Infantile convulsion — acute
StarEssentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.
Points
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Extra points at the fingertips; bled to drain heat
Prick to bleed.
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Extra point between the eyebrows; relaxes spasm
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Du point below the nose; restores consciousness
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He-Sea of the Large Intestine; clears yangming heat
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Yuan-Source of the Liver; reduced to calm liver wind
Reduce.
Needling Safety
Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.
No cited needling data yet for EX-UE11, EX-HN3. No flag here does not mean no risk.
Treatment Principle
Clear heat, extinguish wind and restore consciousness by reducing, centred on the Du channel.
Indications
Method
Needle with the reducing method; do not use moxibustion.
⚠ Cautions
A convulsing, feverish or comatose child is a medical emergency: the book itself warns of meningoencephalitis, toxic encephalopathy and severe pneumonia and calls for immediate diagnosis. Acupuncture is at most an adjunct while emergency care is obtained; protect the airway first. Moxibustion is contraindicated. Bleed with sterile single-use lancets.
About
The book's prescription for acute infantile convulsion, where heat from an external attack, phlegm or food stagnation stirs up internal wind, or a febrile disease brings on fits.
Rationale
Bleeding Shixuan lets out the heat, GV26 revives, and Yintang eases the spasm. LI11 clears heat from the yangming channels and LV3, reduced, settles the liver wind that drives the convulsion.
Clinical Notes
Add PC8 and KI1 for coma, both emergency points that clear heat. For prolonged fitting add LV2 and GB34 to ease spasm, and BL60 with SI3, which reach the brain and the Du channel, to clear the mind. For persistent high fever add GV14, where all the yang channels meet, and LI4 to drain heat from the yang channels.
Sources
- Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Infantile Convulsion, p. 380–382.
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