Infantile convulsion — chronic

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Textbook Prescriptions Paediatrics

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. CV12 Zhongwan midline

    Front-Mu of the stomach; restores spleen and stomach function

    • ⚠ Organ
    • Pregnancy: caution
  2. CV4 Guanyuan midline

    Ren point that builds the original qi

    Moxibustion.

    • Pregnancy: contraindicated
  3. ST36 Zusanli bilateral

    He-Sea of the Stomach; restores spleen and stomach function

  4. LV13 Zhangmen bilateral

    Front-Mu of the spleen; restores spleen and stomach function

  5. EX-HN3 Yintang midline

    Extra point between the eyebrows; checks the convulsions

    Moxibustion.

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

  • CV12 Zhongwan
    • ⚠ Organ injury has been reported after needling this point. Wu J, Hu Y, Zhu Y, Yin P, Litscher G, Xu S 2015, Table 4 (Organ injury associated with acupuncture)

No cited needling data yet for EX-HN3. No flag here does not mean no risk.

Treatment Principle

Strengthen the spleen and stomach with acupuncture and moxibustion at Ren and Stomach channel points.

Indications

wasting, pallor and listlessnessdrowsiness with the eyes half closedfits that come and gocold hands and feetloose stools with undigested food and copious clear urinedeep, feeble pulse

Method

Acupuncture combined with moxibustion.

⚠ Cautions

Recurrent fits in a child need medical diagnosis; the book links this pattern to prolonged vomiting and diarrhoea, metabolic disturbance, malnutrition and chronic nervous-system infection, each of which needs its own treatment. Use small, closely watched moxa on a child's skin to avoid burns. LV13 lies over the free end of the 11th rib: needle shallow, especially with an enlarged liver or spleen.

About

The book's prescription for chronic infantile convulsion, which follows a wasting illness that has left the spleen and stomach weak.

Rationale

LV13, CV12 and ST36 are combined to set the spleen and stomach working again. Moxa at CV4 builds the original qi, and moxa at Yintang is used to check the fits.

Clinical Notes

The book notes chronic convulsion can be left behind by an earlier acute episode, and that the underlying cause must be treated.

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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