolong 12-Left Duanzheng.
The acupoints and areas on the hands of children ( Fig. 6 - 1, 6-2 and 6-3) are different from those of adults.
The spleen is on the pad of the thumb; and the liver, heart, lungs and kidneys are on the pads of the index, middle, ring and little fingers respectively. The colon is on the radial border of the index finger from the tip to the web border of this finger; the small intestine is on the ulnar border of the little finger from the tip to the proximal end of this finger; the tip of little finger is Sbending (vertex of kidney) and the distal palmar interphalangeal crease is called Shenwen (kidney crease); the proximal palmar interphalangeal creases of the index, middle, ring and little fingers are called Sihengwen (4 creases) ; the pal-mar metacarpophalangeal creases of 4 fingers are called Xiao-
1-Shiwang (Shixuan) 2-Banmen 3-Yangchi (LI 5) 4-Zongjin 5-Yinchi 6-Small Tianxin 7-Inner Laogong (PC 8) 8-Sihengwen (4 creases) 9-Shenwen
bengwen (small crease); the palmar crease proximal to the Xiaobengwen is called Zhang Xiaohengwen (small palmar crease); and the stomach is on the palmar side of metacarpo-phalangeal joint. In addition, the palmar surface of thenar prominence is called Banmen, the center of the palm is called Inner Laogong (PC 8) at a point between the tips of the middle and ring fingers when they are flexed to touch the palm; the Inner Bagua is a circle at the central part of the palm two-thirds of the distance between the center of the palm and proximal end of the middle finger as its radius; the Small Tianxin is in a depression between thenar and hypothenar prominences; the arc of Yunshui Rum is drawn from proximal end of the little finger to proximal end of the thumb and the arc of Yuntu Rushui is drawn along the opposite direction; the Zongjin is at the midpoint of palmar carpal crease, the same as Daling acupoint (PC 7) . The palmar carpal crease is also called Dahengwen (big crease), its radial end is called Yangchi (LI 5) and its ulnar end is called Yinchi; Shiwang at the tips of all fingers is also called Shixuan; Laolong is at a point 1 fen proximal to the nail of the middle finger; Duanzheng is at the proximal corner of nail of the middle finger, the one on the radial side is called left Duanzheng and the other, on the ulnar side, is called fight Duanzheng; the dorsal creases of proximal interphalangeal joints of the 5 fingers are called Wuzhijie (5 interphalangeal creases); the points in the depressions beside the proximal end of the middle finger are called Ershanmen; Shangmen is in the depression between the proximal ends of the ring and little fingers; the Outer Laogong is on the dorsum of the hand and just opposite to the Inner Laogong; Weiling is in the interosseous space between the 2nd and 3rd metacarpal bones, and Jingning is in the interosseous space between the 4th and 5th metacarpal bones; the Outer Bagua is on the dorsum of the hand and opposite to the Inner Bagua; and Yiwofeng is at the midpoint of dorsal carpal crease.
For child health care massage, the kneading, pinching or pinching with grinding maneuvers may be applied at the tips of all fingers; kneading maneuver applied to the pads of all fingers; and the pushing or grinding with pushing maneuvers applied along radial or ulnar borders of the fingers. The local grinding and pushing maneuvers applied to the correspondent reflecting areas of internal organs are a toning technique; and the vertical pushing maneuver applied along fingers is a reducing technique. The vertical pushing maneuver proximally applied along colon and small intestine reflecting areas is a toning technique and the distally applied is a reducing technique. The pressing with kneading and pinching with grinding maneuvers are usually applied over reflecting areas; and the pinching and pushing maneuvers applied at acupoints.
The procedures for child health care massage are arranged as follows: To tone spleen and reduce stomach for adjusting digestive tract and to reduce heart and liver for adjusting function of lung and kidney; to digit-press, press and knead Banmen and Duanzheng, to transport water into earth and to motivate Bagua; to manage Hengwen (creases) and Zongjin for clearing heat and releasing stasis; and to manage Outer Laogong and points and reflecting areas called Men and Feng for expelling external pathogens; and to manage Tianxin, Laogong and carpal crease for improving the health of children and preventing disease. Other points and reflecting areas can also be selected for use according to necessity and under the guidance of the practitioner. The acupoints and reflecting areas at the distal end of the fingers, such as Shiwang, can be used for emergency treatment. The 'persistent application of health care massage once or twice a day may improve the health of children, prevent disease and promote the development of their intelligence. In addition, children should be trained to constantly use their hands, for example to pick up and hold things, clap. Their hands, and play with building blocks to improve their coordination of movement between hands and brain. Before and after massage, their hands should be soaked in warm water, and they should be trained apt to receive a warm-water soaking of hands and feet. It's a delicate job, and health care should be continuously carried on with hand massage adequately applied with the proper force to avoid injuring the child's tender hands.
2. Foot massage for child health care
The foot massage is also very important for children. The central part of the sole, heel and toes, especially the big toe, are the important places for applying massage, and the joints of the foot, especially the ankle and first metatarsophalangeal joint, are also very important.
Source: TCM Treat disease- General Discussion of Massage Maneuvers
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Tuesday, July 15, 2008
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