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.

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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.

infant-face_shengen

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).

infant-body-frontpoints

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

Infant-back-spine

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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infant-dorsal-hand2

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

About Administrator

Coach Matt Stampe is a Database Administrator and I.T. professional. In the world of Bodywork, he has been a Massage Therapist, and is currently a student at Virginia University of Oriental Medicine (VUOM.edu). He has taught hundreds of people Authentic Tai Chi Kung fu for over 25 years at places including: Kung fu schools, Parks and Recreation centers, Chinese schools, Martial arts clubs, MMA/Boxing gyms, and Acupuncture Universities. He has positively impacted peoples lives whether for health, sport, strength, and spirit. As a true combat athlete and fighter, he teaches realistic methods so people can be confident to defend themselves. (without all the woo-woo mystical BS.)
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