Pediatric Tui-Na Massage for Infants and Children

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This is some notes I’ve gathered from school along with our text book and other special books of Traditional Chinese Medicine and helping infants. This is a very special topic as I have a infant son and find myself using massage as a useful mode to relieve problems. Acupuncture is not recommended for infants until the age of 5. the view is that the internal organs and elements of the body have not settles and are moving and active. Though I have also seen direct moxa and quick needling acupuncture used before. Most cases are for emergency as well like prick-bleeding Erjian on the ear to relieve fever.

Many of these points I was aware of from years as a massage therapist. Some are points specific children.

Infant Massage session should take 20 minutes to complete. While the method is called Tui-na (push and grasp), the actual way of doing the massage is more An-Mo in nature since it uses a more press/rubbing method.

Infant-tuina-head

Pediatric Tui-Na
Head and Neck Region

Tian Ma (Gate to Heaven) Technique: 30-60x massage UP ONLY from yintang to hairline with thumbs.
Indications: External invasion headache, fever, mental depression, anxiety, panic.

Kan Gong (Water palace) Technique: 20-30x Push with thumbs apart from medial eyebrow to lateral eyebrow.
Indications: Headache due to external invasion.

Tai Yang (Great yang) Technique: 30-50x kneading in circular motion at temples.
Indications: External invasion headache.

Standard: Above three must be done Reason: Calm spirit of infant to prep for other more specific points.

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Shen Gen (Mountain Root) Technique: 3 to 5 taps with fingernail on bridge of nose below yin tang.
Indications: Infantile convulsions and spasms.

Ren zhong (Center of Man) Technique: Du 26, Not common point, only used for First aid.
Indications: Convulsions and Spasms.

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Feng chi (wind Pond) Technique: 5-10x press GB 20 inferior to occiput.
Indications: Headache, Fever, neck rigidity.

Tian Zhu Gu (Heavenly pillar bone) Technique: 100-500x push with thumb massage down from C1 to C7
Indications: High fever, sore throat, vomiting.

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Chest and Abdomen

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Shan zhong (Penetrating Organ) Technique: Ren 17: On sternum between nipples: (3) 1. spread part 2. circular motion, or 3. pushing toward Xypoid process 50-100x
Indication: Asthma, infant phlegmy, stuffy chest, vomiting milk, bronchitis.

Zhong Wan (Middle of Abdomen) Technique: Ren 12: rubbing 100x or 5 minutes, between xyphoid process and umbilicus.
Indication: vomiting, diarrhea, invigorate SP/ST. (add Zusanli)

FU (abdomen) Technique: Rubbing 100-200x around abdomen counterclock wise (tonify) or clockwise (disperse).
Indication: Abdominal pain, Indigestion, vomiting. (add Zusanli).

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Umblicius w/ ST25 Technique: 100-300x immediate area at navel, massage in circles around umblicus.
Indication: Abdomen pain, Diarrhea.

Dan tien (Elixer field) Technique: 50-100x or 5 minute circular kneading.
Indication: Abdominal pain, bedwetting, Yuan qi, diarrhea.

Du Jiao (corner of Abdomen) Technique: **Use if area feels Cold. 2 to 5 presses.
Indication: Abdominal pain, diarrhea.

Tian Tu (Heavenly Process) Technique: Ren 22: knead with middle finger 10x
Indication: Cough with difficult muscous, first aid to induce vomiting.

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Back and Spine

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Jain Jing (Shoulder Well) Technique: GB 21: 5-10x grasp/pinch or press
Indication: Improve Qi and Blood circulation.

Feng men (Wind gate) Technique: BL 12: 20-30x Kneading
Indication: Common cold, asthma, Repiratory disease.

Fei Shu (Lung shu) Technique: BL 13 at T-3: push apart 100-300x
Indication: Lung Deficiency, Cough, respiratory issues.

Pi shu (Spleen Shu) Technique: BL 20 at T-11: 50-100x Kneading
Indication: Vomit, diarrhea, infantile malnutrition, Spleen deficiency.

infant-posterior-points

Shen Shu (Kidney shu) Technique: BL 23 at L2: 50-100x kneading
Indication: Enuresis, morning diarrhea, weak limbs.

Ji Zhu (spinal column) Technique: C-7 to Sacrum: Push down 100-300x, or pinch/roll up 3x
Indication: Fever, convulsions.

Qi Jie Gu (Sacrum) Technique: L-4 to sacrum: 100-300x push up: diarrhea or down: constipation
Indication: Diarrhea, constipation (see technique).

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Legs, Feet, other special points

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Bai Hui (meeting of 100) Technique: Du 20 at vertex: 100x kneading
Indication: Restlessness, crying, irritability, insomnia.

Da Zhui Technique: First aid: emergency prick with high fever
Indication: see above.

Qu Chi Technique: LI 11: kneading 100x
Indication: Skin issues, reduce high fevers.

He gu Technique: LI 4: kneading 100x
Indication: Strengthen weiqi, headache, Qi and blood circulation, face: jaw, teeth, allergy.

Kwei Wei (turtle Tail) Technique: Tip of coccyx: 100x kneading
Indication: diarrhea.

Zu San Li Technique: ST 36: 100x kneading (tonifying) pushing increases perstalisis.
Indication: Diarrhea, vomiting, food stagnation, loss of appetite.

San Yin Jiao Technique: SP 6: 100x kneading
Indication: Convulsion and bed wetting.

Yong Quan Technique: KD 1: kneading 100x
Indication: Tonfigy Kidney, sore throat, Cooling body temperature.

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Infant hand: (Yin) Unilateral: Male: left hand, Female: right hand

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Pi jing (Spleen) Technique: Palmar surface distal thumb. 100 to 500x distal to proximal pushing.
Indication: Reduce ST/LI fever, diarrhea, indigestion, constipation.

Gan jing (Liver) Technique: Palmar pad of distal index finger. 100 to 500x distal to proximal pushing.
Indication: Convulsion due to Liver wind, red eyes, sore thorat.

Xin jing (Heart) Technique: Palmar pad to distal middle finger: 100-500x distal to proximal pushing.
Indication: High fever, eruptions of mouth and tongue.

Fei Jing (Lung) Technique: Palmar pad distal ring finger. 100-500x distal to proximal pushing.
Indication: Asthma, cough, Cold, Fever, chest pain.

Shen Jing (Kidney) Technique: Palmar pad distal little finger. 100-500x distal to proximal pushing.
Indication: Euresis, KD def. diarrhea.

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Other: Unilateral: Male: left hand, Female: right hand

Lao gong Technique: PC 8: center of palm 100-500x kneading.
Indication: Excess heat, heat in mouth.

Wei lao gong Technique: Finger knead 100-500x
Indication: Exogenous disease.

Er shan men (2 doors) Technique: 100-500x press/knead. Dorsal side of hand 1st knuckle middle finger.
Indication: Febrile disease without sweating, heat symptoms.

Wei Guan Technique: TB 5: 100-500x kneading massage
Indication: Headache, alternating fever and chills.

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Infant hand (Yang) Unilateral: Male: left hand, Female: right hand

infant-yang

Da Chang Jing (Large Intestine) Technique: 100-500x massage from radial side of index finger to webbing.
Indication: Diarrhea, constipation.

Xiao chang jing (Small intestine) Technique: 100-300x massage from Ulnar side of little finger to webbing.
Indication: Scanty urine, Anuria, Enuresis.

Wei jing (Stomach) Technique: 100-300x massage proximal phlange on ventral surface of thumb.
Indication: Vomiting, hiccup, thirst, poor appetite, Stomach fire.

Dan Jin (Gall Bladder) Technique: 100x Second phlangne on index finger
Indication: Ear ache, Shao yang syndrome.

Ban men (Wood Gate) Technique: Kneading greater thenar eminence.
Indication: Vomiting, indigestion, shortness of breath, diarrhea.

Shi Xuan Technique: Digging method with finger nail 3-5x each finger.
Indication: High Fever.

infant-palmar-hand-Yang

San guan (3 gates) Technique: 100-300x massage from ventral surface of forearm, radial side wrist to elbow.
Indication: Def. of Qi and Blood, weak constitution, weakness after illness, yang Def, cold limbs.

Liu fu (6 bowels) Technique: 100-300x ventral surface of forewarm, ulnar side from elbow to wrist.
Indication: High Fever, irritability, sore throat, constipation, dry stool.

Tian he Shui (Celestrial River) Technique: 100-300x midline of ventral surce from wrist to elbow.
Indication: Yin Def. heat.

Xiao Tian Xin (Small heaven heart) Technique: 100x kneading Root of palm
Indication: Restlessness, Anxious, teething, night crying, nightmares.

Yin yang (LU9 and HT7) Technique: 100x towards or away from each other LU9 HT7 at wrist
Indication: Towards: Fever. Away: Open chest.

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Text books:
Foundations of Chinese Medicine: Giovanni Maciocia

Chinese Nutritional Therapy: Joerg Kastner

Turtle Tail and other Tender Mercies: Bob Flaws

Chinese Acupuncture and Moxibustion: Cheng Xinnong

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Gallery 2016 Images from Traditonal Chinese Medicine

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Herbal Formulas of Traditional Chinese Medicine

This is the beginning of formula study for 2016 for students. Now that all the herbs have been covered, they are to be combined with other herbs to create balance and produce specific effects for the body to restore health. This is for students and licensed practitioners of TCM. WARNING: DO NOT SELF PRESCRIBE HERBAL FORMULAS WITHOUT GUIDANCE FROM QUALIFIED PRACTITIONER.

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Got to know Diet first: 3 links are here: Our Dietary therapy Info

Herbs part 1 study guide

Herbs part 2 study guide

Study sheet: download . Right click “Save As”.
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References/recommended reading: Chinese Herbal Medicine: Formulas and Strategies. Sneid, Bensky, Ellis, and Barolet.

8 Principles:
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Flavors:
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Nature:
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Formulas that Release Exterior: Wind-Cold, Wind-Heat

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Formulas that Clear Heat:

Formulas that Clear Heat at Qi level

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Formulas that clear heat at Ying level and cool blood:

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Formulas that clear heat at Qi and Blood level simultaneously:
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Formulas that Clear heat from Organs

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to be continued (there are hundreds of herbal formulas to be added)

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Face Reading in Traditional Chinese Medicine

Face Diagnosis or Mien Shung is looking at the face as a method of diagnosis in Traditional Chinese Medicine (TCM). In this method a practitioner can quickly observe the color, shape, and features that may indicate an imbalance or trait.
Various markings have a predisposition to an illness. They can indicate strengths and weaknesses of body, mind, and spirit.

5 elements

This diagnosis stems for the 5 element theory.

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Let’s have a look at the 5 elements in this diagnosis process:

In oriental medicine, there are no “bad” elements. Everything is a gift and challenge.

Wood personality for instance: Anger is the challenge, but this kind of person actually has a lot of passion. Wood types are very focused, athletic, direct, competitive. suppressing their anger, also suppresses their passion. They are often enforcers of the truth.

Face: Wood types have a long rectangular face, long body like a tree, think of like a basketball player, strong jaw, threatening eyes. Determined.

wood

Fire personality: Typically they say “Joy” is the challenge in TCM for this type of person, but what they really mean is excess joy, excess pleasure, to a point of even mania. The gift is the ability to disperse or dissipate. These are the type of people who love fun.

Face: oval shape, sparkly eyes, have slender body, points at eyebrows, nose, lips.

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Earth personality: their challenge is one of worry. They have strong empathy for others. They are the ones who “feel”. You would want to ask them how they “feel” about something. They are very in touch with their feelings, and the feelings of others.

Face: square, they have short legs, thighs, and butt.

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Metal personality: Their challenge is often grief, while the they carry the gift of sympathy. Metal types are practical, logical, mathematical, and often will use “I think” when asked about a opinion about something.

Face: Round, angular, high cheek bones, long slender nose, delicate, pale skin.

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Water personality: are ruled by fear and often look around suspiciously. They typically have the ‘what if’ going on in their minds, but they have a gift of wisdom. These types are very sensual, dreamy, flowing, imaginative/creative people.

Face: cheeky, dreamy eyes, sensual body.
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TCM points in relation to Kundalini Yoga and Ayurveda medicine.

Image is a synopsis of a kundalini method with TCM points added. Inspired from India Guru Sri Mataji’s Sahaja Yoga Kundalini meditation which is much more longer and complex. This yoga is instructed to be free, we cannot charge money for the essence, nature, and energy that is already inside of you. It is up to you to unlock its power and vibration.

The steps are: (click on image below for more details)

1. Practice Pranayama: alternate nostril breathing to balance the Pingala, Ida, and Sushumna channels. These relate to the humors of Wind, Bile, and Phelgm in Ayurveda medicine.
2. Raise the kundalini
3. Secure a boundary with Bhanda
4. Grounding with the Earth- release emotions (anxiety, worry, fear)
5. Opening up with the Sky- release anger and aggression.
6. Connect with Lower Dan Tian- Pure intention to cultivate self knowledge and wisdom.
7. Releasing Attachment to others: Becoming your own true master.
8. Middle Dan Tien: Letting go and being one with the Spirit: release ego, cultivate compassion.
9. Release Guilt: True Self, confession, and return to innocence.
10. Upper Dan tien: Opening 3rd eye and forgiveness.
11. Mantra recitation: mentally whispering “Hum Sum” 108x to balance brain hemispheres.
12. Unification:Realization in the present moment, feeling kundalini above head.
13. Chakra massaging: guiding hand over chakras 7x.
14. Closing: repeat 2. and 3.

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