振腹疗法的应用研究

目的通过对振腹疗法这一极具中医推拿特色方法的梳理,更好的弘扬振腹疗法治疗疾病的核心思想,以促进振腹疗法的发掘、继承、发扬光大。方法结合振腹疗法的基本原理,以背部和腹部的操作为主,将振腹操作作为主体,采用揉腹、通任督二脉等作为基础的手法,拿腹、推腹等的操作手法,探讨振腹疗法的具体运用效果。结果振腹疗法可以起到调整脏腑功能,调整三焦,能够恢复元气,达到阴阳表里的通畅,激起经络之气,达到气机的升降,进而调节百脉,疏通经络,调养血气,使人体的气机升降有序,达到治疗疾病的作用。结论振腹疗法作为一种中医外治法,其理论根基与传统中医基础理论高度契合,其临床疾病谱较宽、疗效显著。在临床上振腹疗法现已逐渐应用于内、外、妇、男诸科的常见疾病的治疗,已有关于失眠、痛经、胃脘痛、便秘、更年期综合征等疾病的科研研究,临床效果显著。

Clinical study on Tuina plus Shen Ling Bai Zhu San in treating children with diarrhea due to spleen deficiency

Objective:To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus Shen Ling Bai Zhu San for pediatric diarrhea due to spleen deficiency.Methods:A total of 105 children with diarrhea due to spleen deficiency were selected and randomized into two groups by the random number table method.Fifty-two cases in the control group were treated with oral Shen Ling Bai Zhu San,and 53 cases in the observation group were treated with additional Tuina treatment.The clinical efficacy was evaluated after treatment,and the changes of traditional Chinese medicine(TCM)symptom scores were observed.Results:During the trial,there were three dropouts in the observation group,and two in the control group.After the treatment,the total effective rate was 100.0%in the observation group,and 90.0%in the control group.The difference between the two groups was statistically significant(P<0.05).The scores of primary and secondary symptoms,and the total scores of TCM symptoms in both groups were significantly lower than those before treatment(P<0.05).And the scores of primary and secondary symptoms,and the total score of TCM symptoms in the observation group after treatment were lower than those in the control group(P<0.05).There were no obvious adverse reactions in either group during the treatment.Conclusion:Tuina plus Shen Ling Bai Zhu San has a better therapeutic effect in treating pediatric diarrhea due to spleen deficiency than Shen Ling Bai Zhu San alone.

Clinical efficacy observation on pediatric massage for chronic cough in children

Objective To observe the clinical efficacy of pediatric massage(tuina)for chronic cough in children.Methods A total of 96 cases were randomized into a control group and an observation group,with 48 cases in each group.Cases in the control group received routine pediatric massage manipulations.Cases in the observation group received additional Mo-rubbing abdomen manipulation.The treatment was done 3 times a week and 12 times made up a treatment session.The cough symptom scores were evaluated before treatment and after 3,6,9 and 12 treatments respectively.Results There were 8 dropouts in the observation group and 5 dropouts in the control group.Before treatment,there was no statistical difference in coughing score between the two groups(P>0.05).After 9 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05);however,there were no statistical differences between the two groups in the score differences between before treatment and after 3,6 and 9 times of treatment(all P>0.05).After 12 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05),along with a statistical difference between the two groups in the score difference between before treatment and after 12 times of treatment(P<0.05).There was a statistical difference between the two groups in overall response(P<0.05).The total effective rate in the observation group was 92.5%,versus 86.0%in the control group,showing a statistical difference(P<0.05).Conclusion The routine pediatric massage manipulations alone or in combination with Mo-rubbing abdomen manipulation both can significantly improve chronic cough in children;however,the combination obtains a better effect.

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.

“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.

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.

Observation on therapeutic effect of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation (LIDH). Methods: A total of 70 patients with LIDH were randomized into an observation group and a control group, with 35 cases in each group. The observation group was treated with acupuncture at abdomen acupoints plus tuina, while the control group was treated only with tuina treatment. The clinical efficacy was observed after one course of treatment. Results: The cure rate and the total effective rate of the observation group were 83.3% and 96.7%, respectively. The cure rate and the total effective rate of the control group were 39.4% and 78.8%, respectively. There were significant differences in the cured rate and the total effective rate between the two groups (both P<0.05). There was no significant differenee in Japanese Orthopedic Association (JOA) score between the two groups before treatment (P>0.05). After treatment, the JOA scores of both groups in creased sign ifica ntly, and the in tra-group differe nces were statistically sign ifica nt (both P<0.05);the JOA score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Acupuncture at abdomen acupoints plus tuina has a better therapeutic effect than tuina alone in the treatment of LIDH.

Observation on the therapeutic effect of pricking needling at Sifeng(四缝EX-UE 10) in combination with Tuina for antibiotic-associated diarrhea in infants

Objective To observe the therapeutic efficacy of pricking needling at Sifeng （四缝 EX-UE10） in combination with Tuina in treating antibiotic-associated diarrhea （AAD） in infants. Methods According to random number table, 82 patients were randomized into a treatment group and a control group, 41 patients were included in each group. The patients in the two groups were not subjected to fasting diet; fluid replacement, correction on electrolyte disturbance, withdrawal of antibiotics and other symptomatic treatments were all carried out for them. The patients in the treatment group were simultaneously treated by using pricking needling at EX-UE 10 in combination with Tuina manipulation, while the patients in the control group were orally administered with Medilac Vita. Five days were considered as a treatment course for both groups, and the therapeutic effect was evaluated after a treatment course. Results the number of patients with concurrent symptoms in the treatment group were significantly less than that in the control group （P0.05）; the number of patients not showing leucopenia in the treatment group were significantly less than that in the control group （P0.05）; the total effective rate of 92.7% （38/41） in the treatment group was significantly higher than that of 73.2% （30/41） in the control group, and the difference in therapeutic effect between the two groups was statistically significant （P0.05）. Conclusion The therapeutic effect of pricking needling at EX-UE 10 in combination with Tuina on the basis of conventional treatments is better than that of combination with Medilac Vita in treating AAD in infants, and it could rapidly improve systemic symptoms and indices of stool.

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.

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 on tuina at head and abdomen for headache due to phlegm turbidity

Objective:To observe the clinical efficacy of tuina at head and abdomen for headache due to phlegm turbidity.Methods:A total of 56 patients with headache due to phlegm turbidity were randomized into a tuina group and a Chinese medicine group by the random number table,with 28 cases in each group.The tuina group was treated mainly with tuina at the head and abdomen,while the Chinese medicine group was treated with oral administration of Ban Xia Bai Zhu Tian Ma Tang(Pinellio,Atractylodes Mocrocepholo and Gastrodio Decoction).The course of treatment was 30 d.The scores of headache index,traditional Chinese medicine syndrome scale,and the therapeutic efficacy were observed.Results:There were 2 dropouts in each group during treatment.The total effective rate was 92.3%in the tuina group,significantly higher than 76.9%in the Chinese medicine group(P<0.05).The scores of headache index and traditional Chinese medicine syndrome scale in both groups decreased after treatment(both P<0.05),and scores in the tuina group were lower than those in the Chinese medicine group(both P<0.05).Conclusion:Tuina mainly at head and abdomen is effective in treating headache due to phlegm turbidity,and has a better effect than Ban Xia Bai Zhu Tian Ma Tang(Pinellia,Atractylodes Macrocephalo and Gastrodio Decoction).