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小儿遗尿推拿治疗法的治疗
来源:http://www.bbtndoctor.com添加时间:2018-05-31 19:31:35
1、治疗原则
1, the principle of treatment
该病的治疗原则为温肾固涩。虚证辅以健脾益气,实证佐以疏肝清热。
The treatment principle of the disease is warm and astringent. Deficiency syndrome is supplemented by invigorating spleen and replenishing qi.
2、基本操作
2. Basic operation
1)患儿取家长抱坐位或仰卧位:补肾水300次;用全掌摩全腹,尤以下腹部为主,约5~8分钟;按揉气海、丹田、中极、三阴交,每穴约半分钟。
1) the children took the seat or supine position of the parents: 300 times of kidney water; the whole abdomen of the whole palm, especially the following abdomen, about 5~8 minutes; according to the rubbing Qi sea, Nishida, middle pole, and three yin, each hole about half a minute.
2)患儿取俯卧位:捏脊3~5遍,按揉肺俞、脾俞、肾俞、大肠俞、膀胱俞,每穴约半分钟;揉龟尾100次;擦命门、肾俞、八髎,以透热为度。
2) the children take the prone position: knead the ridge 3~5 times, according to knead the lung Yu, the spleen Yu, the Shenshu, the large intestine Yu, the bladder Yu, each hole about half a minute; knead the tortoise tail 100 times; wipe the life of the door, the Shenshu, eight, with the diathermy.
3、辨证施治
3, syndrome differentiation and treatment
1)下元虚寒:补肾水300次,揉肾顶300次,推三关100次,揉外劳宫100次;用较为轻柔的手法逆时针方向摩全腹延长到10~15分钟,按揉神阙、气海、丹田、中极,每穴约半分钟;揉龟尾200次,推上七节骨100次;擦命门、肾俞、八髎,以透热为度。
1) Xia yuan deficiency cold: tonifying the kidney water 300 times, kneading the kidney top 300 times, pushing three customs and 100 times, kneading the 100 times in the palace of labor, and extending the full abdomen to 10~15 minutes with the more gentle technique against clockwise and direction friction, according to the kneading of the Shenque, Qi sea, Nishida and middle pole for about half a minute; knead the tortoise tail 200 times and push the seven joint 100 times; wipe the door, Shenshu and eight By the degree of heat transfer.
推拿按摩
2)肺脾气虚:补肺经300次,补脾土200次,补肾水300次,按揉板门100次;按揉百会200次;逆时针方向摩腹5分钟,按揉气海、关元、丹田、足三里、三阴交,每穴约半分钟;捏脊3~5遍,按揉肺俞、脾俞、肾俞、膀胱俞,每穴约半分钟;横擦腰骶部,以透热为度。
2) lung and spleen qi deficiency (300 times), 200 times of spleen soil, 300 times of kidney water, 100 times of kneading board door, 200 times by kneading a hundred meetings; 5 minutes against clockwise abdomen for 5 minutes, according to kneading Qi sea, Guan Yuan, Nishida, Zusanli and saninjiao for about half a minute; kneading the ridge 3~5 times, about half the points of each point on kneading lung Yu, spleen Shu, Shenshu Shu and beshu. Clocks; cross the lumbosacral section with a diathermy.
3)肝经郁热:补肾水300次,清肝木100次,清心火100次,清大肠经100次,清小肠经300次;按弦走搓摩30次;用食指、中指自上而下推足膀胱经100次,推三阴交100次;推涌泉100次;横擦腰骶部,以透热为度。
3) liver meridian heat: 300 times of kidney water, 100 times of Qinggan wood, 100 times of clearing heart fire, 100 times in large intestine, 300 times of small intestine, 30 times according to the string, 100 times and 100 times of the bladder with the upper and lower middle fingers of the index finger and middle finger, 100 times of push spring, and the transverse rubbing of the lumbosacral part to penetrate the heat of the lumbosacral region.
适宜技术
Suitable technology
1、中药:下元虚冷者可用桑螵消散加减,脾肺气虚者用补中益气汤加缩尿丸加减,肝经郁热者用龙胆泻肝汤合缩尿丸加减。
1, traditional Chinese medicine: the people of the Xia yuan deficiency can be dissipated and reduced, the spleen and lung qi deficiency patients with Supplementing Qi and replenishing qi and reducing urine pills are added and reduced.
2、针灸:取关元、气海、中极、太渊、太溪、膀胱俞、肾俞、足三里等穴,中等刺激度,针尖可偏向下阴部,使针感向腹部传导,留针10分钟。若与有效而后不易合作的患儿,宜浅刺、速刺且不留针;灸百会、命门、关元、中极,每穴3分钟。
2, acupuncture: take Guan yuan, Qi sea, middle pole, Taiyuan, Taixi, bladder Yu, Shenshu, Zusanli and other points, medium irritation, needle tip can be partial to the lower part of the pudendum, so that the needle to the abdomen conduction, leave the needle for 10 minutes. If it is effective and difficult to cooperate with children, it should be shallow needling, fast stab and no needle retaining; moxibustion Baihui, life gate, Guanyuan and middle pole, each point for 3 minutes.
3、埋针:在列缺穴处埋针,左右交替,一周为一疗程。
3, embedding needles: embedding needles at the point of missing points, alternately or alternately, one week is a course of treatment.
4、穴位注射:肾俞、次髎、三阴交、夜尿点(小指第二节中点),用当归注射液或1%普鲁卡因注射,每穴0.5毫升,每次选取一穴,相互交替使用。
4, acupoint injection: Shenshu, secondary, three yin, nocturnal point (small finger second middle point), injection of angelica or 1% procaine, 0.5 milliliters per point, each acupoint, alternate use each other.

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