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How to use Observation, Olfaction, Inquiry\Auscultation, and Palpation in Paediatrics (part one)


Hey, I'm back to write on a new topic in Pediatric, ie the 4 basic methods of TCM diagnosis:

which is slightly different from the way in treating an adult.
This would be interesting and should break the monotony of the hardcore TCM fundamentals implantation.


5 Facial Portions presenting 5 Organs



First and foremost, we need to divide the face of the child into 5 portions, namely: 
5 portions representing 5 organs

OBSERVATION


In short, the Observations include:

 
So if the Shen is favourable, even though the baby is sick, the recovery is good and easy. On the contrary, it means seriousness in the illness.  So it's very important.


Next, the Observation  would be enhanced by the 5 colours discrimination as shown here:

White or Pale

If the face show white colour or pale would have the following indications:

Next, if the face showed pale and puffy indicate Yang Deficient and water retention.  This is water from Yin in the TCM perspective.
If the face show pale with cold limbs indicate Yang Qi is leaving the body and need immediate attention.

A pale face coupled with pale lips would indicate blood deficient as seen in  Anaemia.


If the face show red colour would have the following indications:

1) Heat

So if the face shows a red colour:
- Coupled with red ears, sore throat indicates heaty wind flu.
- Especially so in the afternoon with red lips indicates Yin Deficient with trap heat causing your sore throat.
- Turn pale with cold limbs and cold sweat indicate Yang Deficiency with Yang coming to an end, omens life-ending.
- Turn pale and with glossy surface indicates having vomit and diarrhoea


The 4 TCM diagnostic methods

Yellow


If the face show yellow colour would have the following indications:
The usual pathological state is:

-Dull yellow colour coupled with the skinny physique indicates weak TCM spleen-stomach physiological function usually seen in case of malnutrition.
-Face and eye showing bright yellow indicates internal accumulation of heat and wetness better known as Yang yellow.

-Face and eye showing very dull yellow colour indicate stagnation of cold and wetness better known as Yin Yellow.

Yang Yellow and Yin Yellow are 2 terms commonly used in Pediatric TCM treatment as I'll discuss more in the later blogs.

Green

 
If the face show green colour would have the following indications:
-Face showing greenish-white and frowning usually indicates abdominal pain with cold.
-The face would show a dull green colour, the child becomes unconscious or with seizures usually happen just before shock and epilepsy.
-Face show green with purple lips coupled with shortness of breath indicates a blockage in the Lung because of Qi and blood stagnation.

Black


If the face show black colour would have the following indications: 
3 variations:

-When the face shows a greenish-black colour with cold limbs indicates Cold intensify in the Yin.
-When the face shows a dull black colour with abdominal pain and vomiting indicates possible food poisoning or wrong drug administration.
-When the face shows a dull greenish-black colour indicates the failure of Kidney Qi meaning it needs immediate medical attention in the TCM perspective.


So after discriminating the 5 colours differentiation above, I'll go onto the facial divided portions to narrow down to the correct diagnosis and off course the treatment later on.
So without delay, the first portion is:

The left cheek represents the Liver,
  • Sit on the East and depicting slightly greenish in the Springtime.
  • If turn into dark green indicates illness.
  • On the contrary, slightly whitish is fine.

The right Cheek represent the Lung,
  • Sit on the West and depicting slightly whitish in the Autumntime.
  • If turn into pure white indicate illness. 
  • On the contrary, slightly red is fine

The forehead represents the Heart,
  • Sit on the South and depicting slightly red in the summertime.
  • If turn into pure red indicate illness.
  • On the contrary, slightly black is fine.

The nose represents the Spleen,
  • Sit on the Central and depicting slightly yellowish as regular
  • If turn into dark yellow indicate illness
  • On the contrary, slightly greenish is fine

The Chin represents the TCM kidneys
  • Sit on the North and depicting slightly black as regular
  • If turn into dark black indicate illness
  • On the contrary, slightly yellowish is fine.









Best of all, 





Xiong




















     ***Reference:

    Emperor's Interior Sutra is available on sales better known as the esoteric scripture of the yellow emperor in Amazon, it's just a different way of naming the book cover)

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