Massage Techniques for Pediatric Convulsions: A First Aid Approach

November 20, 2023

Jingfeng, also known as convulsions, is a common pediatric emergency. It is mainly caused by external wind invasion, sudden fright, or obstruction of phlegm and heat, resulting in disorder of qi movement and blockage of brain orifices. It often occurs in children under 3 years old. Massage techniques can be used for first aid when it occurs. Let me teach you the massage techniques for pediatric convulsions.

Main symptoms of pediatric convulsions

High fever. The body temperature is often above 39°C, with red face and lips, rapid breathing, restlessness, crying without tears, followed by coma, upward gaze, tight jaw, stiff back, limb convulsions, tremors, etc. If it is caused by food stagnation, it may also be accompanied by abdominal distension, constipation, and thick greasy tongue coating. If it is caused by phlegm obstruction, it may also be accompanied by gurgling sound in the throat, coughing with difficulty in expectoration, rapid breathing, and white greasy tongue coating.

Analysis of the syndrome of pediatric convulsions

Due to the weak and porous skin of children, they are highly susceptible to external pathogens. When pathogens invade the superficial muscles and penetrate from the surface to the interior, they become stagnant and transform into heat and fire. Excessive heat generates wind, resulting in external pathogenic factors first, followed by the activation of liver wind or backward transmission to the pericardium, leading to symptoms such as fever, headache, stiff neck, coma, and convulsions. If it is caused by poor diet or ingestion of unclean substances, it can lead to stagnation in the stomach and intestines, hidden phlegm and heat, obstruction without resolution, inefficient qi movement, stagnation leading to fire, turbid phlegm obscuring the pericardium, and activation of liver wind, resulting in symptoms such as vomiting, abdominal distension, abdominal pain, constipation, and convulsions. If it is caused by sudden fright or accidental fall, fright injures the spirit and fear injures the will, leading to symptoms such as restlessness and alertness, followed by phlegm and saliva stagnation, clouding the clear orifices, and activation of liver wind causing convulsions.

Pediatric convulsions massage prescription

Treatment principles: For convulsions caused by external pathogenic factors, the main focus is on dispersing wind and clearing heat, extinguishing wind and calming convulsions. For convulsions caused by phlegm and dampness, the main focus is on promoting digestion and resolving stagnation, purging phlegm and calming convulsions. For convulsions caused by fright and convulsions, the main focus is on calming convulsions and calming the spirit.

Massage prescription:

Awakening and refreshing: Pinch Hegu, take He Gu, pinch the knuckles, straighten them, take Laolong, Shi Xuan, Wei Ning, take Jianjing, Pu Shen.

Stopping convulsions: Rub Xiaotianxin, total tendons, take He Gu, Qu Chi, Jianjing, Baichong, Chengshan, Weizhong.

Extinguishing wind and rubbing tendons: Clear the liver meridian, take Fengchi, Jianjing, push Tiantuzhugu, pinch the spine, press and rub Yanglingquan, take Chengshan.

Phlegm elimination and phlegm transformation: Clear the lung meridian, push and rub Tanzhong, rub Tiantu, Zhongwan, Fenglong, massage Feishu, monkey picking fruit method, string rubbing method.

Promoting digestion and resolving stagnation: Tonify the spleen meridian, clear the large intestine meridian, rub Banmen, Zhongwan, Tianshu, massage the abdomen, Piyu, Weiyu, Fenglong.

Clearing heat and purging fire: Clear the liver meridian, heart meridian, lung meridian, clear Tianhe water, retreat the six fu organs, pinch the spine, press and rub Ershanmen.

Explanation of pediatric convulsions massage prescription

The treatment of convulsions focuses on clearing heat, extinguishing wind, transforming phlegm, and calming convulsions.

The treatment includes: Clearing heat and promoting lung ventilation using Tianhe water, retreating the six fu organs, clearing the liver meridian, heart meridian, pinching the spine, pressing and rubbing Ershanmen;

Calming the liver and suppressing wind using the liver meridian, taking Fengchi, Jianjing, pushing Tiantuzhugu, pinching the spine, pressing Yanglingquan, taking Chengshan;

Transforming phlegm and resolving stagnation using the lung meridian, massaging Feishu, pushing and rubbing Tanzhong, rubbing Tiantu, Zhongwan, Fenglong, pressing and rubbing with string, monkey picking fruit method, tonifying the spleen meridian, clearing the large intestine meridian, rubbing Banmen, Zhongwan, Tianshu, Piyu, Weiyu.

Calming convulsions and stopping spasms using the heart meridian, liver meridian, rubbing Xiaotianxin, total tendons, taking Qu Chi, Jianjing, Yanglingquan, Chengshan, Tiantuzhugu, pinching the spine.

Awakening and refreshing using acupuncture points: Pinch Renzhong, take Hegu, pinch the knuckles, straighten them, take Laolong, Shi Xuan, Baichong, Chengshan, Weizhong.

Precautions for pediatric convulsions massage

1. When a child has convulsions, it is strictly forbidden to forcibly pull their limbs to avoid twisting their tendons and bones and leaving sequelae.

2. When convulsions occur, parents must ensure that the child wears loose clothing and promptly remove secretions (such as phlegm) from the throat to keep the airway clear and prevent suffocation.

3. When convulsions occur suddenly, immediate rescue measures must be taken. If convulsions worsen after using massage for first aid, seek medical attention immediately.

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