Fever is one of the most common and obvious symptoms in pediatric diseases. The pathological characteristics of "weak yin" in children determine that they are not resistant to external pathogenic heat, making them more prone to fever. Even if they are affected by external cold pathogenic factors or internal stagnation of food and drink, they are also prone to heat transformation. Therefore, the treatment focuses on clearing heat, relieving restlessness, and expelling pathogenic factors. Let's take a look at the illustrations of pediatric tuina techniques for fever.
External Pathogenic Heat Fever Tuina Techniques
Treatment principle: Clear heat, expel external pathogenic factors.
Tuina prescription: Push and hold the bamboo points, push and hold the Kan Palace point, knead the Taiyang point, clear the Lung meridian, clear the Tianhe water point. For wind-cold pathogen, add pushing the San Guan points, kneading the Er Shan Men points, and pressing the Feng Chi point. For wind-heat pathogen, add pushing the spine.
Tuina rationale: Clear the Lung meridian, clear the Tianhe water point to ventilate the lungs and clear heat; push and hold the bamboo points, push and hold the Kan Palace point, knead the Taiyang point to disperse wind and relieve the surface, and expel external pathogenic factors; push the San Guan points, knead the Er Shan Men points, and press the Feng Chi point to induce sweating and relieve the surface. For wind-heat pathogen, pushing the spine and clearing the Tianhe water point can clear heat and relieve the surface.
Yin Deficiency and Internal Heat Fever Tuina Techniques
Treatment principle: Nourish yin and clear heat.
Tuina prescription: Tonify the Lung meridian, knead the Shang Ma point, clear the Tianhe water point, stimulate the Nei Lao Gong point, knead the Yong Quan point, press and knead the Zu San Li point.
Tuina rationale: Tonify the Lung meridian, knead the Shang Ma point to nourish the kidneys and lungs, and nourish yin fluid; match with clearing the Tianhe water point, stimulating the Nei Lao Gong point to clear the deficient heat, and tonify the Spleen meridian; press and knead the Zu San Li point to strengthen the spleen and regulate the stomach, and improve appetite; knead the Yong Quan point to redirect heat downward and relieve deficient heat.
For restlessness and insomnia, add clearing the Liver meridian, clearing the Heart meridian, and pressing and kneading the Bai Hui point. For spontaneous sweating or night sweats, add kneading the Kidney Summit point and tonifying the Kidney meridian.
Lung and Stomach Excess Heat Fever Tuina Techniques
Treatment principle: Clear and purge internal heat, regulate qi and promote digestion.
Tuina prescription: Clear the Lung meridian, Stomach meridian, Large Intestine meridian, knead the Ban Men point, stimulate the Nei Ba Gua point, clear the Tianhe water point, retreat the Six Fu organs, knead the Tian Shu point.
Tuina rationale: Clear the Lung meridian, Stomach meridian to clear the excess heat in the Lung and Stomach meridians; match with clearing the Large Intestine meridian, kneading the Tian Shu point to regulate the stagnation of the intestines and relieve constipation and water retention; clear the Tianhe water point, retreat the Six Fu organs to clear heat and relieve restlessness; knead the Ban Men point, stimulate the Nei Ba Gua point to regulate qi and promote digestion.
Hot Flashes Fever Tuina Techniques
Treatment principle: Regulate the flow of qi, clear visceral heat.
Tuina prescription: Push the San Guan points, retreat the Six Fu organs, push the Heart meridian, stimulate the Nei Ba Gua point, separate yin and yang, press the Shi Wang points, fish out the Ming Yue point, operate the Dou Zhou elbow point.
Tuina rationale: Push the San Guan points, retreat the Six Fu organs, fish out the Ming Yue point, operate the Dou Zhou elbow point to open the pores, relieve muscle heat; push the Heart meridian, operate the Nei Ba Gua point, separate yin and yang, nourish yin fluid, and clear the excess heat of the Five Hearts; press the Shi Wang points to clear heat and awaken the spirit.
Restless Heat Fever Tuina Techniques
Treatment principle: Resolve both exterior and interior, clear heat and relieve restlessness.
Tuina prescription: Push the San Guan points, purge the Five Meridians, press the Shi Wang points, operate the Nei Ba Gua point, knead the Wai Lao Gong point, separate yin and yang, retreat the Six Fu organs, fish out the Ming Yue point, cross the Tianhe water point, operate the Dou Zhou elbow point.
Tuina rationale: Push the San Guan points, retreat the Six Fu organs, fish out the Ming Yue point, cross the Tianhe water point, knead the Wai Lao Gong point to clear heat and relieve muscle tension; purge the Five Meridians, separate yin and yang, operate the Nei Ba Gua point to clear heat and relieve restlessness; press the Shi Wang points, operate the Dou Zhou elbow point to clear heat and calm the spirit.
Spleen Heat Fever Tuina Techniques
Treatment principle: Clear and resolve heat evil, promote the flow of qi and eliminate stagnation.
Tuina prescription: Push the San Guan points, push the Spleen Earth point, purge the Heart fire, purge the Kidney water, operate the Ba Gua, separate yin and yang, press the Zong Jin point, push the San Guan points, retreat the Six Fu organs, fish out the Ming Yue point, operate the Dou Zhou elbow point.
Tuina rationale: Push the San Guan points, retreat the Six Fu organs, fish out the Ming Yue point, operate the Dou Zhou elbow point to clear the heat evil that invades the Yangming, or due to accumulation of heat in the spleen, hence the need to push the San Guan points, retreat the Six Fu organs, push the Spleen Earth point, operate the Ba Gua, separate yin and yang, fish out the Ming Yue point; purge the Heart fire, purge the Kidney water to harmonize the Heart and Kidneys and relieve restlessness caused by heat; press the Zong Jin point, operate the Dou Zhou elbow point to relieve tongue retraction caused by spleen heat.
