小儿推拿四大操作技巧
小儿推拿疗法历史悠久,易为患儿接受,用于治疗小儿的某些疾病有良好的疗效,同时也是乡村全科医师技能考核的重点。
Pediatric massage therapy has a long history, easy for children to accept, for the treatment of certain diseases in children with good curative effect, but also the focus of rural general practitioner skills assessment.
小儿推拿手法应轻快柔和,有的手法虽与成人推拿相同,但手法动作及操作方法却不一样。治疗穴位有时也和成人不同。
Children massage manipulation should be light and gentle, although some techniques and adult massage the same, but the manual action and method of operation is not the same. Treatment of acupuncture points is sometimes different from adults.
(一)常用手法
(a) commonly used techniques
1.推法:用拇指面(正、侧两面均可)或食、中指面,在选定的穴位上作直线推动,称直推法;用双手拇指面在同一穴位起向两端分开推,称分推法(图2)。
1. method: thumb surface (positive, side on both sides) or middle finger food, face, straight line driving in a selected point, called the direct push method; with both hands thumb face to the ends of separate push in the same point, said the push method (Figure 2).
2.揉法:用指端(食、中、拇指均可)或掌根,在选定的穴位上贴住皮肤,带动皮肉筋脉作旋转回环活动,称揉法(图3)。治疗部位小的用指端揉,大的用掌根揉。
2. kneading method: finger (thumb, food, in May) or root of palm, stick to the skin in the selected
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3.捏脊法;用双手的中指、无名指和小指握成半拳状,食指半屈,拇指伸直对准食指前半段,然后顶住患儿皮肤,拇、食指前移,提拿皮肉。自尾椎两旁双手交替向前,推动至大椎两旁,算作捏脊一遍(图4)。此法多用于小儿疳积,故又称“捏积”。
3. of chiropractic; with both hands middle finger, ring finger and little finger grip into a fist shaped, half bent forefinger, thumb forefinger straight alignment the first half, and then against the children's skin, the thumb and forefinger forward, carrying the flesh. From the caudal side alternating hands forward, to promote the Dazhui on both sides, as chiropractic again (Figure 4). This method is mainly used for infantile malnutrition, it is also called the "chiropractic".
4.推脊法:用食、中指(并拢)面自病儿大椎起循脊柱向下直推至腰椎处,称推脊法(图5)。此法适用于高热。
4. push ridge Law: with food, in which (together) from children play on Dazhui push straight down to the lumbar spine, called push ridge method (Figure 5). This method is applicable to high fever.