推拿治疗小儿便秘选穴规律

Regularities of acupoints selection for tuina therapy in children's constipation

目的:总结分析推拿治疗小儿便秘的选穴规律。方法:计算机检索中国期刊全文数据库、万方数据知识服务平台和维普数据库中收录的推拿治疗小儿便秘的期刊文献,利用中医传承辅助平台(V2.5)软件,分析、归纳小儿便秘的推拿选穴规律。结果:共纳入43个推拿处方,选用42个腧穴,其中25个为小儿特定穴,应用频次占79.53%;实秘证型小儿特定穴应用频次占82.19%,虚秘证型小儿特定穴应用频次占75.38%。实秘证型、虚秘证型选穴所属部位均以上肢部和背腰骶部为主。实秘证型高频穴位组合14个,其中2个穴位的组合8个,3个穴位的组合5个,4个穴位的组合1个;虚秘证型高频穴位组合12个,其中2个穴位的组合9个,3个穴位的组合3个。小儿便秘实秘证型核心穴位为大肠、下七节骨、六腑、内八卦、腹和足三里;虚秘证型核心穴位为大肠、脾经、腹、脊柱和足三里。结论:推拿治疗小儿便秘以中医辨证原则为指导,取穴以小儿特定穴为主,结合患儿体质,采取相应手法,针对性地开展治疗,本研究可为推拿治疗小儿便秘临床推广提供参考。

Objective： To summarize the regularities of acupoints selection for tuina therapy in children＇s constipation. Methods： The regularities of acupoints selection for tuina therapy in children＇s constipation were analyzed and concluded by retrieving CNKI, Wanfang Data Knowledge Service Platform, and VIP database on tuina therapy in children＇s constipation, and traditional Chinese medicine inheritance platform software was used to analyze and summarize the regularities of acupoints selection for tuina therapy in children＇s constipation. Results： A total of 43 tuina therapy prescriptions were included, 42 acupoints were selected, 25 of them were for children, and the frequency of application was 79.53%. In terms of constipation with excessive syndrome, there was 82.19% of the application frequency of the specific acupoints in children. In terms of constipation with deficiency syndrome, it accounted for 75.38%. In both of constipation with excessive syndrome and constipation with deficiency syndrome, the locations of the selected points were mainly upper extremity and dorsal lumbosacral. In terms of constipation with excessive syndrome, there were 14 kinds of high frequency acupoints, including 8 combinations of 2 acupoints, 5 combinations of 3 acupoints and 1 combination of 4 acupoints. In terms of constipation with deficiency syndrome, there were 12 kinds of high frequency acupoints, including 9 combinations of 2 acupoints, and 3 combinations of 3 acupoints. The core acupoints of children＇s constipation with excessive syndrome are Dachang（BL25）, Xia Qi-jiegu, Liu Fu, Nei Bagua, Fu and Zu Sanli（St36）. The core acupoints of children＇s constipation with deficiency syndrome are Dachang（BL25）, Pijing, Fu, Jizhu and Zu Sanli（St36）. Conclusion： Traditional Chinese tuina treatment of children with constipation in accordance with the principles of TCM syndrome differentiation, acupoints are mainly based on specific acupoint in children, combined with children＇s constitution, to take appropriate manipulation, targeted treatment, this study can provide a reference for the clinical promotion of traditional Chinese tuina treatment of constipation in children. The results could provide reference for tuina therapy in children＇s constipation.