小儿推拿常见问题解答

A common problem solution for children's massage

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1、小儿推拿适合什么年龄段的孩子？

1, children's massage for what age children?

传统小儿推拿主要适用于学龄前儿童，即0~7岁。7岁以上孩子运用小儿推拿时，应适当的增加时间和力度，一般对于12岁以下的孩子，小儿推拿都有一定的效果的。

Traditional massage for children is mainly for preschool children, that is, 0~7 years old. Children over 7 years of age should increase their time and strength when using child massage. Generally speaking, children's massage has certain effect for children under 12 years old.

2、可以每天都做吗？

2. Can you do it every day?

不同疾病，操作时间不同，对于急性病，如发热等，每日操作一次，必要时可以一日两次，一般1~5天为一疗程；对于慢性疾病，每日一次，或每周2~3次，以周为一疗程。

Different diseases, operation time is different, for acute disease, such as fever, such as fever, daily operation, if necessary, two times a day, general 1~5 days for a course of treatment; for chronic diseases, once a day, or 2~3 times a week, a week for a course of treatment.

有家长询问一些穴位，例如捏脊，板门，胃经等等可以每天都做吗？我想说的是，不同的穴位有不同的作用，具体应用要根据孩子身体状况来应用，有些穴位的作用不一定是适合自己孩子的。以捏脊为例，体虚易感冒，脏腑的虚症等，是可以经常捏脊的，而且日常保健也不是说每天都要捏脊，要看孩子的具体状态，可以隔一、两天或者隔几天一次。揉板门、四横纹可以增进食欲；捏脊可以促进发育，强壮身体；夜梦易惊可以用捣小天心。

Some parents ask some acupoints, such as chiropractic, plank door, stomach meridian and so on, can you do it every day? What I want to say is that different acupoints have different functions, specific applications should be applied according to the physical condition of the children, and some acupoints are not necessarily suitable for their children. Take the chiropractic as an example, the body is easy to cold, the viscera deficiency, and so on, can often pinch the ridge, and daily health care is not to say that every day to knead the ridge, to see the specific state of the child, can be separated for one or two days or every other days. Kneading plank door and four stripes can increase appetite; chiropractic can promote growth and strengthen body; night dream is easy to be frightened and can be used to pound small heaven.

3、小儿推拿时左右手都按吗？还是一只手就行呢？

3. Do the left and right hands be pressed in children's massage? Or is it a hand?

小儿推拿，古时有男左女右之分，但是现在，不分男女，多习惯推左手，一些穴位，如调五经穴，揉板门，揉小天心等可同时操作左右手，其余部分穴位，如胸腹，腰背，多同时取左右穴位操作。

Children's massage, in ancient times, there are male and left women right, but now, not divided into men and women, many habits push the left hand, some acupoints such as the five meridians, knead the plate door, knead the small heart and so on at the same time manipulate the left and right hands, the rest of the acupoints, such as the chest abdomen, the waist and back, at the same time take left and right points operation at the same time.

4、小儿推拿适合在什么时间进行？

4. When is the child's massage suitable for the time?

这个没有严格要求，一般在上午为宜，但是，对于小儿入睡困难或者睡中易醒，可在睡前操作，可以起到促进睡眠的作用。有的家长白天由于要上班，没有时间，给孩子推拿也可以在晚上的，但是不要在睡前用一些振奋阳气的手法，以免影响孩子睡眠。

This is not strictly required, generally in the morning, but for children to sleep difficult or to sleep easily awake, can be operated before bedtime, can play a role in promoting sleep. Some parents have to go to work during the day, and there is no time for the children to massage the children in the evening, but do not use some ways to lift the sun before going to bed, so as not to affect the children's sleep.

5、推拿时的力度怎么掌握？力越大越有效果吗？

5, how to grasp the strength of the massage? Is the more effective the more powerful?

推拿的力度不是越大越好，因为小儿的皮肤娇嫩，力度太大反而容易损伤到小儿的皮肤，推拿时应该轻快，柔和，有力。

The strength of the massage is not the greater the better, because the child's skin is delicate, the strength is too big but easy to damage the skin of children, massage should be light, soft, powerful.

6、推拿之后有什么注意事项吗？

6. Are there any notices after the massage?

推拿之后，应该适当休息，同时注意保暖，避风寒等。

After massage, proper rest should be made while keeping warm and avoiding wind and cold.

7、从上往下捏脊和从下往上捏脊有什么差别？

7, what is the difference between chiropractic and downward chiropractic?

上捏脊，采用顺督脉自下而上的方法，属于补法，也是捏脊的常用方向；下捏脊的方向与之相反，有清热泻火、通便的作用。

The upper chiropractic method, which adopts the down - up method, belongs to the supplement method. It is also the common direction of the chiropractic. The direction of the knead ridge is opposite to the direction of the chiropractic, which has the function of clearing heat and purging fire and passing the stool.

8、小儿推拿常用的运，掐，推，揉，捏，这几种手法都是如何操作的？

8, children massage commonly used transport, pinch, push, knead, kneading, how are these methods of operation?

运法：由此往彼的弧形或环形推动，多用拇指指腹，或食、中、无名三指指腹操作，如运土入水和运水入土。

Transportation method: from this to the arc or ring drive, use thumb pulp, or food, middle and nameless three fingers, such as moving soil into water and carrying water into the soil.

掐法：用指甲掐入皮肤，此法刺激较强，多用于急症，中病即止，要严格控制次数，不宜作为常规手法，掐后多辅用揉法，小孩皮肤娇嫩，注意不要掐破皮肤。

Pinch: nail into the skin, this method of stimulation stronger, more used for emergency, disease is stop, strict control of the number of times, should not be used as a routine, after pinching more and more auxiliary rubbing method, children skin delicate, pay attention not to pinch the skin.

推法：直推法，从某一点起，沿直线推向另一个点，常用于线性穴位。分推与合推法，即同时从中央向两边推动和两边向中央推动的方法，如分推手阴阳、合推手阴阳。

Push method: direct push method, from one point, pushing straight along another point, often used in linear acupoints. The method of dividing and pushing together is the way to push both sides from the center to the center at the same time, such as pushing hands, yin and Yang, pushing hands, yin and Yang.

揉法：指下吸定的回旋运动，有拇指揉，多指揉，掌根揉等，揉法就是要注意手下要固定，不能说在在皮肤上滑动。

Kneading method: refers to the downward movement of the whirl, with the thumb kneading, the multi finger kneading, the palm root kneading, and so on. The kneading method is to pay attention to the fixing of the hands, and can not be said to slide on the skin.

捏挤法：用双手拇指和食指，对称放置在穴位四周，同时用力向穴位中央推挤的方法。

Kneading extrusion: with both thumbs and forefinger, placed around the acupoint, and pushed to the center of the acupoint.

9、小儿推拿时需要用的润滑剂吗？如果需要的话应该用哪种呢？

9. Are the lubricants needed for children's massage? What should be used if you need it?

小儿推拿是定要用介质的，小孩的皮肤不像成人，很娇嫩，如果不用介质，很容易就会损伤到小儿的皮肤。起保护皮肤润滑作用，常用淀粉、爽身粉、凡士林等。

Children massage is to use the medium, children's skin is not like adults, very delicate, if not using the medium, it will easily damage the skin of children. Protect skin from lubrication, commonly used starch, talcum powder, Vaseline, etc.

10、自学小儿推拿，看什么书比较好？

10, self-study children's massage, what books are better to see?

我个人认为李德修的三字经流派是比较适合刚刚接触小儿推拿的家长的，因为三字经流派用穴少，每穴操作时间长，而且还有一些特定穴，与其他记载的定位略有不同，但是效果也很明显，当然，如果说要辩证选穴，还要进一步学习中医知识和儿科相关知识。

I personally think that Li Dexiu's three character genre is more suitable for the parents who have just touched the children's massage, because the three words are small, the operation time is long, and there are some specific points, which are slightly different from the other records, but the effect is very obvious. Learning Chinese medicine knowledge and pediatrics related knowledge step by step.