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Clinical efficacy observation of ‘Tong Du Yun Pi’ manipulation for infantile diarrhea in autumn

“通督运脾”手法治疗小儿秋季腹泻的临床疗效观察

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Abstract

Objective

To observe the clinical efficacy of ‘Tong Du Yun Pi’ (Governor Vessel-unblocking and spleen-promoting) manipulation in treating infantile diarrhea in autumn.

Methods

Eighty-four kids were divided into a control group and an observation group using the random number table method, with 42 cases in each group. The control group was intervened by oral administration of montmorillonite powder, and the observation group was given additional ‘Tong Du Yun Pi’ pediatric massage (tuina) treatment. After treatment, the traditional Chinese medicine (TCM) symptoms scores, symptom improvement time, clinical efficacy and immune function indicators were compared between the two groups.

Results

After treatment, the total effective rate was 95.2% in the observation group versus 76.2% in the control group, and the between-group difference was statistically significant (P<0.05); each item score in TCM symptoms was notably lower in the observation group than in the control group (all P<0.05); among the effective cases, the times to restore normal defecation, relieve abdominal bloating, arrest vomiting, and bring down the fever were markedly shorter in the observation group than in the control group, and the between-group differences were statistically significant (all P<0.05); the levels of immunoglobulin (Ig) G, IgM, CD4+ and CD4+/CD8+ were significantly higher and CD8+ was significantly lower in the observation group than in the control group (all P<0.05).

Conclusion

In the treatment of infantile diarrhea in autumn, based on oral administration of montmorillonite powder, ‘Tong Du Yun Pi’ manipulation can notably improve diarrheal symptoms, shorten disease duration, and strengthen the immunity of kids, producing more significant efficacy than oral administration of montmorillonite powder.

摘要

目的

观察“通督运脾”手法治疗小儿秋季腹泻的临床疗效。

方法

将84例患儿按随机数字表法分为对 照组和观察组, 每组42例。对照组给予口服蒙脱石散治疗, 观察组在对照组治疗基础上加用“通督运脾”推拿手法 治疗。治疗后比较两组患儿中医证候评分、症状改善时间、临床疗效及免疫功能指标。

结果

治疗后观察组总有 效率为95.2%, 对照组为76.2%, 组间差异有统计学意义 (P<0.05); 观察组患儿的中医证候各项评分均明显低于对照组 (均P<0.05); 观察组有效患儿大便正常时间、腹胀消失时间、呕吐消失时间及退热时间均明显短于对照组, 组间差 异均有统计学意义(均P<0.05); 观察组患儿免疫球蛋白(Ig)G、IgM以及CD4+和CD4+/CD8+均明显高于对照组, 而CD8+ 明显低于对照组(均P<0.05)。

结论

口服蒙脱石散基础上加用“通督运脾”手法治疗小儿秋季腹泻可明显改善患 儿的腹泻症状, 缩短病程, 增强患儿机体免疫能力, 其疗效优于口服蒙脱石散单独使用。

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Acknowledgments

This work was supported by Young Talents Development Program of Hubei Province (湖北省青年英才开发计划); Traditional Chinese Medicine Master Studio Project of Hubei (湖北中医名师工作室项目); 2019 Medical and Health Science and Technology Project in Jingzhou City (荆 州市 2019 年医疗卫生科技计划项目, No. 2019HC51); 2019 ‘Traditional Chinese Medicine Inheritance and Innovation Plan’ Project of Hubei University of Chinese Medicine (2019 年度湖北中医药大学“中医药传承创新 计划”项目)

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Authors and Affiliations

  1. Hubei University of Chinese Medicine, Wuhan, 430061, China

    Wang Kun-xiu  (王昆秀), Luo Zhi-hui  (罗志辉) & Chen Song  (陈松)

  2. Jingzhou Second People’s Hospital, Hubei Province, Jingzhou, 434000, China

    Yan Peng  (闫鹏), Tian Ling-ling  (田玲玲), Xu Chi-cheng  (徐驰成), Chen Bo-lin  (陈柏霖) & Chen Song  (陈松)

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  1. Wang Kun-xiu  (王昆秀)
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  2. Luo Zhi-hui  (罗志辉)
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  7. Chen Song  (陈松)
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Correspondence to Chen Song  (陈松).

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Wang Kun-xiu, 2020 grade master degree candidate

Conflict of Interest

There is no potential conflict of interest in this article.

Statement of Informed Consent

Informed consent was obtained from the guardians of the recruited children in this study.

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Kun-xiu, W., Zhi-hui, L., Peng, Y. et al. Clinical efficacy observation of ‘Tong Du Yun Pi’ manipulation for infantile diarrhea in autumn. J. Acupunct. Tuina. Sci. 19, 364–370 (2021). https://doi.org/10.1007/s11726-021-1267-3

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  • DOI: https://doi.org/10.1007/s11726-021-1267-3

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