推拿治疗小儿腹泻的临床研究进展

The clinical research progress of Tuina in the treatment of in fantile's diarrhea

推拿治疗小儿腹泻方法多样,以辨证推拿、流派推拿、特殊手法推拿及综合疗法4种形式为主,均疗效确切,操作部位以大肠、脾经、腹、脐、龟尾、七节骨等较为常用,风寒泻多配推三关、揉外劳宫;湿热泻配清天河水、退六腑;伤食泻多加清胃经、揉板门及足三里;脾虚泻则配以气海、百会。但仍存在文献类研究较少、用穴作用机制不明确及评价标准不统一等问题。

It was found that there were various forms of massage treatment of infantile diarrhea,mainly including patterns differenciation massage,school massage,special manipulation massage and comprehensive therapy.All of them had showed curative effect,with points mainly including large intestine,spleen meridian,abdomen,umbilicus,Guiwei acupoint and Qijiegu parts.The wind cold diarrhea was treated with pushing three passes,kneading Wailaogong acupoint;dampness heat diarrhea with Qing Tian He Shui massage,regularing six Fu-organs massage;dyspepsia diarrhea with clearing stomach meridian,kneading Banmen acupoint and Zusanli(ST 36);spleen deficiency diarrhea with Qihai(CV 6),and Baihui(GV 20).However,there are still some problems,such as few literature research,few mechanism study,and inconsistent evaluation criteria.