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.

Clinical and Experimental Study on Zhixie Buye Mixture (止泻补液合剂) in Treating Infantile Diarrhea Complicated with Dehydration

Objective: To observe the therapeutic effect of Zhixie Buye mixture (止泻补液合剂, ZXBYM) on infantile diarrhea patients with mild or middle degree of dehydration. Methods: Controlled observation method was adopted in the clinical and experimental study. Results: There was no significant difference in the treatment of dehydration between the ZXBYM group and oral rehydration solution (ORS) group (P>0.05), at the same time it was more effective for ZXBYM to eliminate such symptoms as vomiting and abdominal distension (P<0.01). In addition, it was confirmed that the ion concentration of sodium, potassium, chlorine, glucose and osmotic pressure in the mixture was similar to those in ORS. Animal experiment showed that ZXBYM has the effect of rat intestine peristalsis suppression and water absorption promotion in colon. And there was statistical difference in antidiarrhea effect between the mixture and ORS (P<0.01). Conclusion: ZXBYM is an effective mixture in the treatment of diarrhea with dehydration. It has a good prospect for the development and application.

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.

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.

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

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 betwee regroup differences were statistically sign ificant(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.

Clinical and Experimental Study on Treatment of Infantile Autumn Diarrhea by Retention Enema with Qilian Liquid (芪连液)

Objective:To find out the effective treatment for infantile autumn diarrhea(IAD).Methods:Retention enema with Qilian Liquid(QLL) was applied to 106 patients of IAD with positive antigen of rotavirus in stool,and the result in the treated group was compared with that in the control group(82 patients) in aspects of clinical effect, negative conversion rate of rotavirus in stool and change of serum immunoglobulin. Animal experimental study was also conducted.Results:The disappearance time of principal symptoms, negative conversion rate of rotavirus in stool and serum levels of IgA and IgG in the treated group were significantly better than those in the control group (P<0.01, P< 0.05). Experimental study showed that QLL not only has the anti-viral effects to stop diarrhea, but also has effects in enhancing immune function and protecting intestinal mucous membrane. Conclusion:Retention enema with QLL is an effective therapy for the treatment of IAD.

Fifty-Four Infantile Intractable Diarrhea Patients Treated with Integrated Traditional Chinese and Western Medicine

Objective: To explore the treatment on infantile intractable diarrhea with integrated traditional Chinese and western medicine. Methods: Paired control method was used to study 54 cases of infantile intractable diarrhea patients, who were randomly divided into the treated group and the control group (western medicine treated group). The treated group was further subdivided into two syndrome-types: Spleen deficiency diarrhea type and Spleen-Kidney Yang deficiency diarrhea type, and modified Shenling Baizhu powder (参苓白术散) and Sijunzi decoction (四君子汤) with modified Sishen pill (四神丸) were used for them respectively, while the control group was given only the conventional western drugs. At the same time, immunoglobulin (IG) and T lymphocyte transformation rate (TLTR) were observed. Results: Before treatment, IgG, IgA and TLTR of all the patients in both groups were lowered; after treatment, all of them improved, and the improvement of the treated group was more significant than that of control group (P<0.01). In the treated group, the cure rate and total effective rate were significantly higher than that of control group (P<0.01). Conclusion: Using integrated traditional Chinese and western method, the immune function of the patients were enhanced, and the function of Spleen-Stomach was recuperated, therefore satisfactory results were reached.

Clinical Study of Poria-Polyporus Anti-Diarrhea Oral Liquor in Treating Infantile Rotavirus Diarrhea

Objective: To evaluate the efficacy of Poria-Polyporus anti-diarrhea oral liquor (PPAOL) in treating infantile rotavirus diarrhea. Methods: PPAOL was administered to treat 30 cases of infantile rotavirus diarrhea, the effect was observed and compared with that of Smecta. And human rotavirus RNA of patients was detected. Results: The effective rate of the PPAOL group was 83. 33 % and that of Smecta group was 90. 00 %.There was no significant difference between the effect of the two groups in respect of the duration of fever and diarrhea. Human rotavirus RNA showed positive result in 13 patients of PPAOL group and 19 in Smecta group.The duration of virus excretion in both groups was 2 ～7 days, which was much shorter than 9～ 21 days in the previous report. Conclusion: PPAOL is effective in treating infantile rotavirus diarrhea.

Treatment of 128 Cases of Lienteric Diarrhea by Acupuncture and Spine Pinching

Lienteric diarrhea is a disorder characterized by increased frequency of bowel movements with loose or watery stools. It may happen in any seasons, but more frequently in summer and autumn. We treated 128 cases of lienteric diarrhea by acupuncture and spine pinching, and reported it as follows.

Metrological Analysis and Evaluation of Acupuncture-Moxibustion Treatment for Diarrhea in Modern Literature

Objective： To review year 1957-2005 literature on acupuncture and moxibustion and explore point selection and methods for acupuncture-moxibustion treatment of diarrhea in order to provide objective and reliable data for research on acupuncture and moxibustion standardization. Methods： A comprehensive analysis was made by a method of metrological analysis according to the data from ＂China modem acupuncture-moxibustion information database＂. Results： Points Zusanli （ST 36）, Tianshu （ST 25） and Shenque （CV 8） were the most frequently used and the optimal combination for acupuncture-moxibustion treatment of diarrhea. Chronic adult diarrhea was often treated by moxibustion. Acute childhood diarrhea was often treated by point application and injection. Conclusion： Diarrhea is often treated by needling and moxaing methods in acupuncture-moxibustion treatment. It is proposed to use Zusanli （ST 36） and Tianshu （ST 25） as a basic prescription for acupuncture-moxibustion treatment of diarrhea and to select points according to the syndrome.

The subspecialty of pediatric infectious diseases is growing in China

Although infectious diseases are still common in Chinese children, great changes have taken place in the spectrum of the diseases. Two severe contagious diseases, smallpox and poliomyelitis, were eliminated many years ago, and other infectious diseases under effective control are measles, diphtheria, whooping cough, neonatal tetanus, epidemic cerebrospinal meningitis, epidemic encephalitis type B, typhoid, scarlet fever, dysentery, malaria, viral hepatitis, tuberculosis, syphilis,