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小儿推拿有“四诊”,方法十分重要
来源:http://www.bbtndoctor.com添加时间:2019-10-17 17:09:25
  一、问诊
  First, interrogation
  在联系患病儿童之前,首先要亲切的问候患病儿童,然后把目标转向患病儿童的父母,问:“孩子病得怎么样了?”目的不仅是为了转移儿童的视线,也是为了探索儿童的疾病。当患病儿童的父母解释患病儿童的要求和病情时,这就是“主诉”。医生可根据主诉进一步询问病史。问一些有重点、有指导、文字简洁的问题。这就是所谓的“儿科会诊”。
  Before contacting the sick children, we should first greet the sick children kindly, then turn the goal to the parents of the sick children, and ask, "how is the child getting sick?" the purpose is not only to shift the children's vision, but also to explore the children's diseases. When the parents of the sick children explain the requirements and conditions of the sick children, this is the "chief complaint". The doctor may further inquire about the medical history according to the chief complaint. Ask some questions with emphasis, guidance and concise words. This is called "paediatric consultation".
  二、切诊
  Two, palpation
  (1)切脉:会诊结束后进行“切脉”。
  (1) pulse cutting: "pulse cutting" after consultation.
  两岁以内的婴儿,由于手腕部短,多采用“一指切三合”的方法。医生的手,保持手的医生,医生的经验切成孩子的桡动脉的中间部分(即寸、关、气),然后按医生的手指在孩子的半径来帮助医生掌握切削力,它可以扮演夹板固定型的角色,促进医生用拇指进行切割。
山东小儿推拿按摩培训中心
  For infants under two years old, because of the short wrist, the method of "one finger cutting and three closing" is often used. The doctor's hand, the doctor who keeps the hand, and the doctor's experience are cut into the middle part of the radial artery of the child (i.e. inch, close and air), and then help the doctor master the cutting force according to the doctor's fingers in the radius of the child. It can play the role of splint fixation, and promote the doctor to cut with his thumb.
  对于三岁以上的儿童,可以采用三指截肢。脉象以浮、沉、晚、数、辨表、理、冷、热;坚强是为了真实,软弱是为了空虚。
  For children over three years old, amputation of three fingers can be used. Pulse to float, sink, late, number, distinguish the surface, reason, cold, hot; strong is for the real, weak is for the empty.
  儿童学龄以后多有并发脉搏,基本与成人脉搏情况相同。
  Most of children have concurrent pulse after school age, which is basically the same as that of adults.
  (2)切手心:在脉诊的同时,用医生的左手检测右手的心脏;然后用医生的右手测鱼,左手测心;检测儿童手掌有两种意义:一是手掌有汗或无汗。在第二次测试中,手掌是热的,但不是热的。一般来讲,手背或指尖凉多属外感,手心热多属内伤,可结合临床区别的。
  (2) cut the palm of the hand: at the same time of pulse diagnosis, use the doctor's left hand to test the heart of the right hand; then use the doctor's right hand to test the fish and the left hand to test the heart; there are two meanings to test the palm of the child: first, there is sweat or no sweat in the palm. In the second test, the palm was hot, but not hot. Generally speaking, the back of the hand or the tip of the finger is cool, and the palm is hot, which can be combined with clinical differences.
  (3)切指纹:此法仅适用于两岁以下的婴幼儿,由于血气不全,经脉不确定,哭闹,脉诊难以依靠,指印法有助于脉诊。医生首先保存病人的左或右食指,然后把病人的拇指从病人的食指向老虎的口,观察颜色深度和扩展的指纹,以便测试疾病的严重程度和疾病的冷和热。
  (3) fingerprint cutting: this method is only applicable to infants under two years old. Because of incomplete blood gas, uncertain meridians, crying, and difficult to rely on pulse diagnosis, fingerprint method is helpful for pulse diagnosis. The doctor first saves the patient's left or right index finger, then points the patient's thumb from the patient's food to the tiger's mouth, observes the color depth and the expanded fingerprint, so as to test the severity of the disease and the cold and hot of the disease.
  那里的指纹延伸到风通过轻病;指纹一直延伸到空气门的那个人病得很重。指纹延伸至死亡的人情况危急。它的颜色紫色是热的,黑色是冷的;蓝色是电击,白色是下疳。指纹的改变在急性发热或慢性消耗性疾病中更为常见。一般要影响气血病变时才会出现。轻微的外部感觉,很少看到指纹的变化,此标志仅供辨证参考,不能作为诊断依据。
  The fingerprints there extend to the wind through the light illness; the man whose fingerprints extend all the way to the air door is very ill. Fingerprints extended to the death of the person in critical condition. Its color purple is hot, black is cold; blue is electric shock, white is chancre. Fingerprint changes are more common in acute fever or chronic wasting diseases. Generally, it will appear when the Qi and blood diseases are affected. Slight external feeling, rarely see the change of fingerprint, this mark is only for syndrome differentiation reference, not as the basis of diagnosis.
  (4)切头部及囟门:孩子的头,是很重要的。用医生的手,切开前囟门是否按时闭合(一般应在一年半前闭合),如果闭合过早或过晚,均有异常;如果前fontanelle突出或凹陷,前fontanelle突出,这是常见的急性发热。前囟凹陷,常见于急性或慢性失水或慢性营养不良。切头无论是方形还是过小,头部方形多见于佝偻病(佝偻病),或脑积水(开颅术);头太小的人多见先天性脑发育不良,或颅骨畸形。另外,再次切开头部和颈部,无淋巴结肿大或压痛。
  (4) cutting the head and fontanelle: the head of a child is very important. With the doctor's hand, if the anterior fontanelle is closed on time (generally, it should be closed one and a half years ago), if it is closed too early or too late, it is abnormal; if the anterior fontanelle is protruding or sunken, the anterior fontanelle is protruding, which is a common acute fever. Anterior fontanelle depression, common in acute or chronic dehydration or chronic malnutrition. No matter the head is cut square or too small, the head square is often seen in rickets (rickets), or hydrocephalus (craniotomy); people with too small head often see congenital brain dysplasia, or skull deformity. In addition, the head and neck were cut again without swelling or tenderness of lymph nodes.
  以上是山东小儿推拿按摩培训中心为大家介绍的相关内容,本文来源:http://www.bbtndoctor.comThe above is the related content introduced by Shandong children massage training center. The source of this article is: http://www.bbtndoctor.com

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