Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Hi there, I was wondering if anyone has any advice on how to approach treating kids from a patient management perspective. I guess what Im really saying is: How do I manage their parents? For instance, Im treating a 17 month old for lack of appetite and slow growing, but I cant do a proper infant tuina Rx, as after about 5-10 minutes he squirms about and starts to get upset, and the Mum and Grandma pick him up. Treatment over. Now, in China, where parents expectations are different, if the kids start to cry, you just carry on with the treatment, as the parents expect that and want the treatment done anyway. Luckily, the parents of that little boy were happy to give him herbs as well, so at least I could prescribe something. Just the other day, a 5 month old baby was brought in with constipation from being on formula, but didnt wind up getting any treatment from me, as the Mum didnt want to give the baby any herbs, or get a massage treatment. (Im not sure why she was here, actually.) With both cases acupuncture was out of the question as far as the parents were concerned. All I can really do is tell them about my experience with TCM treatment for children, from a practitioner and parents perspective. (My oldest was one year old when we went to China to study, so he got alot of chinese medicine for all of the perennial flus going 'round there. And I also paid more attention to studying infant tuina there, as I wasnt particularly talented at big-person tuina, to be honest.) Any tips? Regards, Lea. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Ms. Starck, I have dealt with the same problems giving acupuncture/TuiNa...... I find that it is important to gain the parent's trust (often the parent can be the biggets block to treatment) and that every procedure is explained into detail before starting treatment; it is even more important to explain the not so nice bits of treatment. I found that the more confidence the parent has the less wound up he/she will be and the more relaxed the child will be (parent being block to treatment) and the easier and even enjoyable everything will be. Julian Scott wrote an excellent book on paedeatric acupuncture - extremely useful with a lot of hints on how to go about the whole parent issue - it has helped me a lot! Hope this helps Best regards, Thomas Sorensen L.Ac. Lea Starck skrev: > Hi there, > I was wondering if anyone has any advice on how to approach treating > kids from a patient management perspective. I guess what Im really > saying is: How do I manage their parents? > For instance, Im treating a 17 month old for lack of appetite and > slow growing, but I cant do a proper infant tuina Rx, as after about > 5-10 minutes he squirms about and starts to get upset, and the Mum > and Grandma pick him up. Treatment over. Now, in China, where > parents expectations are different, if the kids start to cry, you > just carry on with the treatment, as the parents expect that and > want the treatment done anyway. Luckily, the parents of that little > boy were happy to give him herbs as well, so at least I could > prescribe something. > Just the other day, a 5 month old baby was brought in with > constipation from being on formula, but didnt wind up getting any > treatment from me, as the Mum didnt want to give the baby any herbs, > or get a massage treatment. (Im not sure why she was here, actually.) > With both cases acupuncture was out of the question as far as the > parents were concerned. > All I can really do is tell them about my experience with TCM > treatment for children, from a practitioner and parents perspective. > (My oldest was one year old when we went to China to study, so he > got alot of chinese medicine for all of the perennial flus > going 'round there. And I also paid more attention to studying > infant tuina there, as I wasnt particularly talented at big-person > tuina, to be honest.) > Any tips? > Regards, > Lea. > Subscribe to the new FREE online journal for TCM at Times http://www.chinesemedicinetimes.com > > Download the all new TCM Forum Toolbar, click, http://toolbar.thebizplace.com/LandingPage.aspx/CT145145 > > and adjust accordingly. > > > > Please consider the environment and only print this message if absolutely necessary. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 I've treated several children from ages 4-18 and found that I usually end up treating the parent as well. Even if you're doing just TuiNa, you might suggest that the parent(s) receive a treatment too. Also, a treatment for a child might only last 10-15 minutes to start out with. One thing I always do is make sure one of the parents is in the room. Jamie - Thomas Bøgedal Sørensen Chinese Medicine Monday, May 29, 2006 12:57 AM Re: Treating children with TCM Ms. Starck, I have dealt with the same problems giving acupuncture/TuiNa...... I find that it is important to gain the parent's trust (often the parent can be the biggets block to treatment) and that every procedure is explained into detail before starting treatment; it is even more important to explain the not so nice bits of treatment. I found that the more confidence the parent has the less wound up he/she will be and the more relaxed the child will be (parent being block to treatment) and the easier and even enjoyable everything will be. Julian Scott wrote an excellent book on paedeatric acupuncture - extremely useful with a lot of hints on how to go about the whole parent issue - it has helped me a lot! Hope this helps Best regards, Thomas Sorensen L.Ac. Lea Starck skrev: > Hi there, > I was wondering if anyone has any advice on how to approach treating > kids from a patient management perspective. I guess what Im really > saying is: How do I manage their parents? > For instance, Im treating a 17 month old for lack of appetite and > slow growing, but I cant do a proper infant tuina Rx, as after about > 5-10 minutes he squirms about and starts to get upset, and the Mum > and Grandma pick him up. Treatment over. Now, in China, where > parents expectations are different, if the kids start to cry, you > just carry on with the treatment, as the parents expect that and > want the treatment done anyway. Luckily, the parents of that little > boy were happy to give him herbs as well, so at least I could > prescribe something. > Just the other day, a 5 month old baby was brought in with > constipation from being on formula, but didnt wind up getting any > treatment from me, as the Mum didnt want to give the baby any herbs, > or get a massage treatment. (Im not sure why she was here, actually.) > With both cases acupuncture was out of the question as far as the > parents were concerned. > All I can really do is tell them about my experience with TCM > treatment for children, from a practitioner and parents perspective. > (My oldest was one year old when we went to China to study, so he > got alot of chinese medicine for all of the perennial flus > going 'round there. And I also paid more attention to studying > infant tuina there, as I wasnt particularly talented at big-person > tuina, to be honest.) > Any tips? > Regards, > Lea. > > > > > > > > Subscribe to the new FREE online journal for TCM at Times http://www.chinesemedicinetimes.com > > Download the all new TCM Forum Toolbar, click, http://toolbar.thebizplace.com/LandingPage.aspx/CT145145 > > and adjust accordingly. > > > > Please consider the environment and only print this message if absolutely necessary. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 Hi, I am wondering what type and dosage of herbs one can give a five month old baby, for example with yang spleen deficiency? > Hi there, > I was wondering if anyone has any advice on how to approach treating > kids from a patient management perspective. I guess what Im really > saying is: How do I manage their parents? > For instance, Im treating a 17 month old for lack of appetite and > slow growing, but I cant do a proper infant tuina Rx, as after about > 5-10 minutes he squirms about and starts to get upset, and the Mum > and Grandma pick him up. Treatment over. Now, in China, where > parents expectations are different, if the kids start to cry, you > just carry on with the treatment, as the parents expect that and > want the treatment done anyway. Luckily, the parents of that little > boy were happy to give him herbs as well, so at least I could > prescribe something. > Just the other day, a 5 month old baby was brought in with > constipation from being on formula, but didnt wind up getting any > treatment from me, as the Mum didnt want to give the baby any herbs, > or get a massage treatment. (Im not sure why she was here, actually.) > With both cases acupuncture was out of the question as far as the > parents were concerned. > All I can really do is tell them about my experience with TCM > treatment for children, from a practitioner and parents perspective. > (My oldest was one year old when we went to China to study, so he > got alot of chinese medicine for all of the perennial flus > going 'round there. And I also paid more attention to studying > infant tuina there, as I wasnt particularly talented at big-person > tuina, to be honest.) > Any tips? > Regards, > Lea. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2006 Report Share Posted May 31, 2006 For spleen qi deficiency, something like Jian Pi Wan can be used, with Ren shen, bai zhu, chen pi, Mai Ya, Shan zha, zhi shi, shen qu. The dosage for a baby this age would be about 1/6 to 1/3 of an adult dose. Constipation from being formula fed doesnt alway have to be a deficiency syndrome, in the early stages it may be an excess syndrome due to retention of milk. In which case you would harmonise the middle jiao and promote digestion with something like Xiao Ru Wan. The course of treatment is slightly different with babies and small children, too. Herbs are only prescribed until a change is seen in the condition, and then they are stopped. For a baby that is formula fed and experiencing constipation because of it, I first advise the parents to try a different formula. There are many types of infant formulae on the market with different compositions. Parents can ask a maternal and child health nurse or someone similar for advice. And two, to avoid resorting to laxatives if at all possible. Many babies will get used to formula feeds and constipation and dyspepsia may resolve in time anyway. One of my teachers who specialized in paediatrics told us that the herbs can be decocted and added to the milk and given in a bottle. I havent tried adding them to milk, but depending on the age of the baby, if they are given in a bottle the baby will generally drink them down, anyway. When they're older then it can be more difficult. Lea. Chinese Medicine , " nial_sawa " <nialsawa wrote: > > Hi, I am wondering what type and dosage of herbs one can give a five > month old baby, for example with yang spleen deficiency? > > Hi there, > > I was wondering if anyone has any advice on how to approach > treating > > kids from a patient management perspective. I guess what Im really > > saying is: How do I manage their parents? > > For instance, Im treating a 17 month old for lack of appetite and > > slow growing, but I cant do a proper infant tuina Rx, as after > about > > 5-10 minutes he squirms about and starts to get upset, and the Mum > > and Grandma pick him up. Treatment over. Now, in China, where > > parents expectations are different, if the kids start to cry, you > > just carry on with the treatment, as the parents expect that and > > want the treatment done anyway. Luckily, the parents of that little > > boy were happy to give him herbs as well, so at least I could > > prescribe something. > > Just the other day, a 5 month old baby was brought in with > > constipation from being on formula, but didnt wind up getting any > > treatment from me, as the Mum didnt want to give the baby any > herbs, > > or get a massage treatment. (Im not sure why she was here, > actually.) > > With both cases acupuncture was out of the question as far as the > > parents were concerned. > > All I can really do is tell them about my experience with TCM > > treatment for children, from a practitioner and parents > perspective. > > (My oldest was one year old when we went to China to study, so he > > got alot of chinese medicine for all of the perennial flus > > going 'round there. And I also paid more attention to studying > > infant tuina there, as I wasnt particularly talented at big- person > > tuina, to be honest.) > > Any tips? > > Regards, > > Lea. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2006 Report Share Posted June 2, 2006 Thanks to everyone who gave advice for managing children (and their parents!) during a TCM treatment. Regards, Lea. Quote Link to comment Share on other sites More sharing options...
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