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膻中穴理论及临床应用探究
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作者 朱伟 陆萍 +1 位作者 黄新 赖昶 《现代诊断与治疗》 CAS 2023年第17期2559-2563,共5页
膻中是任脉之重要经穴,又是心包募穴、八会穴之气会以及为足太阴、少阴,手太阳、少阳与任脉的交会穴,从古至今被历代医家所重视和临床广泛使用。本文通过膻中穴的相关文献资料,对其音、意、定位及功能等进行探究,并总结其临床应用规律,... 膻中是任脉之重要经穴,又是心包募穴、八会穴之气会以及为足太阴、少阴,手太阳、少阳与任脉的交会穴,从古至今被历代医家所重视和临床广泛使用。本文通过膻中穴的相关文献资料,对其音、意、定位及功能等进行探究,并总结其临床应用规律,发现其广泛应用于肺系、心系、脾胃系及情志类、乳房类和其他类疾病,且临床疗效甚佳,但其相关作用机制研究相对较少。本文通过相关文献研究以期为膻中穴的临床应用及理论、机制研究提供新的思路和方法。 展开更多
关键词 膻中穴 理论研究 临床应用
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粗针针刺膻中穴辅助改善慢性阻塞性肺疾病急性加重期呼吸机脱机困难临床研究 被引量:2
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作者 胡靓 曹樟全 陈彩 《新中医》 CAS 2023年第13期156-159,共4页
目的:观察粗针针刺膻中穴辅助改善慢性阻塞性肺疾病急性加重期(AECOPD)呼吸机脱机困难的临床效果。方法:选择100例AECOPD呼吸机脱机困难患者为研究对象,采用双色球随机法分为对照组与观察组各50例。对照组给予体外膈肌起搏辅助治疗,观... 目的:观察粗针针刺膻中穴辅助改善慢性阻塞性肺疾病急性加重期(AECOPD)呼吸机脱机困难的临床效果。方法:选择100例AECOPD呼吸机脱机困难患者为研究对象,采用双色球随机法分为对照组与观察组各50例。对照组给予体外膈肌起搏辅助治疗,观察组在对照组基础上联合粗针针刺膻中穴治疗。比较2组呼吸机脱机时间、脱机成功率、28 d死亡率,并比较2组治疗前后膈肌功能与肺功能、血气指标、氧合指数。结果:观察组呼吸机脱机时间短于对照组(P<0.05),脱机成功率高于对照组(P<0.05),28 d死亡率低于对照组(P<0.05)。基线时,2组膈肌移动度(DE)、第1秒用力呼气容积占预计值的百分比(FEV_(1)%)比较,差异无统计学意义(P>0.05);终点时,2组DE、FEV_(1)%均升高(P<0.05),且观察组高于对照组(P<0.05)。基线时,2组动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))、氧合指数(OI)比较,差异无统计学意义(P>0.05);终点时,2组PaO_(2)、OI均升高(P<0.05),PaCO_(2)均降低(P<0.05),且观察组PaO_(2)、OI高于对照组(P<0.05),PaCO_(2)低于对照组(P<0.05)。结论:粗针针刺膻中穴用于AECOPD可改善患者血气指标,提升膈肌功能、肺功能与OI,缩短呼吸机脱机时间,提高脱机成功率,降低28 d死亡率。 展开更多
关键词 慢性阻塞性肺疾病急性加重期 呼吸机脱机困难 体外膈肌起搏 粗针 膻中穴
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Study on Clinical Efficacy of Needling Danzhong(CV 17) in Treating Postpartum Hypogalactia 被引量:1
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作者 黄涛 陈宝英 +9 位作者 何军琴 白剑 古梅 曹洪涛 何美洁 李欣 蒋京伟 翟桂荣 余梅 肖元春 《Journal of Acupuncture and Tuina Science》 2008年第1期27-31,共5页
Objective: To investigate the clinical efficacy of needling Danzhong(CV 17) in the treatment of postpartum hypogalactia and provide clinical evidence for indications of the point. Methods: A multi-centre single-bl... Objective: To investigate the clinical efficacy of needling Danzhong(CV 17) in the treatment of postpartum hypogalactia and provide clinical evidence for indications of the point. Methods: A multi-centre single-blind randomized controlled trial was carried out. Two hundred and seventy-six puerperal women with postpartum hypogalactia were randomly allocated into acupuncture group and herb group, and respectively treated for three consecutive days. The degree of mammary fullness, the amount of milk secreted, prolacfin, baby weight, the frequency and volume of artificial feeding, the number of infant urination events, and the duration of baby crying were observed. The clinical curative effects on postpartum hypogalactia were compared. Results: Hypogalactia was effectively treated in both acupuncture and herb groups. There were statistically significant differences in degree of mammary fullness, amount of milk secreted, baby weight, the frequency and amount of artificial feeding, and the number of infant urination events between pretreatment and post-treatment, but no difference between the two groups. There was no significant difference in prolactin in the acupuncture group and there was a difference in prolactin in the herb group between pretreatment and posttreatment. Conclusion: Needling Danzhong(CV 17) can effectively promote lactation. 展开更多
关键词 points danzhongcv 17 Acupuncture Therapy Lactation Disorders
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乳腺增生患者膻中穴体表红外辐射光谱探讨 被引量:14
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作者 应荐 沈雪勇 +4 位作者 丁光宏 陈红风 张海蒙 沈霃平 胡升芳 《中国针灸》 CAS CSCD 北大核心 2008年第7期499-502,共4页
目的:比较乳腺增生病患者膻中穴与非穴对照点体表红外辐射光谱的差异。方法:采用高灵敏度PHE201体表红外光谱仪,检测68例乳腺增生病患者膻中穴与非穴对照点体表1.5~16.0μm波段的红外辐射光谱。结果:乳腺增生病患者膻中穴与非穴... 目的:比较乳腺增生病患者膻中穴与非穴对照点体表红外辐射光谱的差异。方法:采用高灵敏度PHE201体表红外光谱仪,检测68例乳腺增生病患者膻中穴与非穴对照点体表1.5~16.0μm波段的红外辐射光谱。结果:乳腺增生病患者膻中穴与非穴对照点红外辐射光谱形态相似,但辐射强度减低,在检测的59个波长点中有13个波长检测点(6.75~8.25μm、9.00μm、9.25μm、9.75μm、13.25~13.75μm),膻中穴与非穴对照点的红外辐射强度比较差异有显著性意义(P〈0.05)。结论:膻中穴红外辐射强度降低。结合期门穴红外辐射强度等研究,提示乳腺增生病在病理状态下,不同的经脉系统处于不同的虚实状态。 展开更多
关键词 纤维囊性病 乳腺/诊断 膻中 皮肤温度 光谱学 近红外线
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针刺膻中穴治疗产后缺乳:多中心随机对照研究 被引量:39
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作者 何军琴 陈宝英 +6 位作者 黄涛 李宁 白剑 古梅 余梅 何湘萍 王华英 《中国针灸》 CAS CSCD 北大核心 2008年第5期317-320,共4页
目的:研究针刺膻中穴治疗产后缺乳的临床作用,为腧穴主治提供临床依据。方法:本课题采用北京妇产医院、北京妇幼保健院、海淀妇幼保健院3个临床中心单盲随机对照研究方法,将276例乳汁不足的产妇随机分为针刺组与中药组。针刺组针刺膻中... 目的:研究针刺膻中穴治疗产后缺乳的临床作用,为腧穴主治提供临床依据。方法:本课题采用北京妇产医院、北京妇幼保健院、海淀妇幼保健院3个临床中心单盲随机对照研究方法,将276例乳汁不足的产妇随机分为针刺组与中药组。针刺组针刺膻中穴;中药组采用传统中药通乳汤治疗。观察乳房充盈程度、泌乳量、泌乳素及新生儿体重、人工喂养次数、人工喂养容量、婴儿小便次数、哭闹时间长短等指标,对照比较治疗产后缺乳的临床疗效。结果:针刺组与中药组均能有效改善缺乳状态,乳房充盈程度、泌乳量及新生儿体重、人工喂养次数、人工喂养容量、婴儿小便次数等指标,2组治疗前后差异均有统计学意义,2组之间差异无显著性意义。针刺组治疗前后泌乳素无改变。结论:针刺膻中穴能有效促进乳汁的分泌,效果与传统中药相当。 展开更多
关键词 泌乳障碍/针灸疗法 膻中 产褥期疾病/针灸疗法 产后缺乳
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粗针透刺膻中穴对急性加重期慢性阻塞性肺疾病BODE指数及生活质量的影响 被引量:13
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作者 战文翔 王德敬 +3 位作者 吴爱芳 高华伟 武永刚 王玉萍 《中国中医基础医学杂志》 CAS CSCD 北大核心 2013年第10期1187-1189,共3页
目的:观察粗针透刺膻中穴对慢性阻塞性肺疾病(COPD)急性加重(AECOPD)患者多因素分级系统(BODE,B为体质量、O为气流阻塞、D为呼吸困难、E为运动能力)及生活质量评估的影响(SGRQ评分,St.George's Respiratory Questionnaire,圣乔治呼... 目的:观察粗针透刺膻中穴对慢性阻塞性肺疾病(COPD)急性加重(AECOPD)患者多因素分级系统(BODE,B为体质量、O为气流阻塞、D为呼吸困难、E为运动能力)及生活质量评估的影响(SGRQ评分,St.George's Respiratory Questionnaire,圣乔治呼吸问卷)。方法:将90例AECOPD患者按随机原则分为粗针组、传统毫针组、对照组3组,每组30例。对照组只常规抗感染、雾化吸入平喘、抗炎、化痰药物及支持、对症治疗;粗针组在对照组基础上加用粗针,每次进针100mm,留针3h;传统毫针组在对照组基础上加用传统毫针,每次进针100mm,留针3h,2组均治疗10d。计算BODE及SGRQ评分,BODE包括体质量指数(BMI)、气流阻塞程度(FEV1%pred)、呼吸困难(MMRC)、运动能力(6MWD,6min步行距离)。采用圣乔治呼吸问卷(SGRQ评分)评价患者的生活质量,观察治疗前后BODE及SGRQ评分的变化。结果:90例入选病例,治疗后BODE中的6MWD步行距离、圣乔治问卷(SGRQ)评分,粗针组、传统毫针组均比对照组有明显改善,同时粗针组比传统毫针组有显著改善。肺功能、BMI与呼吸困难分级没有明显改善,可能与观察时间短有关。结论:粗针透刺膻中穴能显著改善AECOPD患者稳定期BODE及生活质量。 展开更多
关键词 慢性阻塞性肺疾病急性发作期 粗针 BODE SgaQ 膻中穴
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粗针透刺膻中穴治疗COPD急性加重对稳定期CAT评分的影响 被引量:1
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作者 吴爱芳 李海波 王德敬 《医学信息(医学与计算机应用)》 2014年第13期122-122,123,共2页
目的观察粗针透刺膻中穴对慢性阻塞性肺疾病(COPD)急性加重(AECOPD)患者稳定期CAT评分的影响。方法将60例AECOPD住院患者按随机原则分为粗针透刺组、对照组两组,每组30例。对照组只常规抗感染、雾化吸入平喘、抗炎、化痰药物及支持、对... 目的观察粗针透刺膻中穴对慢性阻塞性肺疾病(COPD)急性加重(AECOPD)患者稳定期CAT评分的影响。方法将60例AECOPD住院患者按随机原则分为粗针透刺组、对照组两组,每组30例。对照组只常规抗感染、雾化吸入平喘、抗炎、化痰药物及支持、对症治疗;粗针透刺组在对照组基础上加用粗针膻中穴透刺,每次进针100mm,留针3h,两组均治疗10d。之后均吸入沙美特罗替卡松50/500ug bid,6w后观察CAT评分的变化。结果60例入选病例,稳定期CAT评分均较急性加重期明显降低,粗针透刺组比对照组有明显改善。结论AECOPD加用粗针透刺膻中穴治疗方法能显著改善患者稳定期健康损害程度。 展开更多
关键词 AECOPD 粗针 稳定期 CAT 膻中穴
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不同证型乳腺增生病患者膻中穴体表红外辐射光谱研究 被引量:6
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作者 黄建华 夏齐国 +4 位作者 冯鑫鑫 葛林宝 应荐 沈雪勇 孙霃平 《浙江中西医结合杂志》 2012年第7期505-507,共3页
目的:比较不同证型乳腺增生病患者膻中穴体表红外辐射光谱特性,从红外角度初步探讨中医证型的内在含义。方法:采用高灵敏度PHE201体表红外光谱仪,观察60例乳腺增生病患者膻中穴1.5~16μm波段体表红外辐射光谱。结果:乳腺增生病患者... 目的:比较不同证型乳腺增生病患者膻中穴体表红外辐射光谱特性,从红外角度初步探讨中医证型的内在含义。方法:采用高灵敏度PHE201体表红外光谱仪,观察60例乳腺增生病患者膻中穴1.5~16μm波段体表红外辐射光谱。结果:乳腺增生病患者冲任失调型组膻中穴体表红外辐射强度低于肝郁痰凝型组,其中1.75μm、2.25μm、3.25μm、3.75~4.5μm、6.25~7.0μm、7.5~8.25μm、15.0~15.25μm、15.75μm波段差异具有统计学意义(P〈0.05)。结论:不同证型乳腺增生病患者膻中穴体表红外辐射强度存在差异性,从红外角度提示中医虚证、实证可能与人体能量代谢的改变有关。 展开更多
关键词 乳腺增生病 穴位 膻中 光谱学 红外辐射
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Regulatory effects of herbal cake-partitioned moxibustion on the expressions of IL-17,IL-23 and their mR NAs in the colon of rats with Crohn's disease 被引量:5
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作者 翁志军 吴璐一 +6 位作者 吕婷婷 张方 谢恒如 孙天爱 刘慧荣 吴焕淦 杨燕萍(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第3期156-163,共8页
Objective: To observe the regulatory effects of herbal cake-partitioned moxibustion on Crohn's disease (CD) rat's colon inflammatory cytokine interleukin-17 (IL-17), IL-23 and their mRNAs, and to investigate th... Objective: To observe the regulatory effects of herbal cake-partitioned moxibustion on Crohn's disease (CD) rat's colon inflammatory cytokine interleukin-17 (IL-17), IL-23 and their mRNAs, and to investigate the action mechanism of moxibustion in treating CD. Methods: Forty SPF grade Sprague-Dauley (SD) male rats were randomly divided into a normal group, a model group, an herbal cake-partitioned moxibustion group and a Western medicine group, with 20 rats in each group. Except the normal group, rats in the other three groups were used to make CD model by giving an enema in colon with Trinitro-benzene-sulfonic acid (TNBS). When the models were successful made, rats in the model group had no therapeutic intervention; rats in the herbal cake-partitioned moxibustion group were subjected to herbal cake-partitioned moxibustion treatment at bilateral Tianshu (ST 25) plus O.ihai (CV 6); and rats in the Western medicine group were given oral Mesalazine. After treatment, the histopathological changes and inflammatory cytokines IL-17, IL-23 and their mRNAs expressions were observed in descending colon by hematoxylin-eosin (HE) staining, immunohistochemistry (IHC) and real-time polymerase chain reaction (RT-PCR) methods. Results: Colon tissues of TNBS enema rat models showed cracks-like ulcers accompanied by mucous layer inflammation, granulomas, and inflammatory cytokines IL-27, IL-23 and their mRNAs expressions were all higher than those in the normal group (P〈O.01); after intervention, colon tissue cracks-like ulcers and inflammation degree reduced, inflammatory cytokines IL-17, IL-23 and their mRNAs expressions were all significantly decreased (P〈0.01) in the herbal cake-partitioned moxibustion group and the Western medicine group. Conclusion: Herbal cake-partitioned moxibustion may improve colon tissue ulcers and relieve intestinal inflammation by down-regulation of IL-17, IL-23 and their mRNAs expressions in CD model rats' colonic mucosa. 展开更多
关键词 Moxibustion Therapy Indirect Moxibustion point Tianshu (ST 25) point Qihai cv 6) Crohn Disease INTERLEUKIN-17 INTERLEUKIN-23 RATS
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Data mining for points-selection rules in acupuncture treatment of mammary gland hyperplasia 被引量:1
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作者 鲁淳欣 吕燕红 +3 位作者 马民 张桂娟 马义 洪珏 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第5期328-336,共9页
Objective: To explore and analyze the points-selection rules in acupuncture treatment of mammary gland hyperplasia (MGH) by data mining and statistical method. Methods: Clinical literatures about the treatment of ... Objective: To explore and analyze the points-selection rules in acupuncture treatment of mammary gland hyperplasia (MGH) by data mining and statistical method. Methods: Clinical literatures about the treatment of MGH with acupuncture published in the recent 16 years were retrieved from Chinese Journal Full-text Database (CJFD) and established into a database by Excel. The SPSS 20 version software and Clementine 12.0 version software were adopted to analyze the frequency and association rules of points-selection in the treatment of MGH with acupuncture. Results: The top 3 points used most frequently in acupuncture treatment of MGH were Danzhon8 (CV 17), Taichong (LR 3) and Zusanli (ST 36); points from the Stomach Meridian of Foot Yangming and Liver Meridian of Foot Jueyin were most commonly used; the commonly selected points were predominantly distributed in thoracic and abdominal regions and lower limbs; emphasis on the combination use of local and distal points; of the specific points, the five Shu-Transmitting points were mostly used; association analysis showed that the associations among Taichong (LR 3), Danzhong (CV 27) and Zusanli (ST 36) were the most significant. Conclusion: The data mining results substantially accord with the general rules of acupuncture-moxibustion theories in traditional Chinese medicine, able to reflect the points-selection principles and features in acupuncture treatment of MGH and provide evidence for the points selection in the treatment of MGH in acupuncture clinic. 展开更多
关键词 Acupuncture Therapy point Zusanli (ST 36) point danzhong cv 27) point Taichong (LR 3) Mammary Gland Hyperplasia Data Mining
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李志道教授“补三气”为主临床刺法举隅 被引量:4
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作者 李瑞超 李岩 +3 位作者 付源鑫 赵祥斐 孙晶 李兰媛 《中国针灸》 CAS CSCD 北大核心 2014年第8期810-812,共3页
李志道教授依据中医基础理论辨证取穴,总结出以任脉三穴为主的"补三气"疗法。"补三气"法即以任脉之膻中、中脘、气海三穴为主穴组成基础方,依次补充清气、谷气及元气。临床中,根据三气虚损程度的不同而有所侧重,随... 李志道教授依据中医基础理论辨证取穴,总结出以任脉三穴为主的"补三气"疗法。"补三气"法即以任脉之膻中、中脘、气海三穴为主穴组成基础方,依次补充清气、谷气及元气。临床中,根据三气虚损程度的不同而有所侧重,随证灵活配穴,分别治疗以心肺气虚、脾胃气虚和先天元气不足的不同临床表现为主的疾病,并举例说明之。 展开更多
关键词 名医经验 补三气 辨证选穴 膻中 中脘 气海
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于天源应用膻中穴治疗神志病经验撷要 被引量:5
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作者 王厚融 刘志凤 +5 位作者 于天源 张英琦 焦谊 刘迪 官乾 徐亚静 《中国针灸》 CAS CSCD 北大核心 2022年第5期552-554,共3页
总结于天源应用膻中穴针刺和推拿治疗神志病的经验。于天源单用膻中穴或与其他穴位配伍治疗失眠、心慌、胸闷等神志病。治疗时强调刺激量轻心神安、联合刺激重调神、离穴守经范围大、走气开胸方向全,形成治疗神志病的独特方法。
关键词 神志病 膻中 名医经验 于天源
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穴位按压与药物急救对冠心病心绞痛效应差异观察 被引量:11
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作者 王玉梅 王秋云 +1 位作者 张静 郭雅丽 《中国针灸》 CAS CSCD 北大核心 2011年第7期595-598,共4页
目的:观察穴位按压、硝酸甘油、速效救心丸在急救心绞痛方面的疗效差异。方法:将168例冠心病心绞痛患者随机分为穴位按压组(58例)、硝酸甘油组(56例)和速效救心丸组(54例),分别采用穴位按压膻中5~10min、舌下含服硝酸甘油片... 目的:观察穴位按压、硝酸甘油、速效救心丸在急救心绞痛方面的疗效差异。方法:将168例冠心病心绞痛患者随机分为穴位按压组(58例)、硝酸甘油组(56例)和速效救心丸组(54例),分别采用穴位按压膻中5~10min、舌下含服硝酸甘油片、舌下含服速效救心丸治疗。观察各组症状、心电图改善情况、起效时间和不良反应情况。结果:穴位按压组、硝酸甘油组、速效救心丸组3组患者临床症状总有效率分别为93.1%(54/58)、92.9%(52/56)、87.0%(47/54),差异无统计学意义(P〉0.05);平均起效时间分别为(1.67±2.45)min、(2.89±2.64)min、(3.75±2.99)min,穴位按压组较其他两组起效快(P〈0.05,P〈0.001);心电图疗效总有效率分别为86.2%(50/58)、85.7%(4s/56)、75.9%(41/54),3组疗效相当(P〉0.05);治疗过程中,穴位按压组无不良反应发生,硝酸甘油组19例、速效救心丸组12例出现不良反应,组间比较差异有统计学意义(P〈0.05)。结论:穴位按压、硝酸甘油片、速效救心丸3种治疗方法用于心绞痛急救疗效无差异,但穴位按压疗法起效更快,无不良反应。 展开更多
关键词 心绞痛 穴位按压 膻中 硝酸甘油片 速效救心丸
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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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