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小儿推拿联合手法干预对高危儿管理的作用
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作者 李娜 汪际英 +2 位作者 许彩琴 刘文丽 顾洁 《世界复合医学》 2024年第2期107-110,共4页
目的探究高危儿管理中小儿推拿联合手法干预的应用效果。方法随机选取2021年4月—2023年4月银川市妇幼保健院儿童保健科高危儿管理门诊收治的70例1岁以内的高危儿为研究对象,随机数表法分为对照组和治疗组,各35例。对照组予以常规手法... 目的探究高危儿管理中小儿推拿联合手法干预的应用效果。方法随机选取2021年4月—2023年4月银川市妇幼保健院儿童保健科高危儿管理门诊收治的70例1岁以内的高危儿为研究对象,随机数表法分为对照组和治疗组,各35例。对照组予以常规手法干预治疗,治疗组予以常规手法干预联合小儿推拿治疗,治疗6个疗程后评定两组的干预效果,对比治疗有效率、Ashworth量表分级。结果干预后,治疗组体重、身长、头围和Ashworth量表分级优于对照组,差异有统计学意义(P均<0.05)。治疗组治疗总有效率为97.14%,高于对照组的82.86%,差异有统计学意义(χ^(2)=3.968,P<0.05)。结论在高危儿管理中实行小儿推拿联合手法干预,可促进患儿身体发育,改善肌张力,提高治疗效果。 展开更多
关键词 高危儿 手法干预 小儿推拿 干预效果
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益气通督手法治疗小儿脾虚泻的多中心随机对照研究 被引量:12
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作者 王华兰 张世卿 +7 位作者 张璞璘 耿香菊 严晓慧 张淑君 郎敏 王喆 林国平 陈建辉 《中国针灸》 CAS CSCD 北大核心 2008年第11期813-816,共4页
目的:对益气通督手法治疗小儿脾虚泻的疗效进行评价。方法:将275例患儿采用多中心、随机、对照方法分为观察组(n=137)和对照组(n=138),观察组采用益气通督手法治疗,对照组采用中医院校教材《推拿学》中所规定手法治疗。治疗7天后比较两... 目的:对益气通督手法治疗小儿脾虚泻的疗效进行评价。方法:将275例患儿采用多中心、随机、对照方法分为观察组(n=137)和对照组(n=138),观察组采用益气通督手法治疗,对照组采用中医院校教材《推拿学》中所规定手法治疗。治疗7天后比较两组疗效。结果:观察组治愈率为83.2%,对照组治愈率为69.6%,差异有统计学意义(P<0.05),观察组疗效优于对照组。两组平均治愈时间比较,观察组平均治愈时间(3.22±1.04)天,对照组平均治愈时间(4.20±1.11)天,差异有统计学意义(P<0.05),观察组短于对照组。结论:益气通督手法治疗小儿脾虚泻疗效确切,起效快,适宜普及推广应用。 展开更多
关键词 脾虚 腹泻 婴儿 手法 捏脊 督脉 益气通督手法 小儿推拿
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整脊结合推拿治疗暂时性髋关节滑膜炎临床研究 被引量:5
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作者 陈小砖 杨林 +2 位作者 李知行 林宝城 侯小琴 《针灸临床杂志》 2017年第6期39-41,共3页
目的:比较整脊结合推拿与单纯推拿治疗暂时性髋关节滑膜炎的疗效差异。方法:将60例暂时性髋关节滑膜炎患儿随机分为观察组(30例)、对照组(30例)。观察组行整脊疗法并结合推拿手法;对照组单纯采用推拿治疗,均隔日治疗1次,14天为一疗程,... 目的:比较整脊结合推拿与单纯推拿治疗暂时性髋关节滑膜炎的疗效差异。方法:将60例暂时性髋关节滑膜炎患儿随机分为观察组(30例)、对照组(30例)。观察组行整脊疗法并结合推拿手法;对照组单纯采用推拿治疗,均隔日治疗1次,14天为一疗程,共治疗1个疗程。通过对两组患者治疗前后视觉模拟量表(VAS)评分的比较,从而判断其疗效差异。结果:两组患者治疗后VAS评分较治疗前均明显降低(均P<0.01),且治疗后观察组VAS评分低于对照组(P<0.05);观察组治愈20例,好转9例,未愈1例;对照组治愈14例,好转13例,未愈3例。观察组总体疗效优于对照组(P<0.05)。结论:整脊结合推拿治疗暂时性髋关节滑膜炎可有效缓解疼痛,改善关节活动度,疗效优于单纯推拿治疗。 展开更多
关键词 暂时性髋关节滑膜炎 整脊手法 推拿手法
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清泄按揉法治疗小儿功能性便秘临床疗效观察 被引量:15
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作者 陆燕玲 熊一清 许丽 《浙江中医药大学学报》 CAS 2015年第5期393-395,共3页
[目的]观察"清泄按揉法"治疗小儿功能性便秘的临床疗效。[方法]选择2009年12月至2013年6月在浙江省中山医院小儿推拿科门诊及浙江省中西医结合医院推拿科门诊收集的小儿功能性便秘60例,随机分为治疗组和对照组:对照组30例,采... [目的]观察"清泄按揉法"治疗小儿功能性便秘的临床疗效。[方法]选择2009年12月至2013年6月在浙江省中山医院小儿推拿科门诊及浙江省中西医结合医院推拿科门诊收集的小儿功能性便秘60例,随机分为治疗组和对照组:对照组30例,采用常规小儿推拿进行治疗;治疗组30例,采用"清泄按揉法"小儿推拿进行治疗。隔天1次,5次为1个疗程,3个疗程后比较两组疗效。[结果]经3个疗程治疗后,治疗组治愈20例,好转8例,未愈2例,总有效率为93.33%;对照组治愈10例,好转12例,未愈8例,总有效率为73.33%。两组总有效率比较,差异有统计学意义(P<0.05)。[结论]"清泄按揉法"治疗小儿功能性便秘疗效明显高于常规小儿推拿治疗,并且其操作简便,值得推广。 展开更多
关键词 便秘 功能性 小儿 推拿 清泄按揉法 手法 临床疗效
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二部五法推拿结合药物治疗儿童变应性鼻炎临床观察 被引量:8
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作者 赵李清 万怡 王勇 《四川中医》 2018年第4期177-180,共4页
目的:观察二部五法推拿结合药物治疗儿童变应性鼻炎的临床效果。方法:以本院64例小儿变应性鼻炎为观察对象,按治疗方法随机分为观察组和对照组,观察组给予二部五法推拿及药物治疗;对照组仅给予药物治疗,即口服第二代H1抗组胺药仙特明、... 目的:观察二部五法推拿结合药物治疗儿童变应性鼻炎的临床效果。方法:以本院64例小儿变应性鼻炎为观察对象,按治疗方法随机分为观察组和对照组,观察组给予二部五法推拿及药物治疗;对照组仅给予药物治疗,即口服第二代H1抗组胺药仙特明、鼻用类固醇激素内舒拿或雷诺考特。共治疗8周,其中观察组脱落3例,对照组脱落1例。治疗前和治疗后观察两组主要症状;治疗2周后于每周末观察两组临床疗效。结果:观察组与对照组治疗前后鼻炎症状评分评定,差异有统计学意义(P<0.05);观察组与对照组治疗前后临床疗效评定有显著性差异,且观察组临床疗效优于对照组(P<0.05)。结论:二部五法推拿结合药物治疗儿童变应性鼻炎疗效显著,可显著改善儿童变应性鼻炎临床症状。 展开更多
关键词 变应性鼻炎 小儿推拿 二部五法推拿 口服第二代H1抗组胺药 鼻用类固醇激素
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腰椎多方位整脊手法治疗腰椎间盘突出症60例 被引量:1
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作者 陈辉 林志刚 +2 位作者 龚德贵 王和鸣 陈水金 《中国中医药现代远程教育》 2015年第17期84-85,共2页
目的观察腰椎多方位整脊手法治疗腰椎间盘突出症患者的临床效果。方法将60例患者随机分为2组。治疗组30例以腰椎多方位整脊手法治疗,对照组30例以腰部常规推拿治疗。观察治疗前后患者VAS评分及JOA评分的改变。结果经过2周治疗后,治疗组... 目的观察腰椎多方位整脊手法治疗腰椎间盘突出症患者的临床效果。方法将60例患者随机分为2组。治疗组30例以腰椎多方位整脊手法治疗,对照组30例以腰部常规推拿治疗。观察治疗前后患者VAS评分及JOA评分的改变。结果经过2周治疗后,治疗组VAS评分及JOA评分均较对照组有差异(P<0.05)。结论腰椎多方位整脊手法比常规推拿治疗疗效更优,值得临床推广。 展开更多
关键词 腰椎多方位整脊手法 腰椎间盘突出症 推拿 痹证 腰痛
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基于数据挖掘的近现代齐鲁医派小儿推拿治疗脑瘫临床特色研究 被引量:10
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作者 张星贺 邰先桃 +2 位作者 郭太品 朱博文 井夫杰 《山东中医杂志》 2020年第8期826-831,共6页
目的:基于数据挖掘技术对近现代齐鲁小儿推拿代表性著作中小儿脑瘫临床特色内容进行总结。方法:对齐鲁医派小儿推拿各流派的代表性著作进行全文阅读,采用SATI以及UCINET、NetDraw对脑瘫相关的中医病名及手法穴位的组方配伍进行可视化中... 目的:基于数据挖掘技术对近现代齐鲁小儿推拿代表性著作中小儿脑瘫临床特色内容进行总结。方法:对齐鲁医派小儿推拿各流派的代表性著作进行全文阅读,采用SATI以及UCINET、NetDraw对脑瘫相关的中医病名及手法穴位的组方配伍进行可视化中心度分析,并计算手法穴位的出现频次及支持度。结果:6本代表性著作中有5本涉及脑瘫,共有22个脑瘫相关中医病名,所采用的穴位共有28个,揉二人上马、补肾水、推三关、补脾土、运内八卦等手法选穴使用较为频繁。结论:近现代齐鲁医派小儿推拿根据中医证候表现对脑瘫进行了较为详细的命名,适宜小儿推拿的辨证施治;在推拿治疗中,以补肾治脑的揉二人上马、补肾水为核心,根据不同的症状表现选用不同手法穴位,形成了主次清晰的组方配伍关系。 展开更多
关键词 齐鲁医派 小儿推拿 脑性瘫痪 手法 穴位 学术流派 数据挖掘
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Efficacy observation on pediatric tuina plus Chinese medicine for exogenous fever in children 被引量:13
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作者 Qiu Li-yuan Lv Ying 《Journal of Acupuncture and Tuina Science》 CSCD 2019年第3期203-208,共6页
Objective: To observe the clinical effects of pediatric tuina plus Chinese medicine for exogenous fever in children. Methods: A total of 150 children withexogenous fever were randomly divided based on the random digit... Objective: To observe the clinical effects of pediatric tuina plus Chinese medicine for exogenous fever in children. Methods: A total of 150 children withexogenous fever were randomly divided based on the random digital table into a control group (75 cases) and a treatment group (75 cases). The control group was treated with oral Xiao'er Chaigui Tuire Keli (<1 year old, 0.5 bag/time;1-3 years old, 1 bag/time;4-6 years old, 1.5 bags/time), 4 times/day. The treatment group was treated with pediatric tuina plus the intervention of the control group. The amount and usage of Chinese medicine were the same as those of the control group;tuina was conducted 1 time/day. The clinical effects and adverse reactions were observed after 3 d of treatment in both groups. The recurrence was observed within 7 d after the end of treatment. Results: The total effective rate was 92.0% in the treatment group and 81.3% in the control group. The difference between the two groups was statistically significant (P<0.05). There were no obvious adverse reactions in the two groups after treatment. The recurrence rate was 1.5% in the treatment group and 13.1% in the control group. The difference in the recurrence rate between the two groups was statistically significant (P<0.05). Conclusion: Pediatric tuina plus Chinese medicine is effective in treating children with exogenous fever. 展开更多
关键词 tuina MASSAGE pediatric tuina chiropractics (Traditional Chinese Medicine) Traditional Chinese Drugs FEVER Exogenous Diseases Child Preschool
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Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo 被引量:6
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作者 李芝芹 洪珏(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第5期366-372,共7页
Objective: To observe the clinical efficacy and action mechanism of Jin's three-needle acupuncture plus Long's chiropractic tuina manipulations in treating cervical vertigo. Methods: By adopting a randomized contr... Objective: To observe the clinical efficacy and action mechanism of Jin's three-needle acupuncture plus Long's chiropractic tuina manipulations in treating cervical vertigo. Methods: By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin's cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi (GB 20); the observation group was by Long's chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups. Results: After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group (P〈0.01); the rate was markedly higher in the observation group than that in the control group after 2 treatment courses (P〈0.01); at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 23.5% in the control, and the between-group difference was statistically insignificant (P〉0.05); the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant (P〈0.05); at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant (P〈O.01). Conclusion: The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo. 展开更多
关键词 Acupuncture Therapy Electroacupuncture Jin's Three-needle tuina MASSAGE manipulation chiropractic Cervical Spondylosis VERTIGO
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Therapeutic effect observation on Nie-pinching the spine manipulation for infantile diarrhea due to spleen deficiency 被引量:15
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作者 唐雨兰 李铁浪 +5 位作者 刘迈兰 罗坚 李南 郁洁 杨茜芸 黄国琪(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第5期340-346,共7页
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: ... 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. 展开更多
关键词 tuina MASSAGE pediatric tuina chiropractics (Traditional Chinese Medicine) Spleen Deficiency DIARRHEA INFANT
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Holistic View of Chinese Spinal Manipulation and Its Clinical Application 被引量:5
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作者 师宁宁 沈国权 +2 位作者 张喜林 何水勇 韩丑萍 《Journal of Acupuncture and Tuina Science》 2009年第5期288-292,共5页
Objective: To improve the clinical efficacy by applying the holistic view to the spinal manipulations. Method: The anatomical structure and physio-pathological characteristics of the spine have been studied by using... Objective: To improve the clinical efficacy by applying the holistic view to the spinal manipulations. Method: The anatomical structure and physio-pathological characteristics of the spine have been studied by using modern scientific knowledge, such as, anatomy, image, biomechanics and pathophysiology. Results: The spine and its surrounding muscles and ligaments, the whole spine, spine and nerves, vessels in between intervertebral foramen as well as the spinal cord within the spinal canal, and spine, pelvis and the lower limbs all constitute an organic whole. Conclusion: The TCM holistic view in bones and tendons, spine, spine- nerve-vessel-spinal cord and spine-pelvis-lower limbs are still guiding the clinical practice of spinal manipulations. 展开更多
关键词 manipulation chiropractic tuina MASSAGE HOLISM
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Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs for pediatric anorexia due to dysfunction of spleen in transportation:a randomized controlled trial 被引量:8
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作者 Zhou Bo-wen Chen Ming-ming 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第2期104-109,共6页
Objective:To observe the clinical efficacy of Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs in treating pediatric anorexia due to dysfunction of spleen in transportation.Methods:A total of 64 ki... Objective:To observe the clinical efficacy of Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs in treating pediatric anorexia due to dysfunction of spleen in transportation.Methods:A total of 64 kids were randomized into an observation group and a control group by the random number table method,with 32 cases in each group.Patients in both groups received Jian Pi Kai Wei(strengthening spleen and stomach)powder according to pattern differentiation of traditional Chinese medicine(TCM).In addition,patients in the observation group received Nie-pinching the spine and puncturing Sifeng(EX-UE 10).Nie-pinching the spine was applied twice a week,and puncturing Sifeng(EX-UE 10)was performed once a week,with 2 weeks counted as 1 course of treatment.After 2 courses of treatment,the body mass index(BMI),peripheral blood leptin level and the microelements Zn,Fe and Se were compared at different time points(before treatment,after the first and second courses of treatment),as well as the therapeutic efficacy and onset time.Results:After 2 courses of treatment,31 cases in each group were evaluated.After the 1st course and the 2nd course,the BMI and serum Zn,Fe and Se levels in the observation group increased significantly(all P<0.05),the leptin level decreased substantially(both P<0.05);the BMI in the control group showed a substantial rise(P<0.05),while the Zn,Fe and Se levels slightly increased showing no statistical significance(all P>0.05),and the leptin level decreased but the difference showed no statistical significance(P>0.05).After the 1st and the 2nd courses of treatment,the BMI,serum Zn,Fe and Se levels increased more significantly(all P<0.05),and the serum leptin level decreased more significantly(both P<0.05)in the observation group than in the control group.After the 2nd course,the total effective rate and recovery rate in the observation group were both higher than those in the control group(both P<0.05),together with a quicker onset time(P<0.05).Conclusion:Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs is effective for pediatric anorexia due to dysfunction of spleen in transportation.It can decrease leptin,increase Zn,Fe and Se levels,alleviate apositic symptoms and increase BMI in the kids. 展开更多
关键词 Acupuncture Therapy MASSAGE pediatric Massage(tuina) chiropractics(Traditional Chinese Medicine) Point Sifeng(EX-UE 10) ANOREXIA Dysfunction of Spleen in Transportation Randomized Controlled Trials
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Therapeutic efficacy and safety rating of Tui-Pushing chest-back manipulation for children with cough variant asthma Therapeutic efficacy and safety rating of Tui-Pushing chest-back manipulation for children with cough variant asthma 被引量:4
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作者 ZHU Binye LI Xue 《Journal of Acupuncture and Tuina Science》 CSCD 2022年第3期187-192,共6页
Objective:To observe and evaluate the clinical efficacy and safety of using pediatric Tuina(Chinese therapeutic massage),Tui-Pushing chest-back manipulation,in treating children with cough variant asthma(CVA).Methods:... Objective:To observe and evaluate the clinical efficacy and safety of using pediatric Tuina(Chinese therapeutic massage),Tui-Pushing chest-back manipulation,in treating children with cough variant asthma(CVA).Methods:Seventy-two kids with CVA were divided into two groups using the random number table method,with 36 cases in each group.The control group received the conventional Tuina treatment,and the observation group received additional Tui-Pushing chest-back manipulation.The clinical efficacy and adverse reactions were observed and recorded for the two groups.Results:After three treatment courses,compared with the control group,the observation group showed advantages in the total effective rate,reducing the number and intensity of cough and improving the nature of cough(P<0.05).However,at the one-month follow-up,there were no significant differences between the two groups in these parameters(P>0.05).Regarding the adverse reaction rate,there was no significant between-group difference(P>0.05).Conclusion:It is effective and safe to use pediatric Tuina,Tui-Pushing chest-back manipulation,plus the conventional treatment protocol to treat CVA in children. 展开更多
关键词 tuina Massage pediatric tuina Tui-Pushing manipulation Point Danzhong(CV17) Feishu(BL13) Cough Variant Asthma Child Preschool
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脏腑图点穴结合四时捏脊疗法在儿科的临证体会
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作者 李晨帅 吕美华 +1 位作者 王亚雷 杜春雁 《中医儿科杂志》 2023年第3期8-11,共4页
以中医传统理论为切入点,详细阐述了脏腑图点穴法的理论基础、四时捏脊疗法的创立溯源,对操作流程进行了详细介绍,并对其中各步骤的穴位、手法及临床操作中的注意事项进行了解释。通过列举小儿厌食症、腹痛、遗尿症3个儿科常见典型病例... 以中医传统理论为切入点,详细阐述了脏腑图点穴法的理论基础、四时捏脊疗法的创立溯源,对操作流程进行了详细介绍,并对其中各步骤的穴位、手法及临床操作中的注意事项进行了解释。通过列举小儿厌食症、腹痛、遗尿症3个儿科常见典型病例的治疗方案,探讨脏腑图点穴结合四时捏脊疗法在儿科的临床应用体会。 展开更多
关键词 小儿推拿 脏腑图点穴法 四时捏脊法 临床应用
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捏脊疗法在小儿疾病中的应用概况 被引量:5
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作者 朱婷婷 《中华针灸电子杂志》 2018年第1期21-23,共3页
小儿为"纯阳之体",脏腑娇嫩,气血未充,易出现"肺常不足"、"脾常不足"及"肾常虚"。临床上表现为感冒、咳嗽、哮喘等呼吸系统疾病;疳积、呕吐、泄泻等消化系统疾病;遗尿等神经系统疾病。捏脊疗... 小儿为"纯阳之体",脏腑娇嫩,气血未充,易出现"肺常不足"、"脾常不足"及"肾常虚"。临床上表现为感冒、咳嗽、哮喘等呼吸系统疾病;疳积、呕吐、泄泻等消化系统疾病;遗尿等神经系统疾病。捏脊疗法因其操作简单、疗效显著和安全可靠,并且具有疏通经络、调整阴阳、促进气血运行、改善脏腑功能以及增强机体抗病能力等作用,常被运用于小儿疾病。文章综述捏脊疗法在治疗小儿呼吸系统、消化系统和神经系统疾病的概况。 展开更多
关键词 手法 捏脊 治疗应用 小儿
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小儿推拿退热六法对脂多糖致热幼兔下丘脑的代谢组学研究 被引量:4
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作者 刘志凤 张英琦 +5 位作者 于天源 焦谊 刘迪 王厚融 徐亚静 官乾 《中华中医药杂志》 CAS CSCD 北大核心 2022年第5期2645-2650,共6页
目的:探究小儿推拿退热六法对脂多糖(LPS)致热幼兔的退热疗效及退热机制。方法:将30只新西兰幼兔随机分为盐水组、模型组和推拿组。模型组和推拿组通过耳缘静脉注射LPS建立发热模型。推拿组在造模后1 h行退热六法(开天门、推坎宫、揉太... 目的:探究小儿推拿退热六法对脂多糖(LPS)致热幼兔的退热疗效及退热机制。方法:将30只新西兰幼兔随机分为盐水组、模型组和推拿组。模型组和推拿组通过耳缘静脉注射LPS建立发热模型。推拿组在造模后1 h行退热六法(开天门、推坎宫、揉太阳、揉耳后高骨、清天河水、推脊)干预,实验过程中监测肛温。造模后3 h,取下丘脑进行液相色谱-质谱联用(LC-MS)非靶向代谢组学研究。结果:造模后2 h和3 h,推拿组肛温显著低于模型组(P<0.05)。代谢组学结果显示盐水组与模型组共有171个差异代谢物,富集到123条通路上;推拿组与模型组共有116个差异代谢物,富集到mTOR、PI3K-AKT、GABA能突触等77条通路上。结论:退热六法可降低发热幼兔体温,其退热机制可能与调节糖代谢、脂质代谢有关。 展开更多
关键词 退热六法 发热 小儿推拿 代谢组学 下丘脑 脂多糖 糖代谢 脂质代谢
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小儿推拿安全性的反思 被引量:8
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作者 王粟实 刘丰 +1 位作者 杨欢 王东笛 《中华中医药杂志》 CAS CSCD 北大核心 2020年第10期4808-4811,共4页
近些年小儿推拿涉及的医疗案例屡见不鲜,其应用的安全性值得我们反思。分析安全问题的来因包括从业人员资质和学科问题,以及更重要的是操作安全性本身。然而目前尚缺乏与小儿推拿安全性相关的数据,笔者查阅成人推拿意外文献,结合自身临... 近些年小儿推拿涉及的医疗案例屡见不鲜,其应用的安全性值得我们反思。分析安全问题的来因包括从业人员资质和学科问题,以及更重要的是操作安全性本身。然而目前尚缺乏与小儿推拿安全性相关的数据,笔者查阅成人推拿意外文献,结合自身临床案例提出小儿推拿确实可能发生意外或不良事件,主要来源于操作不当及病情延误。继而通过对小儿生理、病理与推拿特点,及依据操作部位、手法分析可能出现的意外进行阐述,期望有助提升安全意识,避免严重不良事件发生,服务于小儿推拿长远、良好发展。 展开更多
关键词 小儿推拿 安全性 意外 不良事件 手法
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医疗机构小儿推拿技术规范 被引量:1
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作者 兰晓雪 王悦 +12 位作者 张英 陈千吉 梁元文 周蓉 顾思睿 安易 尚可新 刘文可 叶兴竹 邵辉 姜苗 于长禾 陈红 《国际中医中药杂志》 2022年第12期1327-1346,共20页
小儿推拿技术标准化有利于规范小儿推拿从业者技术操作。依据教材、古籍和文献资料,通过德尔菲问卷及专家共识的方法制订小儿推拿技术规范。本规范涵盖了小儿推拿基本手法、常用穴位的定位操作及功效主治、小儿推拿的诊疗规范(适应证、... 小儿推拿技术标准化有利于规范小儿推拿从业者技术操作。依据教材、古籍和文献资料,通过德尔菲问卷及专家共识的方法制订小儿推拿技术规范。本规范涵盖了小儿推拿基本手法、常用穴位的定位操作及功效主治、小儿推拿的诊疗规范(适应证、禁忌证、慎用证、操作步骤与方法)等。 展开更多
关键词 规范 医疗机构 小儿 推拿 技术规范
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