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Therapeutic observation on lung-clearing and spleen-strengthening tuina in children

清肺健脾推拿治疗小儿外感咳嗽的疗效观察

Journal of Acupuncture and Tuina Science volume 18, pages 225–230 (2020)Cite this article

Abstract

Objective

To observe the clinical efficacy of lung-clearing and spleen-strengthening tuina on exogenous cough in children.

Methods

A total of 77 children with exogenous cough that met the inclusion criteria were randomly divided into a treatment group and a control group according to the random number table, with 39 cases in the treatment group and 38 cases in the control group. The routine lung-clearing manipulation was used in the two groups, while the spleen-strengthening manipulation was added in the treatment group. Both groups were treated once a day, 5 times as a course of treatment. After one course of treatment, the symptom score and clinical efficacy were observed.

Results

There were one dropout in the treatment group and 2 dropouts in the control group. Therefore, a total of 74 cases were finally included in the analysis, with 38 cases in the treatment group and 36 cases in the control group. After treatment, there was a statistically significant difference in cough score between the two groups (P<0.05). There was a statistically significant difference in the score of poor appetite between the two groups (P<0.05). After treatment, the total effective rate was 89.5% in the treatment group versus 75.0% in the control group, showing a statistically significant difference (P<0.05).

Conclusion

The therapeutic efficacy of lung-clearing spleen-strengthening manipulation is better than that of lung-clearing tuina manipulation alone for children with exogenous cough; regulating spleen and stomach can improve the curative efficacy of exogenous cough in children.

摘要

目的

观察清肺健脾推拿手法治疗小儿外感咳嗽的临床疗效.

方法

将符合纳入标准的77例外感咳嗽患儿根据随机数字表分为治疗组和对照组, 治疗组39例, 对照组38例. 两组均采用常规清肺推拿手法, 治疗组在常规清肺推拿手法基础上辅以健脾推拿手法. 两组均每日治疗1次, 5次为1个疗程, 疗程结束后观察症状积分和临床疗效.

结果

研究过程中, 治疗组脱落1例, 对照组脱落2例, 最后纳入统计共74例, 即治疗组38例, 对照组36例. 治疗后两组咳嗽症状评分组间比较差异有统计学意义(P<0.05); 两组食欲不振评分组间比较差异有统计学意义 (P<0.05). 治疗后, 治疗组总有效率为89.5%, 对照组总有效率为75.0%, 差异有统计学意义(P<0.05).

结论

清肺健脾推拿手法治疗小儿外感咳嗽的临床疗效优于单独清肺推拿手法; 重视调理脾胃可有效提高小儿外感咳嗽的治疗疗效.

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References

  1. Chang FQ, Cao XJ, Yin XZ. Etiology and pathogenesis of cough. Zhongguo Shequ Yishi, 2004, 20(1): 22.

    Google Scholar 

  2. Chinese Academy of Medical Respiratory Diseases Asthma Group. Guidelines for diagnosis and treatment of cough (2015). Zhonghua Jiehe He Huxi Zazhi, 2016, 39(5): 323–354.

    Google Scholar 

  3. Zheng YH, Wang HS, Li WJ. Professor Liao Pindong’s clinical experience in treating children with cough. Zhongyi Waizhi Zazhi, 2015, 24(6): 61–62.

    Google Scholar 

  4. Li JB, Chen ML. Clinical observation on ‘lung cleaning method’ manipulation on children with cough due to wind cold. Zhongguo Jixu Yixue Jiaoyu, 2017, 9(12): 211–212.

    Google Scholar 

  5. Li ZZ, Liu YY, Su SM, Jia YB, Shi WK. The clinical efficacy of Xiangxi Liu’s Tui-pushing Wujing in the treatment of wind-cold cough in children. Zhongguo Minzu Minjian Yiyao, 2013, 22(18): 52–53.

    Google Scholar 

  6. Liu YL, Yang GG, Wang XN. Clinical observation on electroacupuncture combined with Back-Shu point cupping treatment of 40 cases of cough variant asthma. Liaoning Zhongyiyao Daxue Xuebao, 2013, 15(4): 192–193.

    Google Scholar 

  7. Pan YY. Clinical experience of chief physician Kang Jing in using umbilical application with Chinese medication to treat children with cough. Zhongguo Minjian Liaofa, 2012, 20(6): 11.

    Google Scholar 

  8. Liao PD. Pediatric Tuina. Beijing: People’s Medical Publishing House, 2012: 87.

    Google Scholar 

  9. Tang W, Shao XN. Clinical experience of Xiangxi Liu’s infantile tuina for exogenous fever in children. J Acupunct Tuina Sci, 2018, 16(5): 301–314.

    Article  Google Scholar 

  10. Ye K. Observation on clinical effects of tuina plus montelukast sodium tablets for children with cough variant asthma. J Acupunct Tuina Sci, 2017, 15(5): 349–353.

    Article  Google Scholar 

  11. Wang Y, Wang XJ, Shao XN. Clinical observation of Liu’s pediatric massage for the treatment of 40 children with cold cough. Hunan Zhongyi Zazhi, 2014, 30(5): 85–86.

    Google Scholar 

  12. State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects of Diseases and Syndromes in Traditional Chinese Medicine. Nanjing: Nanjing University Press, 1994.

    Google Scholar 

  13. Jin YC. Haipai Pediatric Tuina. Shanghai: Shanghai Scientific and Technical Publishers, 2017: 106.

    Google Scholar 

  14. Wang LM, Li X. Brief discussion on TCM syndrome differentiation treatment of children’s cough. Shaanxi Zhongyi, 2009, 30(7): 908–909.

    CAS  Google Scholar 

  15. Feng YH, Zhang SN. Analysis of the advantages of pediatric massage in clinical treatment. Anmo Yu Kangfu Yixue, 2016, 7(14): 18–19, 20.

    Google Scholar 

  16. Wang J, Quan XR, Wang YG. Analysis of the law of acupoint selection in tuina treatment of children’s exogenous cough based on data mining. Guangzhou Zhongyiyao Daxue Xuebao, 2015, 32(3): 552–555, 558.

    Google Scholar 

  17. Guo GW, Wang YX, Zhang YL. Therapeutic effect of pediatric massage on children with fever, cough and food accumulation. Anmo Yu Kangfu Yixue, 2017, 8(9): 21–22.

    Google Scholar 

  18. Wu ZL, Zhang QR. Ancient and modern research on Feishu (BL 13). Liaoning Zhongyi Zazhi, 2007, 34(4): 504–505.

    CAS  Google Scholar 

  19. Wan XH. Diagnostics. 8th Editon. Beijing: People’s Medical Publishing House, 2013: 15–16.

    Google Scholar 

  20. Tang YL, Liu ML, Yang QY, Yu J, Yue ZH, Chang XR. Clinical observation of treatment of infantile diarrhea due to spleen deficiency using five-step pediatric tuina of Huxiang school. J Acupunct Tuina Sci, 2019, 17(5): 328–335.

    Article  Google Scholar 

  21. Jiang GX. Analysis of therapeutic effect of Chinese tuina on children’s constipation. Ya Tai Chuantong Yiyao, 2015, 11(15): 96–97.

    Google Scholar 

  22. Li YB. Analysis of clinical literature on acupuncture-moxibustion for dyspepsia based on data mining. J Acupunct Tuina Sci, 2019, 17(4): 264–269.

    Article  Google Scholar 

  23. Li RJ, Yang JR. The holistic concept of pediatric massage. Guangming Zhongyi, 2008, 23(8): 1106.

    Google Scholar 

  24. Zhao Y, Wang SZ. Science of Tuina Manipulations. Shanghai: Shanghai Scientific and Technical Publishers, 2009: 44.

    Google Scholar 

  25. Lu JH, Liu Z. Clinical application of Tianshu (ST 25) in pediatric massage. Yunnan Zhongyi Zhongyao Zazhi, 2010, 31(3): 44.

    Google Scholar 

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Authors and Affiliations

  1. Wuxi Hospital of Chinese Medicine, Jiangsu, 214000, China

    Li Chen & Xi-jun Wu

Authors
  1. Li Chen
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  2. Xi-jun Wu
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Corresponding author

Correspondence to Xi-jun Wu.

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The authors declare that there is no potential conflict of interest in this article.

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Statement of Informed Consent

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

Author: Chen Li, M.M., vice chief physician.

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Cite this article

Chen, L., Wu, Xj. Therapeutic observation on lung-clearing and spleen-strengthening tuina in children. J. Acupunct. Tuina. Sci. 18, 225–230 (2020). https://doi.org/10.1007/s11726-020-1171-2

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  • DOI: https://doi.org/10.1007/s11726-020-1171-2

Keywords

  • Tuina
  • Massage
  • Pediatric Tuina
  • Cough
  • Exogenous Diseases
  • Clearing Lung
  • Strengthening Spleen
  • Child

关键词

  • 推拿
  • 按摩
  • 小儿推拿
  • 咳嗽
  • 外感病证
  • 清肺
  • 健脾
  • 儿童

中图分类号

  • R244.1

文献标志码

  • A