MAIN POINTS FOR DIAGNOSIS
Common symptoms of convulsion are contracture and spasm of the limbs and unconsciousness.
Chronic Convulsion Symptoms are pallor complexion, lethargy, listlessness, clenched lists, intermittent attacks of powerless convulsion. Sometimes convulsion occurs suddenly in deep sleep, with extremely cold limbs.
Acute Convulsion It is manifested as high fever,flushed face, reddened lips, short breath, flapping of ala nasi, restlessness and irritability, tearless cry; further there will be loss of consciousness, up-staring of the eyes, clenching teeth, rigidity of the spine and the back, convulsion of the limbs and continuous tremor,
In TCM, convulsion is divided as acute convulsion and chronic convulsion. Acute convulsion chiefly results from invasion of six exogenous pathogenic 1[actors, which transform heat into wind to cause the disease, or from accumulated milk and food, or excessive accumulation of phlegm-heat which lead to disorder of qi activity and further obstruction of the upper orifices. Chronic convulsion is developed from acute convulsion when it is not treated promptly, or caused by sudden fright, or occur after illness when infants are weak with excessive consumption of fluids and blood, which deprive their muscles, tendons and vessels of nourishment.
Infantile convulsion is also called clonic convulsion or eclampsia in TCM, and is one of the acute and serious diseases commonly seen in infants. Modern medicine believes that infants' central nervous system is under development; when they are infected to develop inflammation or stimulated by high fever, functional disorders of their cranial nerves will occur. Infantile convulsion is in fact a manifestation of this disorder.
The general principle of tuina therapy is relieving convulsion and inducing resuscitation.
Nip Renzhong (GV 26), grasp Hegu (LI 4), nip Duanzheng, and nip Shixuan (EX-UE 11) in turn until the patient regains consciousness.
Grasp Jianjing (GB 21), Weizhong (BL 40) and Chengshan (BL 57) in turn until convulsion stops.
Clear Feijing, push-knead Danzhong (CV 17),Tiantu (CV 22) and Zhongwan (CV 12) 30 - 50 times respectively.
Press-knead Zusanti (ST 36), and digitally-press Fenglong (ST 40) for 1 - 3 minutes respectively.
MODIFIED MANIPULATIONS WITH SYNDROME DIFFERENTIATION
Acute Convulsion. Additionally grasp Fengchi (GB 20) 30 - 50 times, push-scrape downward Tianzhugu 100- 300 times, perform manipulation of Qingtianheshui 100 times, and reduce Liufu 100 times.
Chronic Convulsion: Additionally rub the abdomen clockwise and counterclockwise 100 - 300 times respectively, reinforce Pijing 100 times, clear Ganjing 100 times, reinforce Shenjing 100 times, push Sanguan 100 times, and pinch the spine 3 - 5 times.
Convulsion, especially acute convulsion, has a sudden and violent attack. If treated improperly, it will cause anoxia in the brain tissues and local parts of the body that may lead to sequelae..In even worse cases it may bring about asphyxia, and cause respiratory and circulatory failures. Therefore, "quick dealing with" is emphasized in its treatment. When infantile convulsion attacks, first use tuina therapy for emergency treatment, then send the patient to a hospital for further treatment
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