Infants with vomiting must be controlled on diet, and for those with frequent vomiting, fasting should be practised till their conditions are improved, then food-taking gradually increases. Infant's head should be turned to one side while vomiting in case vomitus is inhaled into the trachea. In addition, fluid infusion should be given to patients with severe vomiting to avoid occurrence of disorder of water or electrolyte. In the course of tuina therapy, causes of vomiting should be ascertained further. For example, if the vomiting is jet-shaped and massive, accompanied by fever, convulsion, listlessness or eclampsia, some acute infectious diseases like epidemic encephalitis B or epidemic cerebrospinal meningitis should be under consideration. Infants should usually be kept in a proper temperature condition and fed reasonably
MAIN POINTS FOR DIAGNOSIS
Heat Vomiting Syndrome Symptoms are vomiting right after food-taking, sour and stinking vomitus, feverish sensation in the body, thirst, restlessness, stinking or dry stools, dark yellow urine, dry and red lips,yellowish and greasy tongue fur, rapid pulse and light purple finger veins.
Cold Vomiting Syndrome Symptoms are vomiting after overeating, intermittent vomiting, vomitus with slight sour smell, pale complexion, cold limbs, abdominal pain which can be relieved by warmth, loose stools, pale tongue, thin and whitish tongue fur and red, sticky finger veins.
Indigestive Vomiting Syndrome Symptoms are frequent vomiting, foul breath, chest distress, anorexia, abdominal distension and pain, sour and stinking stools,loose or dry stools, thick and greasy tongue fur, slippery pulse, and deep, sticky dactylogram.
Vomiting is one of the common symptoms in infantile diseases, and is caused mostly by the retroperistalsis of the stomach and the intestine, which, according to modernmedicine, can result from many diseases, such as diseases of the gastrointestinal tract, fever, intracranial infection, drugs, food poisoning, and other metabolic disturbances. TCM holds that vomiting is mainly caused by improper feeding, leading to retention of food in the stomach, or accumulation of heat, stagnation of cold in the spleen and stomach, etc., which result in failure of gastric qi to descend, inducing vomiting. The common symptoms are productive vomiting with sounds after foodtaking, sour and offensive or stinking vomitus, accompanied by pale complexion or flushed face and ears, swearing, and pain in the stomach. Clinically, vomiting is classified as cold vomiting, heat vomiting and indigestive vomiting, etc.
The principle of tuina therapy., regulating the stomach and relieving adverse rising of gastric qi.
Digitally-press Neiguan (PC 6), Zhongwan (CV 12) and Zusanli (ST 36) for one minute respectively. Pinchgrasp the muscles around acupoint Weishu (BL 21) on the hack 15 - 20 times. Rub the abdomen clockwise and counterclockwise for 3 minutes respectively.
MODIFIED MANIPULATIONS WITH SYNDROME DIFFERENTIATION
Cold Vomiting Syndrome. Additionally push Tianzhugu 100 times, reinforce Pijing 100 times, push from Banmen to Hengwen 100 times, knead Wailaogong 100 times, and push Sanguan 100 times.
Heat Vomiting Syndrome. Additionally clear Pijing, Weijing and Dachang 100 times each. Reduce Liufu 100 times, nip Shiwang 3 - 5 times each, and push down Tianzhugu and Qijiegu 100 times each.
Indigestive Vomiting Syndrome. Additionally clear Pijing 100 times, arc-push Neihagua (clockwise) 300 times, push from Banmen to Hengwen 100 times, separatingpush Danzhong (CV 17) 300 times, perform manipulation of Anxuan Zhoucuomo (Twist and Rub like Plucking the String) for one minute, and push down Qijiegu 100 times.
The tuina treatment is given once or twice a day, and three days' treatment forms a course.
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