Understanding the Magical Point: Tiantu Acupuncture for Calming Children's Hysteria

January 21, 2024

Child's emotions are the most uncontrollable. One moment they can be calm and gentle, and the next they can become a storm of anger and hysteria. Mothers often find themselves at a loss, not understanding why their child behaves this way. Children are children, and sometimes we don't understand their world. However, we have a way to instantly calm them down, and that is the magical point of "Tiantu" acupuncture. So, how do we find the location of the Tiantu point?


Why do children become hysterical?

What is hysteria? This disease is probably unfamiliar to many people. According to the dictionary, hysteria is a "mental illness," which means that it is a mental problem.

Hysteria has four main causes. The first is a hysterical personality defect, which is closely related to genetics. It often manifests as self-centeredness, suggestibility, emotions with a dramatic color, or immature emotional processes.

Psychological stimulation is also a cause. Hysteria is a typical psychogenic disease, and it is prone to occur under adverse psychological stimulation from the external environment. It is also related to psychological and cultural factors.

Hysteria has many clinical manifestations, and its symptoms include almost all symptoms of various diseases. It can be summarized as emotional outbursts, consciousness disorders, hysterical mental illness, and hysterical possession by spirits.

In simple terms, this disease is what we call hysteria. The onset of hysteria is mostly between the ages of 16 and 30, and it is more common in females.


Image of the location of the Tiantu point

Treatment of the Tiantu point

Massage Method:

Gently press and massage the Tiantu point with the middle finger for 1-2 minutes, and be extra gentle during the massage.

Acupuncture Method:

First, insert the needle directly at a depth of 0.2-0.3 inches, and then slowly insert it down along the posterior edge of the sternum and the anterior edge of the trachea for 0.5-1 inch; moxibustion can also be used.

Note: The needle should not be inserted too deep into this point, and it should not be inserted to the left or right to avoid damaging the subclavian artery and the apex of the lung. If the needle penetrates the tracheal wall, the patient will experience a slight sensation of itching in the throat and a desire to cough.

If the tracheal wall is punctured, it can cause severe coughing and bloody sputum. If the needle punctures the nameless vein or the aortic arch, there will be a soft and elastic resistance or a feeling of pain under the needle, and the needle should be immediately withdrawn.

Moxibustion Method:

Moxa cone moxibustion for 3-5 cones; or moxa stick moxibustion for 5-10 minutes.


Image of the location of the Tiantu point

How to find the location of the Tiantu point?

1. Standard positioning:

The Tiantu point is located in the neck, on the midline, in the center of the suprasternal notch. It is one of the main acupoints on the Ren meridian.

The Tiantu point is located in the center of the suprasternal notch, 0.5 inches above the upper edge of the sternal incision, according to Wang Bing's annotation in the Huangdi Neijing Suwen. It is also said to be "2 inches below the thyroid cartilage" in the Zhenjiu Jia Yi Jing, "5 inches" in the Beiji Qianjin Yao Fang, "3 inches" in the Taiping Shenghui Fang, and "1 inch" in the Tongren Shuxue Zhenjiu Tujing.

2. Method of locating the point:

The patient can sit in an upright position with the back against a chair. The Tiantu point is located in the neck, on the midline, between the clavicles, and in the center of the suprasternal notch.

It is 1 inch above the Juque point, in the center of the suprasternal notch, and can be located while sitting upright with the head tilted back.

3. Anatomy of the acupoint:

Below the Tiantu point are the skin, subcutaneous tissue, the space between the left and right sternocleidomastoid tendons (the two heads of the sternocleidomastoid muscle), the superior vena cava above the sternal body, the left and right sternothyroid muscles, and the tracheal anterior gap. The superficial layer contains the medial branches of the supraclavicular nerves, and the subcutaneous tissue contains the scalene muscle and the jugular venous arch. The deep layer contains important structures such as the brachiocephalic trunk, left common carotid artery, aortic arch, and brachiocephalic vein.

Anatomical layers: skin→subcutaneous tissue→space between the left and right sternocleidomastoid tendons→superior vena cava above the sternal body→left and right sternothyroid muscles→tracheal anterior gap.

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