MAIN POINTS FOR DIAGNOSIS
Syndrome of Injury of the Spleen Due to Food Stagnation It is manifested by emaciation, non-increased body weight, distension and fullness in the stomach and the abdomen, poor appetite, listlessness, restlessness in sleep, irregular bowel movements with fetid odor, thick and greasy tongue fur, purple and unsmooth finger veins.
Syndrome of Deficiency of Both Qi and Blood The manifested symptoms are sallow or pallor complexion, sparse and withered hairs, skinny physique, listlessness or irritability, restless sleep, weak and low cry, cold limbs, retarded development, depressed abdomen, loose stools, light tongue with thin fur, light finger veins.
Ganji (malnutrition and food stagnation in infants) is the general term of malnutrition (Ganzheng) and food stagnation (Jizhi). Malnutrition and food stagnation differ from each other in severity.
TCM holds that milk and food stagnation and splenogastric asthenia mutually have the cause and effect relationship. Namely, milk stagnation may injure the spleen and the stomach, on the other hand, weakness of the spleen and stomach may induce food stagnation. Clinically, Ganji (malnutrition and food stagnation) can be classified as type of injury of the spleen due to food stagnation. and type of deficiency of both qi and blood.
Food stagnation refers to infantile milk and food stagnation, which injures the spleen and the stomach, and further causes distension and fullness in the stomach and indigestion, emaciation, disturbed sleep, persistent crying, sour and stinky stools, and other symptoms. Malnutrition is the advanced phase of food stagnation. In other words, long-term functional disturbance of the stomach and the spleen in transportation and transformation, and failure of generation of blood and qi lead to emaciation, pallor complexion, cold limbs, sparse and withered hairs, listlessness, weak and lower cry, abdominal distension with visible superficial veins, and loose stools in infants. Generally, Ganji is similar to infantile malnutrition in modern medicine.
The principle of tuina therapy is removing stagnation, promoting digestion, and regulating the spleen and the stomach.
Reinforce Pijing 400 - 600 times, arc-push Neibagua 400 times, perform Longruhukou manipulation 200 times, circularly rub the abdomen clockwise and counterclockwise for 5 minutes respectively. Separating-push Fuyinyang 200 times, pinch the spine 10 - 15 times, and pressknead Zusanli (ST 36), Pishu (BL 20) and Weishu (BL21) 30 - 50 times respectively.
MODIFIED MANIPULATIONS WITH SYNDROME DIFFERENTIATION
Syndrome of Injury of the Spleen Due to Food Stagnation: Additionally, knead Banmen 100- 300 times, push Sihengwen and arc-push Neibagua 100 times respectively.
Syndrome of Deficiency of Both Qi and Blood:Additionally, reinforce Shenjing 100 times, push Sanguan 100 times, knead Wailaogong (EX-UE 8) 100 times, and nip-knead Sihengwen 100 times.
In the above two syndromes, if constipation is seen, cancel kneading Wailaogong (EX-UE 8) and pushing Sanguan, add clearing Dachang 200 times and pushing down Qijiegu 100 times; if diarrhea and loose stools are present, add reinforcing Dachang 200 times and pushing up Qijiegu 200 times. For patients with hyperhidrosis, kneading Shending 100 times can be added. For patients with feverish sensation in the chest, palms and soles, and night sweating, cancel pushing Sanguan and kneading Wailaogong (EX-UE 8), add clearing Ganjing 100 times,nipping-kneading Xiaotianxin 100 times and Wuzhijie 50 times each. And for those with aphtha, add nipping,kneading Xiaohengwen 50 times each, and kneading Zongjing 100 times.
This tuina therapy is performed once a day. One treatment course takes ten days. Generally, food stagnation needs one treatment course, while malnutrition demands 1 - 3 courses. The interval between two courses is usually one or two days.
Ganji (malnutrition and food stagnation) in infants should be prevented and treated as soon as possible, in case the problem lasts for a long time and involves other organs with the result of being lingering and difficult to cure. Infants should be fed properly, especially fed with breast milk. Others like timely-adding auxiliary food, replenishing nutrients, feeding regularly with fixed quantity, avoiding some bad habits such as monophagia, addephagia should all be paid attention to. In addition, sufficient sleeping should be ensured, outdoors activities and physical exercises should be arranged properly to improve
infants' appetite and their digestive abilities. Dietary hygiene should also be paid attention to so as to protect infants from infectious diseases and parasitosis
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