The
8-year-old male presented with a history of tiredness,sighing and frequently
getting fever of 3 months.The boy got a fever after he was seriously frightened
3 months before he took Tuina massage. And after the fever healed, he kept
feeling faint, breathing hard and had to sighing frequently. So much treatment
didn't work. The ECG showed sinus arrhythmia ,P wave of Lead II,Lead III,Lead
aVF was cuspate,T wave of Lead V1 and Lead V3 inverted ,cardiac muscle enzymes
heightened: AST 36u/l(normal 6-25),LDH 188u/l(normal 60-133), CPK 26u/l(nornal
15-130), HBDH 200u/l(normal 65-165). He prefered prone position and sweated at
night. He had a feverish sensation in palms and soles. His stool was dry. When
he came he was suffering a fever of 37.8Centigrade,his tonsils looked red and
swollen.We noticed a arrhythmia while auscultation. The boy was thin and his
face was yellow. His tongue was thin with thin and yellow tongue fur. His pulse
was feeble and rapid. So we deduced that his heart-qi was damaged by
fright,afterward he was affected by exogenous pathogen. After treatment the
exogenous pathogen was expeled but his failure of heart-qi didn't improved. So
he still felt heart-throb and faint.This time he was affected by exogenous
pathogen again.It's advisable to expel exogenous pathogen first and then support
the vital-qi. Selected points:Kneading Xiaotianxin,Parting-pushing yin and yang,
Pushing-reinforcing Kidney Water, Pushing-clearing Banmen, Reverse-arc-pushing
Neibagua, Push-clearing Lung Metal, Push-withdrawing Xialiufu, Kneading
Errenshangma,etc. After the first day of Tuina massage the fever was gone. Three
days later we began to nourish his yin of heart. Selected points:
Pushing-reinforcing Spleen Earth, Pushing-reinforcing Kidney Water,
Reverse-arc-pushing Neibagua, Pushing Sihengwen, Kneading Wailaogong, Kneading
Xiaotianxin, Kneading Errenshangma, Kneading Shending,etc .After one month his
heart-throb and faintness were gone,his appetite turned better.His Hb grew from
108g/l(1996-01-29) to 148g/l(1996-04-22),ECG showed P wave looked a little tall
and cuspate,the invert of T wave disappeared.The cardiac muscle enzymes turned
normal:AST 37u/l(normal 6-25),LDH 107 u/l(normal 60-133),CPK 21u/l(nornal
15-130),HBDH 103u/l(normal 65-165).
