Pediatric Massage: A Guide to Qing Tianhe Water Technique for Fever and Cough Relief

November 16, 2023

When children get sick, parents often don't want to give them medication for a long time. Pediatric massage is a good emergency method, and Qing Tianhe water is a commonly used method for reducing fever and relieving cough. Let's take a look at the hand technique diagram for Qing Tianhe water.

Accurate Location Diagram of Qing Tianhe Water

Tianhe water is located in the central palm side of the forearm, in a straight line from the midpoint of the wrist transverse wrinkle (Zongjin or Daling acupoint) to the midpoint of the elbow transverse wrinkle (Hongchi or Quze acupoint).

Hand Technique Diagram for Qing Tianhe Water

Using the pushing method, the practitioner uses the index and middle fingers together, using the finger pads to push from the wrist transverse wrinkle to the elbow transverse wrinkle, called Qing Tianhe water. If pushing from the Nei Laogong acupoint up to the elbow transverse wrinkle, it is called Da Tui Tianhe water. Conversely, it is called Qu Tianhe water.

Right Hand or Left Hand for Qing Tianhe Water

For Qing Tianhe water, hold the child's right wrist slightly above with the left hand, and use the finger pads of the left index and middle fingers along the inner side of the right arm, from the wrist transverse wrinkle to the elbow transverse wrinkle, repeating the pushing motion 100-300 times.

Functions of Qing Tianhe Water

1. Qing Tianhe water has a slightly cool and moderate nature. It can clear heat and relieve the surface, drain fire, and alleviate restlessness. It is mainly used to treat heat-related diseases without damaging the yin. It is commonly used for symptoms such as restlessness, dry mouth and throat, and mouth and tongue sores.

2. For those with cold and fever, headache, slight sweating, and sore throat caused by external wind-heat, it is often used in combination with other techniques such as pushing Zan Zhu, pushing Kan Gong, and rubbing Taiyang acupoint.

3. When there is intense heat, Qing Tianhe water can be used to clear heat. It is commonly used for symptoms such as high fever caused by excess heat.

Clinical Applications of Qing Tianhe Water

1. Different techniques are suitable for different conditions. Qing Tianhe water is mostly used for external wind-heat, with the main purpose of promoting perspiration and releasing heat. Da Tui Tianhe water has a strong heat-clearing effect and can also clear qi and nourish heat. Qu Tianhe water is suitable for internal heat caused by yin deficiency.

2. This acupoint can be used in a compound technique. After massaging and pressing Nei Laogong or Xiaotianxin acupoint, the practitioner uses four fingers together to tap from Zongjin acupoint to the wrist and elbow, which has the effect of promoting meridian circulation. This technique is called Da Ma Guo Tianhe, and during the treatment, the fingers should be dipped in cold water and cool air should be blown while tapping.

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