Zhang Hanchen children's massage features (1) "Zhang Hanchen children's massage" is mainly nourishing, with stable long-term curative effect; Paying attention to visits, especially face-to-face, can quickly diagnose the condition, the approximate time of illness, the child's innate constitution and the acquired feeding situation; Massage takes operation group as the basic prescription unit, which has a wide range of diseases and is easy to popularize. Long-term health care can enhance children's immunity and resistance, and achieve the purpose of treating diseases and preventing diseases. Acupoint massage, moxibustion, cupping, acupoint pressing and acupoint application are used to treat children's cold, fever, cough, rhinitis, aphtha, asthma, constipation, diarrhea, anorexia, hyperactivity disorder, night sweats, eczema, stunted growth, thick and greasy tongue coating, hand, foot and heart fever, etc. And carry out children's health massage, body conditioning and so on.
(2) According to clinical experience, Zhang made a play, such as "Summary of Massage for Children", which said: "The doctor first presses down slowly and forcefully with his thumb at the selected part. Stop less and then use slow force, and then slowly lift your fingers. This is called pressing. " Clinically, it is often used to press Baihui and Tianmen. The former has lifting function. "The treatment of proctoptosis and chronic dyspepsia has a significant effect. However, when the child has symptoms such as vomiting, nausea and dysentery, the application of this point can aggravate the condition and should attract attention. " The latter has the function of sweating and relieving exterior syndrome. "If you have a cold, a high fever and don't sweat, or you have sweat on your body and no sweat on your head, you can press this acupoint 1-2 times with your thumb, and you will see the sweat immediately. Repeated pressing can receive miraculous effects." This is from experience, and I feel the same way. Another example is kneading. Press a point with your thumb, forefinger or middle finger and rotate it left and right. However, Reng Zhang has a method of rubbing up and down, which is used to rub the wasp into the point, rubbing the second door, rubbing Jingning and rubbing the nest B. Among them, Jingning point is on the back of the fourth and fifth fingers, and it is pointed out that "it takes a long time to use this point alone, and children often describe it as emaciation and shortness of breath." It is particularly worth mentioning that Zhang pays attention to "handprints" when rubbing two horses. The summary of children's massage said: "When taking this point, the doctor holds the child's left hand with his left hand and puts his index finger on the point with small stripes on it." The doctor's third to fifth fingers are put together and inserted between the child's ring finger and little finger, and the thumb presses the child's second to fourth finger roots. Then the doctor puts the middle finger of the right hand slightly on this point to operate. " "Handprint" is one of the practice methods of Buddhism and Taoism. It uses different gestures to express different emotions, thoughts, realms, stages and skills of practice. The tantric Buddhism believes that all kinds of postures of hands and all kinds of body shapes of standing, sitting and lying have a very important relationship with "Qi". Different gestures with specific sound and vision (that is, body, mouth and mind) have different connotations and functions. Traditional Chinese medicine believes that the different functions of handprint qigong are the result of different postures in handprints stimulating different parts and meridians of Yin San Yang, regulating the changes of qi and blood, and restoring the balance of Yin and Yang. [5] Zhang Rou's "handprint" mainly includes stimulation points and small constant temperature points. The former has the function of "smoothing qi and dispersing stagnation, inducing diuresis and treating stranguria", while the latter has the effect of "opening the chest and dispersing stagnation, resolving stagnation, resolving phlegm and promoting fluid production". Therefore, rubbing Ermayina is "the most effective for patients with lung dry rales for a long time" and "treating urinary tract obstruction with obvious curative effect".
(3) Tonifying and reducing, using multiple methods. Tonifying and reducing combined with infantile massage therapy has two meanings: first, it refers to reinforcing and reducing method, commonly used are directional reinforcing and reducing, light and heavy reinforcing and reducing, and Xu's reinforcing and reducing. Zhang is good at combining various methods to achieve the purpose of reinforcing the middle energizer and diarrhea. For example, "Summary of Massage for Children" said: "When children with weak healthy qi feel exogenous pathogens, although they have high fever, they can also tonify the spleen and push the three levels to strengthen the healthy qi and eliminate pathogens. The operation speed should be slightly faster and harder. Although children have heat and evil, it is a method to treat both the symptoms and the root causes with a little hardness and rapid reinforcement. Syndrome of excess and deficiency is more common in pediatric clinic, and the more you attack, the more you make up. However, Zhang's flexible use of the method of reinforcing and reducing both the symptoms and the root causes is really a strange method, which is also commonly used in other clinical diseases, and the effect is like a drum. In addition, Zhang Huan-shan used the method of reinforcing and purging, among which the method of pushing back and forth is called clearing method. In the treatment of excess syndrome, he often took the points of spleen soil and lung gold, which means reinforcing in diarrhea, which accords with the physiological characteristics of children with deficiency of both lung and spleen. Second, it refers to treatment, that is, deficiency can be supplemented and excess can be diarrhea. Zhang Xiaoer's syndrome of physical deficiency and evil is often combined with laxatives to achieve complementary effects. If the two are used together, the Summary of Massage for Children says: "The second point is the point of sweating ... If the weak child needs to use this point, he must first consolidate the exterior and then use the sweating method (consolidating the exterior is mainly to replenish the spleen and kidney, and rubbing the top of the kidney at each point for 1-2 minutes)". Another example is the combination of tackling difficulties. "Summary of Massage for Children" said: Jingning point "is good at eliminating hard mass and cutting air pockets, so it should be used with caution for people with physical weakness. When necessary, it should be used together with reinforcing points (spleen, kidney, three links, Xiaotianxin, etc.). ) so as not to be damaged. " Another example is the treatment of deficiency cold, except expelling wind and relieving exterior syndrome, dispersing lung and relieving cough. The summary of children's massage said: "Those who are physically weak and have high fever can push the door to tonify the kidney, and the operation time can be long." Covering heat for a long time will hurt yin and body fluid, and sweating will lead to the syndrome of deficiency of both qi and yin. Therefore, the flat and slightly cool door is used to clear the internal heat and lower the body temperature, and the kidney-tonifying water is used to replenish qi, nourish yin and consolidate the foundation. For patients with obvious qi deficiency, the author often adds spleen and soil to push the three levels, but the technique is a little harder and faster. I once treated a child with a cold for a summer with a fever, a slight cough and a runny nose. Although I am sweating profusely and my stool is unobstructed, I have a persistent fever and feel very tired all day, and I don't want to eat. Considering the child's physical weakness, the former doctor repeatedly used antipyretics to sweat, and it was summer, which was prone to the syndrome of deficiency of both qi and yin in which sweating injured body fluid and qi lost with body fluid. On the basis of dispersing wind and dispersing lung, the methods of clearing the door, tonifying kidney and water, tonifying spleen and soil, and pushing the three levels were added. The latter two methods are slightly harder, faster and effective at one time.
(4) Treating diseases with evidence, emphasizing syndrome differentiation and treatment, and being good at compatibility and operation. Forty-two diseases and syndromes listed in the Summary of Massage for Children are described from five aspects: etiology, symptoms, treatment, simple explanation of prescriptions and drugs, and addition and subtraction. The simple explanation of prescription and addition and subtraction not only embodies the characteristics of TCM syndrome differentiation and treatment, but also shows the future, which can be used as a course for future study. Zhang attaches great importance to the treatment of specimen entrapment syndrome in clinical practice. "Summary of Massage for Children" said: "In case of specimen clamping, the treatment plan should be made according to the severity of different situations, and the treatment should be carried out first and then simultaneously. There must be certain procedures in diagnosis and treatment in order to be orderly. " In addition, Zhang also imitated drug therapy and used eight methods of massage in combination. For example, "Summary of Massage for Children" said: "Those who have no sweat on their body surface should be enlightened to exorcise evil spirits and go out. Sweating can be done, and it is most suitable to wipe the second point and swarm the bees to sweat. If phlegm and saliva stagnate again, or if the poison fails to reach the intestine by mistake, you can use the method of inducing vomiting quickly, and the two points of Tiantu and Pushanmen induce vomiting the fastest ... ". And pay attention to syndrome differentiation and treatment, such as measles is divided into three types: initial, normal and reversal; Treating cough by exogenous internal injury; Asthma can be divided into excess asthma and deficiency asthma, and so on. Simple and complex, clear governance. In particular, the clinical prescription pays attention to the coordination operation (Zhang's acupoint matching), and is good at combining two or three massage operations in turn, which is similar to the medicine pair or medicine group in traditional Chinese medicine, and is called the operation pair or operation group here.
Summary of common paired or grouped operations
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The operation group is a combination of two or more acupoints, of which two are called operation pairs and more than two are called operation groups.
Curative effect of surgical pair or surgical group
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Bushen Shuirou foreign workers (rubbing two horses) warm the door, benefit the fire and replenish the soil (rubbing two horses to make up but not tired).
Tonifying spleen and soil-pushing three passes to replenish qi, promote blood circulation and warm meridians
Clearing lung meridian-removing six fu organs, moistening dryness and relaxing bowels, cooling blood and smoothing qi.
Clearing the door-pushing the Tianhe River to clear away heat, protect body fluids, and relieve boredom and thirst.
Working outside the home —— Pushing three passes to restore yang to save the adverse, warming the middle and dispelling cold.
The second nest rubs the wind-rubs the small heavenly heart to publicize the exterior and interior, and dispel the wind and ward off evil spirits.
Rubbing the wind of B nest-facing the inner gossip, warming the stomach and stimulating the appetite.
Push four things-transport and transform the external gossip along the way, reduce qi and dredge stagnation, and promote qi and reduce swelling.
The wasp enters the hole-clearing the door and opening the nose, and removing the nasal congestion.
Rubbing the kidney line-combining yin and yang-clearing the sky and regulating qi, resolving phlegm and dispersing in the river water.
Reinforce spleen and soil-reverse the internal gossip, strengthen the spleen and balance the middle, and increase appetite.
Clearing the door-reverse the internal gossip to cool the diaphragm, clear stomach heat and stop vomiting.
Contrary to the Eight Diagrams-Point Qi to the Sea and Draw Phlegm.
Reversing the Eight Diagrams-Massage the chest yang pool, reduce qi and relieve constipation.
Rub the small strips-reverse the inner gossip, spread the lungs and relieve asthma, and regulate the qi.
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Massage for children was officially listed in the "National Basic Public Health Service Project" in 20 13 (Chinese medicine health management project for children aged 0-36 months). This is the first time that Chinese medicine has entered the "public health" project, and it is also one of only two Chinese medicine projects that have entered the "public health" project. Children's massage is the most dazzling highlight in the field of parenting education and children's health. Children's massage is a natural physical way for children's health care, disease prevention and rehabilitation, with rich meridians, acupoints and techniques. It has no injection or medicine, no toxic side effects and no need for medical equipment. Good effect, wide application range and better effect on children's health and growth and development.
2. Zhang Hanchen School's child massage is widely spread all over the country, and it was once known as "one of the three schools of Qilu". "Zhang Hanchen sent people to give children a massage to pay attention to the visit, especially face-to-face consultation, which can quickly diagnose the condition, the onset time, and the child's innate constitution and postnatal feeding.
3. Significance of visiting: Rapid diagnosis is beneficial to communication.
4. Inspection basis: Hundred pulses converge on the face, the color and dirty correspond, and the color and syndrome correspond.
5. Inspection method: overall inspection (seeing the spirit, Wang Ze, color and shape) and branch inspection (seeing the forehead, nose, lips, jaw, ears and eyes).
6. Application of observation: the principle of observation and treatment, the combined application of observation and operation group, observation to know the prognosis, observation to know the condition and observation to know the curative effect.
7. Clinical practice of observation combined with application of "acupoint positioning massage"
8. Acupoint Positioning and Acupoint Operation Method
9. Definition of operation group and operation pair
10, clinical application of general operation group