“Pediatric Cerebral Palsy” includes five lags, five weaknesses and five rigidities. These five delays include the lags in standing up, walking, hair, and speech. The five weaknesses include the head, mouth, arms, legs, and muscles. The five rigidities include stiff head, mouth, arms, legs, and muscles. Other complications include: intelligence, hearing, speech and language, dialect, awareness, visual impairment, epilepsy, and abnormal behaviors.

Differential Diagnosis and Nursing

• Deficiency of Spleen: Fatigue spirit, paralyzed limbs, unenergetic and speaking few words, weak chewing by the soft lips, or running saliva, sticking tongue out, deficiency of diet, abdominal swelling, urine retention, light and white tongue, weak pulses.
• Deficiency of liver and kidney: lower limbs paralysis, neck traction, slight movement of hand and feet, carpopedal spasm when standing up, incorrect footsteps, face and eye traction, adverse speech and language, epilepsy onset, red tongue, weak pulses.  
• Deficiency of blood and energy: Incomplete intelligence, dullness, does not cry or scream, impairment in speech and pronunciation, poor complexion, light tongue color, and weak pulses.
• Loss of Fluid: Paralyzed limbs, muscle atrophy, dry mouth and lips with cracks, companied by low heat, sweating, poor tongue quality, and flat tongue surface, fine pulses.

Acupressure Instructions

• Baihui: The cavity near the concavity between the vertical upward and middle lines between the 2 ears.
• Si Sheng Cong: 1 inch from the front, back, left, and right of the Baihui point (about the width of the thumb).
• Feng Chi: The protruding area behind the ear, and under the concavity of lower hair under occipital.
• Qu Chi: The concavity at the end of cubital crease when bending the elbow.
• Wai Guan: 2 inches above the cubital crease of the upper wrist when with the palm facing upwards (about 3 finger wide), and between the radioulna.
• The concavity between the thumb and forefinger (namely the purlicue of the palm). Pinch the acupressure point and slightly press towards the index finger, and the patient will perceive intolerable soreness.
• Fong Shi: The area of the bottom pointed by the tip of middle when hanging down the finger.
• Zusanli: 3 inches under the nose (about 4-finger wide) and 1 inch next to tibia.
• Taichung: The concavity between the joints of the first toe and second toe on the back of the feet.

Daily Care

• Pay attention to the changes of weather at all time. Adapt to the cold and warm weather by adjusting the amount of clothes. Keep the young patient pleasant, avoid emotional stimulation, prevent excessive work, maintain regular routines, pay attention to oral hygiene, and keep free movements of the bowel.
• Diet: Choose food rich in nutrition but easily digested, eat more vegetable and fruit, restrict water and sugar amount properly, and reduce carbon hydrate to reduce seizure frequency.  
• Avoid leaving young patient with seizure frequency at home to prevent accident.
• Psychology: Provide young patient with care, empathy, respect, and encouragement to enhance the patient’s sense of trust and safety, and provide a comfortable environment.
• Train young patient to engage in daily routines such as eating, changing closes, brushing/showering, and using the bathroom independently.
• Functional training: Maintain the functional position of paralyzed limbs to engage in passive or active movement, thereby promoting the muscle and joint activities as well as improving muscular tension.
• Young patients with speech and language impairment not only require formal training but also abundant language stimulation regularly. Your patients will improve their social adaptability through constant training.

Food Supplement: Four Herbs Soup

• Preparation: Wash half 300 gram of pig intestines well. Blanch in hot water and remove from the pot. Place 4 maces of Chinese yam, 3 maces of poria, gordon enryale seed, pearl barley, lotus seeds, and 2 maces of dried tangerine, 1 taels of fresh ginger and other ingredients into the pot. Add proper amount of water, bring into a boil over high heat, then turn to low heat to cook for about 1 hour.
• Applicable indications: Good for the spleen with moisture removal effect, and heal the patients with poor digestion in symptoms such as frequent diarrhea, abdominal distention and fatigue.