不同定位向心推脾经穴治疗小儿积滞的临床效应比较  

Clinical effect on infantile food accumulation treated with centripetal tuinatherapy at spleen meridian site of different location

作　　者：谭程[1] 李江山[1] 李铁浪[1] 蒋学余[2] 叶兰[1] 王德军[2] 

机构地区：[1]湖南中医药大学针灸推拿学院,长沙410219 [2]湖南中医药大学附属岳阳医院,岳阳414000

出　　处：《中国针灸》2016年第3期267-270,共4页Chinese Acupuncture & Moxibustion

基　　金：湖南省中医药科研计划项目:201484;湖南省教育厅科研项目:15C1057

摘　　要：目的:比较不同定位向心推脾经穴治疗小儿积滞的临床疗效差异。方法:选取积滞患儿60例随机分为螺纹面组、桡侧缘组,每组30例。螺纹面组采用向心推拇指螺纹面脾经穴,桡侧缘组采用向心推拇指桡侧缘脾经穴,两组均配合推三关、运内八卦等传统推拿治疗手法。每日1次,每周6次,12次为一疗程。1个疗程后比较两组患儿治疗前后主症积分,观察患儿的食欲、大便、舌苔等伴随症状的改善情况,并评定两组疗效。结果:螺纹面组与桡侧缘组总有效率分别为93.3%(28/30)、90.0%(27/30),组间差异无统计学意义(P>0.05);两组治疗后主症积分均有显著改善,治疗前后差异有统计学意义(均P<0.05),其中对口气臭秽的治疗,螺纹面组优于桡侧缘组(P<0.05)。结论:脾经穴的两种定位——拇指螺纹面和拇指桡侧缘对小儿积滞治疗总体疗效无差异,对主症口气臭秽的改善,螺纹面组优于桡侧缘组。Objective To compare the difference in the clinical efficacy on infantile food accumulation treated with centripetal tuinatherapy at spleen meridian site of different location.Methods Sixty cases of infantile food accumulation were randomized into a palmar thumb surface group and a radial margin group,30 cases in each one.In the palmar thumb surface group,the spleen meridian was stimulated with the pushing technique centripetally on the palmar side of the thumb.In the radial margin group,the spleen meridian was stimulated with the pushing technique centripetally along the radial margin of the thumb.The traditional tuinatechniques,such as tuisanguan,yun neibagua were combined in the two groups.The treatment was given once a day,6 times a week,12 treatments as one session.After the 1session of treatment,the main symptom scores before and after treatment were compared in the patients of the two groups,the improvements in the accompanied symptoms were observed,such as appetite,defecation and tongue coating;and the efficacy was evaluated in the two groups.Results The total effective rates were 93.3%（28/30）and 90.0%（27/30）in the palmar thumb surface group and the radial margin group respectively and the difference was not significant statistically in comparison of the two groups（P〉0.05）.After treatment,the main symptom score was improved significantly in the two groups,indicating the significant difference as compared with that before treatment（both P〈0.05）.The improvement in foul breathing in the palmar thumb surface group was better than that in the radial margin group（P〈0.05）.Conclusion Between the two kinds of pushing techniques at spleen meridian site,pushing on the palmar surface of the thumb and pushing along the radial margin,there is no difference in the total efficacy on infantile food accumulation.Regarding the improvement in foul breathing,the effect in the palmar thumb surface group is better than that in the radial margin group.

关 键 词：积滞 小儿推拿 脾经穴 定位 

分 类 号：R246.4[医药卫生—针灸推拿学]