Acupuncture Houston Ph.D Blog

palpation

Palpation surface some parts doctor Qiemo and contact with the sick child to a checkup condition. The Palpation including Qiemo and press attending two parts.

[Qiemo]

In the pediatric Qiemo the age “Youyou integration:” pediatric three-year-old can advice to children under 3 years old can not pulse diagnosis, the available police fingerprint complementary pulse diagnosis, and 3-year-old, Qiemo compare easy to carry out, in children is willing to cooperate with the doctors, and will not appear crying noise impact diagnose the troubles. Pediatric diagnose the troubles of the best quiet or sleep. Due to the pediatric Cunkou parts short, it is impossible to accommodate the doctor three fingers, so adult the Qiemo with three fingers, and press-inch, off feet carried, while pediatric diagnose the troubles of a designated off “in order to distinguish the pulse.
A designated three – “There are two ways, one is a doctor with the thumb, another doctor with the index finger diagnose the troubles, the latter method is more appropriate for winter wear long-sleeved jacket pediatric. Diagnose the troubles of the time, every hand should twenty-three minutes or so, and if children burst into tears noisy revolt, should immediately end Qiemo, because at this time by the crying the noisy pulse chaos, and impossible to measure the correct pulse. Cardiovascular system diseases, according to the needs of the Qiemo time appropriate to extend, for achieve diagnose the troubles purpose. Pediatric Qiemo doctors posture and flexibility should not rigidly adhere to the internal medicine kind of patients hands on the pulse pillow Qiemo gently hold the little hands of the sick child, the doctor can quickly finger pressure upper Cunkou site , to achieve their goals, it is often used to distract an exchange with the sick child speech.

A normal clock normal pediatric pulse peaceful calm and soft than in adults and fast. The younger the faster pulse, pediatric arterial elasticity metabolism is very strong, therefore, that the TCM alleged pediatric Chun-yang of the body, steamed up, Jew of the Rising Sun has just risen. Ancient did not watch, then assess the speed of the pediatric pulse-bearing, with respiratory fixed pulse rate, that doctor calm the breathing given the number of the pulse of the sick child, an adult in a call a suction one interest, Adult approximately a rate four, while children with you in an interest- six to the left and right. To be more accurate calculation of the pulse rate in children, should be aware of the normal children of different ages the number of heart rate per minute. The adult normal breathing an interest calculation: newborn to 8 to 1 to 3 years of age 6 to 7 to 4 to 7 years old, about 6 to 8 to 13 years old, about 5 to pulse and adults over the age of 14 is basically the same. Terms of heart rate per minute: newborn to 1 year of age from 160 to 120, 120 to 100 times of 1 to 3 years old, 3 to 5 years old, 110 to 90, 5 to 7 years old, 100 to 80, 7 to 12 years old 90 70 times. Measured pulse faster than normal amounting veins, less than a slow pulse.

2. Abnormal pulse pediatric patients pulse is relatively simple, the adult is more complex. Commonly used in adults to 28 species, and adult types of diseases, increased significantly, plus yin and yang qi into another related to the metabolic level, children with the disease is relatively simple, pure etiology, less impassioned affect. Children with abnormal pulse generally floats, Shen, later, the number of weakness, strong the six kinds pulse to summarize, denote diseases genus, cold, heat, virtual, real. Floating pulse, multi-master and powerful in the table, floating table real, float, and are unable to virtual table, the disease re-floating pulse heavy disappeared for righteousness has been spent, in critical condition; sunken pulse certificate, Lord Shen forceful in real The Shen and weakness in virtual; slow pulse multi-master cold syndrome, late and powerful real cold, late weakness Deficiency; multi-master rapid pulse heat syndrome, several powerful real hot number weakness Hot. Strong the veins mainly empirical, weakness pulse main deficiency. Powerful and powerless just general is a saying in the the pediatric sphygmology for flood pulse, slippery pulse, veins, Wiry general are convincing veins, and veinlets, soft pulse, weak pulse, hollow veins, Confucianism pulse can considered a weakness pulse. Visible Wiry convulsions, liver disease, acute abdominal pain, high blood pressure and other diseases, pediatric hypertensive renal hypertension generally are secondary, and adult primary hypertension. The visible hollow veins, hollow pulse of bleeding caused by a variety of reasons, leukemia, aplastic anemia and other means such as hand-touch scallion palpable but fingers emptiness. Phlegm dampness, cough, asthma, Indigestion Syndrome fresh injury, often slippery pulse. The lack of blood or the the wet evil disease, can occur Confucianism veins. Damage to the heart qi or heart yang the visible knot behalf of the pulse. Pediatric pulse diagnosis when doctors are in contact with one finger of sick children “, off feet three parts, so the separation inch, off pulsation of different feet, is more difficult, but older children willing to cooperate, the doctor The measured pulse a finger around a little flip, press-inch, off, feet light and heavy different and still be able to appreciate the three different parts pulse, which can understand the organs the situation, the yin and yang qi Rise and Fall.

Qiemo is an essential part of the four diagnostic methods, but not the only means of diagnosis, pulse diagnosis alone gives the condition conclusion, it is obviously not desirable, it is not in line with the spirit and requirements of “The combination of all.

[Attending]

Press attending doctor using fingers to certain parts of the patient’s body surface, touch, touch, pressure, percussion, etc. to determine the site of disease and to distinguish cold, hot, virtual and real, a diagnostic method.

1. Before Henderson after Henderson Press the the first Hang pediatric fontanelle, after fontanelle closure of 6 to 8 weeks of the birth or after birth, therefore not after the Hang diagnostic value, the anterior fontanelle to 12 to 18 months before they closed Heng skull development indicators, is also one of the bases for the diagnosis of certain diseases. Attending can learn more about the the head skull size bump the degree of tension, as well as the head skull and cranial sutures closed open skull hard degree. Fontanel depression such as pits, called skull trap, mostly stomach qi subsidence in the air, or vaginal fluid depletion, such as diarrhea and dehydration; fontanelle high conflict, called “skull fill, if it is very full of tension mostly evil heat flaming, wind, fire, phlegm-heat red, can be accompanied by high fever, coma, convulsions, seen in encephalitis, meningitis. Additionally ago by the premature closure of the head circumference was significantly less than the same month-old infants, microcephaly, mental retardation; the fontanelle overdue substandard, diseases commonly acquired dystrophy caused by Koh Japanese; big if head skull, termed solution cranial, hydrocephalus and congenital kidney deficiency. The baby suffering from rickets Cuibo skull, according to the will not be strong, and Table Tennis subsidence feeling called ping-pong head.

Carotid axillary the main touch the neck and armpits or without nodular mass. Normal children in the neck, posterior armpit can touch the little green bean size nodules, freedom of movement is small lymph nodes, not morbid. The pediatric neck on both sides nodules enlargement, according to the pain associated with high fever, phlegm endoretention, such as acute lymphnoditis. Nodular swelling neck does not hurt, according to the hard clusters, push it difficult to move, mostly M. scrofulaceum that lymph node tuberculosis.

. Xiongxie sternum high outburst as “chicken breast” is due to spleen and kidney deficiency, one of the main signs of the for the Koh Floor disease; spine sudden high pain, according to the “Turtle”; sternum at the subsidence, such as funnel-shaped, this skeletal deformity, but also due to rickets. Apex beat at the ancient books called “virtual”, cases of gas converging, too strong, or if pulsating rhythm irregularity cases of gas leaks, serious illness; rather weak, touch is not obvious cases of gas within the virtual; if pulsating too fast, accompanied Chuanji to the cases of gas is not following symptoms, critical.胸胁 touches of beading, costal regions valgus for Koh the bonobos disease signs.

Abdomen normal children before the age of 3 to 4 liver each could be reached, but the 4-year-old then gradually shrink into the ribs can not be touched. Hepatosplenomegaly, tenderness, or hard texture, are pathological. Left subcostal block is splenomegaly right costal block, hepatomegaly. Pressing pediatric abdominal, pediatric cooperation must be achieved, in a quiet cry, and you should call their parents by her side, to reduce the fear; crying revolt should stop checking. When abdominal tenderness, you should never sore spot began to touch, and finally check it hurts if check it hurts too early, due to the contraction of the abdominal muscles will affect further examination.

The pediatric abdomen soft and gentle as normal, according to the non-swelling is not painful. Abdominal pain hi, pain reduction according to the mostly imaginary pain, cold pain; abdominal pain refused to press, according to the pain intensified as in real abdominal pain; Cullen abdominal pain, according to the cord-like mass, reduction of pain, and more case of ascariasis; the bloating Xingshou, abdomen blue veins revealed more than rickets card; abdominal fullness, the knock of drums, Qi stagnation bloating; abdominal fullness, knocking the liquid to a sense of volatility, and more intra-abdominal hydrocephalus. Check the abdomen, and pay attention to observe the the pediatric facial expressions to speculate pain or discomfort at. Older school-age children, while pressing edges asked, also faster to determine it hurts.

5. Extremities hot and cold touch limbs and muscles, joints, skin. The limbs Jueleng, mostly weak yang, or yang is not up to; dysphoria fever, normal body temperature, as yin deficiency heat; dysphoria, hand, foot and back of the fever, the body temperature rises, exogenous fever, true heat syndrome; limbs Luan acute twitching, convulsion of the levy;, thin, and one or both limbs can not move, muscle weak powerless as polio; summer temperature permit heat back, limb rigidity, hand, foot and fibrillation or Juluan the case of virtual wind as sequelae.

Press the skin mainly aimed at understanding the cold, heat, sweat the case. Limbs cold sweat more, for lack of yang; skin hot and sweat-free, due to very hot. Skin according to the depression can not afford more for spleen deficiency, wet overflows skin, seen in cloudy water; according to the depression, to let go of that since, for feng shui Competing seen Yousui; dry and loose skin less elastic , common on vomiting and diarrhea after the for qi deficiency liquid off of the card.