The Treatment of Children's Diarrhea with Massage and Acupunture in 58 cases

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CLINICAL OBSERVATION ON 2785 CASES OF INFANTILE DIARRHEA TREATED BY MOXIBUSTION WITH MOXA CONE

This paper reported that 2785 in-patients with infantile diarrhea were treatedwith moxa cone mainly on points Hegu(LI 4),Zhongwan(CV 12),Shenque(CV 8),Zusanli(ST36)and Pishu(EL 20).As a result,2520 cases(90.5%)were treated with excellent therapeutic ef-fectiveness;233(8.4%),good,and 32(1.1%),poor.The total effective rate reached 98.9%.

ACUPUNCTURE TREATMENT FOR 30 CASES OF INFANTILE CHRONIC DIARRHEA

In recent years,we have treated 30 casesof infantile chronic diarrhea by acupuncture andmoxibustion with satisfactory results.These aresummarized as follows.

Clinical Observation on 870 Cases of Infantile Diarrhea Treated by Needling Taibai and Yinlingquan Qiao Weiren

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Clinical Observarion on 50 Cases of Long－Standing Infantile Diarrhea Treated Mainly with Massotherapy

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CLINICAL EFFECTS ON 149 CASES OF INFANTILE DIARRHEA TREATED WITH RAPID-STICKING MOXATHERAPY Attaching 35 contrasted cases with western medicine

Of 149 cases.infantile diarrhea were treated with Zhou’s multiapplied rapid-sticking herbomoxa-pen.The main acupoints selected were Auriculoapex,Tianshu(ST 25),Zusanli(ST 36),Shenshu(BL 23),etc.TWO groups were observed,32 cases from the 149 cases as therapid-sticking moxatherapy(RSMT)group who suffered from the acute diarrhea without any thera-peutics before,and the other 35 cases with western medicine as the control group.Results showedthat the recovering rate and the average therapeutic course of healing in RSMT group were higher andshorter than that in control one(P【0.05;P【0.01),even without marked difference of the total ef-fective rates between the two groups(P】0.05).Of 149 cases with RSMT,the therapeutic effect onacute ones was better than those on delayed and chronic ones(P【0.05),yet the difference was notmarked in therapeutic effects between the etiological causes of infections and non-infections(P】 0.0.5).It is therefore worthy of popularizing RSMT due to its remarked curative results without anyside-effect,simply-manipulated and well-accepted features.

A Survey of Research on Treatment of Pediatric Diarrhea with Massage Ying-Ming

Pediatric diarrhea is a common pediatric disease.Massage has broad application prospects in the treatment of pediatric diarrhea,which is an ideal treatment for pediatric diarrhea.In this paper,the etiology analysis of pediatric diarrhea,classification of traditional Chinese medicine(TCM),massage techniques and other aspects were reviewed.In order to provide reference for the clinical application of pediatric massage in the treatment of diarrhea.

Therapeutic methods for diarrhea in children

DEFINITIONAcute diarrhoea is defined as passage of loose or waterystools at least three times in a 24 h period.When loosestools contain blood,it is called bloody diarrhoea(dysentery).It is the consistency of the stools which ismost important rather than the frequency.Breast-fed babiesoften pass'pasty'stools frequently which is not diarrhoea.The raother can often tell accurately whether child hasdiarrhoea or not.

Validation of Educational Video to Promote Self-Efficacy in Preventing Childhood Diarrhea

The aim of this study was to evaluate and to validate an educational video to promote maternal self-efficacy in preventing childhood diarrhea with women assisted in a health unit. Validation study, developed with 17 mothers whose children were under five years old, was analyzed on scenes of an educational video according to the validity of appearance (clarity/comprehension) and of content (relevance). The scenes were considered clear and comprehensive with a perceptual above 70% and with an average of 96.9% of agreement. Regarding the relevance, the agreement was maintained between 94% and 100%, however only scenes 03 and 13 presented 76.6% and 70.6% of agreement respectively. Global Content Validation Index of the educational video scenes was 0.97 meaning an excellent level of agreement among mothers. The video showed to be a valid and a trustworthy material to promote maternal self-efficacy in preventing childhood diarrhea. Therefore, it is important that the material is disseminated in other health services so that other mothers may have contact with the same, providing greater reliability of the material.

Assessment of Educational Videos on the Prevention and Management of Infant Diarrhea:Documental Study

Objective: To evaluate the suitability of educational videos produced in Brazil that addressed aspects related to prevention and/or management of infant diarrhea according to content;language;graphic illustrations;stimulation for learning/motivation and cultural fit. Method: Documentary study, which evaluated six educational videos from an adapted and validated tool, the Suitability Assessment of Materials. Three nurses evaluated the videos. Data were processed using the Statistical Package for the Social Sciences, version 17.0, and presented in tables and graphics. Results: It was found that 4 (66.6%) of the educational videos were classified as appropriate, ranging from 60% to 63.3% of full approval, and 2 (33.3%) were assessed as higher, reaching up to 83.3% to 90% approval. Considering the socioeconomic and cultural contexts of the videos to the audience, they assigned notes ranging from 6 to 9 in a rating ranging from 0, the minimum score, to 10, the highest score. Conclusion: The educational videos were considered adequate, with positive results about the content on the prevention and management of infant diarrhea, being appropriate for the target audience. As a result, greater credibility is ratified as the use thereof, since these resources can contribute to health promotion and prevention of diarrhea in children.

Ginger-partitioned moxibustion plus pediatric massage for treating infantile diarrhea due to spleen deficiency:a randomized controlled clinical trial

Objective:To observe the clinical efficacy of ginger-partitioned moxibustion plus pediatric massage(tuina)in treating infantile diarrhea due to spleen deficiency.Methods:Ninety infants were randomly divided into a massage plus moxibustion group,a massage group and a drug group by the random number table method,with 30 cases in each group.The intervention was conducted for two consecutive courses.The infants in the massage plus moxibustion group were treated with pediatric massage and ginger-partitioned moxibustion at Shenque(CV 8).The infants in the massage group were treated with pediatric massage alone,while those in the drug group were treated with smecta.The primary and secondary symptom scales were assessed before and after treatment and at the follow-ups,and the total effective rate was evaluated after treatment.Results:The total effective rate in the massage plus moxibustion group was significantly different from that in the massage group and drug group(both P<0.05).After treatment,the scores of primary and secondary symptoms decreased in all three groups,with statistically significant intra-group differences(all P<0.05);the scores of primary symptoms were significantly different between the massage plus moxibustion group and the drug group(P<0.05);the scores of secondary symptoms in the massage plus moxibustion group and the massage group were significantly different from that in the drug group(both P<0.05).The differences in the time to recover normal bowel movement frequency among the three groups were not statistically significant(P>0.05).Conclusion:Ginger-partitioned moxibustion plus pediatric massage compared with pediatric massage or smecta monotherapy shows superior clinical efficacy in treating infantile diarrhea due to spleen deficiency,and has the advantages of appetite improvement,physique strengthening and short course.

Therapeutic effect observation on Nie-pinching the spine manipulation for infantile diarrhea due to spleen deficiency

Objective： To observe the influence of Nie-pinching the spine manipulation on the excretory rate ot urine D-xylose in the infants with diarrhea due to spleen deficiency, and to assess the clinical effects. Methods： Sixty infants in conformity with the diagnostic criteria of diarrhea due to spleen deficiency were randomly divided into a treatment group and a control group by the random digital table, 30 cases in each group. The infants in the treatment group were treated by Nie-pinching the spine manipulation and traditional infantile tuina, in addition to the routine basic treatment. The infants in the control group were treated by the same traditional infantile tuina in addition to the routine basic treatment. The infants in the two groups were treated once every day, 4 weeks as a course. Totally, the treatment was given for a course. The symptom integrals of spleen deficiency were used to assess the improvement in the symptoms. The colorimetry was used to determine the excretory rate of urine D-xylose. Results： in the comparison of the same group before and after the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose in the two groups were statistically significant （all P〈0.01）. After the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose between the two groups were all statistically significant （both P〈0.01）. Conclusion： Chiropractics can reduce the integrals of spleen deficiency symptoms and elevate the excretory rate of urine D-xylose in the infants with diarrhea due to spleen deficiency, so as to enhance the therapeutic effects by alleviating the symptoms of spleen deficiency and the absorptive function of the small intestine.

Clinical observation of treatment of infantile diarrhea due to spleen deficiency using five-step pediatric tuina of Huxiang school

Objective:To observe the clinical efficacy of treating infantile diarrhea due to spleen deficiency with five-step pediatric tuina of Huxiang school.Methods:Using a randomized controlled trial design,sixty eligible kids with diarrhea due to spleen deficiency were randomized into an observation group and a control group,with 30 cases in each group.The observation group was intervened by the five-step pediatric tuina method of Huxiang school,and the control group received conventional tuina treatment.The intervention was conducted once a day,consecutive 5-day treatment as 1 course,at a 2-day interval between courses,successively for a total of 4 courses.Changes in the primary and secondary symptoms of diarrhea due to spleen deficiency were observed,and the clinical efficacy was evaluated.Results:After treatment,the scores of primary and secondary symptoms and the general score of diarrhea due to spleen deficiency were improved;the improvements in fecal form and frequency,decreased appetite,bloating after meals and fatigue and sluggishness were more significant in the observation group than in the control group.Conclusion:The five-step pediatric tuina method of Huxiang school and conventional tuina both can improve the primary and secondary symptoms in infantile diarrhea due to spleen deficiency,while the former one can produce more significant efficacy.

Therapeutic effect observation of Shanghai-style tuina method for infantile diarrhea

Objective： To observe the clinical efficacy of Shanghai-style tuina method based on syndrome differentiation in treating infantile diarrhea. Methods： Sixty patients were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the observation group were treated by Shanghai-style tuina method based on syndrome differentiation, while the patients in the control group were treated by conventional Shanghai-style tuina method, once per day, continuous 5 d for a treatment course. The efficacy was evaluated according to the score of the quantization table for symptoms differentiation in infantile diarrhea after one course. Results： During the treatment, two cases in the control group dropped out. After treatment, the scores were significantly decreased in both groups and the intra-group differences were statistically significant （both P〈0.01）, indicating the two treatment methods were effective with infantile diarrhea. In the efficacies of traditional Chinese medicine （TCM） syndrome, the cured and markedly effective rate in the observation group was significantly higher than that in the control group （P〈0.05）, suggesting that Shanghai-style tuina method based on syndrome differentiation was more effective than conventional Shanghai-style tuina method. Conclusion： Conventional Shanghai-style tuina method is characterized by fixed acupoints, remembering easily and operating conveniently. It has a significant effect in treating children with diarrhea, and is worthy of clinical promotion and popularization. However, Shanghai-style tuina method based on syndromes differentiation requires the solid theoretical foundation and rich clinical experience of TCM. And because Shanghai-style tuina method based on syndromes differentiation is applied under the guidance of syndrome differentiation and TCM theory, it can improve the clinical efficacy.

Curative Effect Observation on Tuina Therapy for Spleen-deficiency Infantile Diarrhea

Objective： To observe the clinical effect of tuina for spleen deficiency infantile diarrhea. Methods： A total of 60 cases were randomized into a treatment group and a control group （30 in each group）. Tuina manipulations were employed in the treatment group, whereas medication was administered in the control group. The between-group clinical effects were compared after one course of treatment. Results： The recovery rate was 20.0% in the treatment group, versus 3.3% in the control group, showing a statistical significance （P〈0.05）. After treatment, there were between-group statistical differences （P〈0.05） in infants＇ main accompanying symptoms such as complexion, spirit, vomiting, and abdominal pain. Conclusion： Tuina is effective for infantile diarrhea due to spleen dficiencv.

Treatment of 62 Cases of Infantile Diarrhea by Tuina

Objective： To observe the clinical efficacy oftuina on infantile diarrhea. Method： Sixty-two cases were classified into five subtypes： diarrhea due to food injury, wind-cold, damp-heat, spleen deficiency and yang deficiency of the spleen and kidney. The manipulations including separating hand yin-yang, kneading the general tendon, pushing spleen-earth, transporting external Bagua, rubbing the abdomen, pressing Zusanli （ST 36）, kneading Guiwei and pinching the spine were applied once a day. Result： After the treatments of 3 to 30, 35 cases got recovery, 21 got marked effect, and 6 got improvement. Conclusion： The infantile tuina treatment is effective for infantile diarrhea.

Therapeutic observation of Tui-pushing Wujing plus Chinese patent medicine for infantile diarrhea due to spleen deficiency

Objective:To observe the therapeutic efficacy of pediatric tuina plus Chinese patent medicine for preschool kids with diarrhea due to spleen deficiency.Methods:Ninety-two eligible kids were divided into a tuina plus Chinese patent medicine and a Chinese patent medicine group by the random number table,with 46 cases in each group.The Chinese patent medicine group was intervened by oral administration of Qi Wei Bai Zhu San(Seven-ingredient Atractylodes Macrocepholo Powder);the tuina plus Chinese patent medicine group was additionally given pediatric tuina therapy once a day,20 min each time.Efficacy and safety were evaluated after 7-day treatment in both groups,and a 14-day follow-up was conducted.Results:After treatment,the symptom scores all changed significantly in the two groups(all P<0.05).After intervention,the symptom scores in the tuina plus Chinese patent medicine group were significantly different from those in the Chinese patent medicine group(all P<0.05).The total effective rate was 78.3%in the Chinese patent medicine group,versus 89.1%in the tuina plus Chinese patent medicine group,and the between-group difference was statistically significant(P<0.05).Three cases got a relapse in the Chinese patent medicine group,versus one case in the tuina plus Chinese patent medicine group,and the between-group difference was statistically insignificant(P>0.05).The two groups each had one case of vomiting,which were treated properly and turned better.No other adverse reactions occurred.Conclusion:Tuina plus Chinese patent medicine and Chinese patent medicine alone both are effective for diarrhea due to spleen deficiency in kids,but the combined therapy can produce more significant efficacy.

“Four-Step Massage” in Treating Childhood Spleen-Deficiency Diarrhea

Objective： To observe the clinical effects of a modified Tuina method in the treatment of childhood diarrhea. Methods： Thirty children with diarrhea of spleen deficiency were treated by ＂Four-Step Tuina＂（treatment group）; and control group was treated with routine Tuina methods. The scale of children diarrhea was used as an objective index for therapeutic effect evaluation. Results： After treatment, the scale was 1.4±1.92 in treatment group and 3.3±3.45 in control group; the statistical analysis showed that there was a difference between the scales; the treatment group had better effects than control group, in another word, the ＂Four-Step Tuina ＂ was quite effective for children diarrhea. Conclusion： Tuina has positive effects on children diarrhea of spleen deficiency, which provides evidences for the standardization of clinical therapeutic effects.

Acupuncture Combined with Tuina Treatment for Infantile Diarrhea

Objective： To observe the effect of acupuncture combined with Tuina for nfantile diarrhea. Methods： One hundred and twenty patients met the inclusion criteria were randomly divided into two groups at the ratio of 2：1, and there were 80 cases in the treatment group while 40 cases in the control group. The patients in the treatment group were treated with acupuncture combined with tuina, while those in the control group were treated with medication. The effects of two groups were compared after a 3-day treatment. Results： The total effective rate was 97.5% in the treatment group, versus 87.5% in the control group, and the difference was statistically significant （P〈0.05）. After 48-hour treatments, the antidiarrheal effect of the treatment group was better than that of the control group （P〈O.05）. Conclusion： Acupuncture combined tuina treatment is effective for nfantile diarrhea and works fast.

Therapeutic Observation on Treatment of Infantile Diarrhea with Tuina on Differentiation of Acupoints

Infantile diarrhea was divided into four types of wind cold, damp heat, food injury and spleen deficiency on differentiation of symptoms and signs. The techniques of tonifying the spleen, clearing Dachang （large intestine）, rubbing the abdomen and pressing Zhixie （stopping diarrhea） point, Zusanli （ST 36） and Changqiang （GV 1） as well as pinching the spine were chosen to treat this disease with a satisfactory result.