Fall diarrhea, as the name implies, is an acute digestive disease that often occurs in late fall and early winter. The epidemic season for fall diarrhea is from September to January each year, with the peak of the epidemic occurring from October to December. The disease is caused by rotavirus and is disseminated or microepidemic; it is spread by fecal-oral transmission and can also be caused by respiratory infection in the form of aerosols. It has an incubation period of 1-3 days and occurs mostly in infants aged 6-24 months, but is rare in those older than 4 years. The onset of the disease is rapid, often accompanied by fever and symptoms of upper respiratory tract infection; vomiting is present at the beginning of the disease, often preceding diarrhea; the stools are frequent, voluminous and watery, yellow watery or egg-like stools with a small amount of mucus, without fishy smell; severe cases are often complicated by dehydration and acidosis. Stool routine examination is often normal, stool culture can be found rotavirus, enteric adenovirus, etc.. Antibiotic treatment is not effective. Since the disease is caused by viruses, and there is no specific treatment for viruses, so the clinical treatment is mostly symptomatic, and the efficacy is not satisfactory, while Tui Na treatment for autumn diarrhea has its unique advantages.
Through the stimulation of acupuncture points, Tui-Na therapy can unblock the meridians, regulate the qi and blood, improve and adjust the function of the internal organs so that the yin and yang of the internal organs can be balanced, and enhance the body’s ability to resist diseases. Tui-na therapy is a simple and easy way to treat this disease, with no side effects, and is becoming more and more popular among parents of children with this disease. For the treatment of this disease, the acupuncture points such as clearing the stomach meridian, clearing the large intestine, clearing the small intestine, rubbing the boarding gate, pushing the ski gate, moistening the abdomen and pushing the lower seven bones are often used with additional treatment. Autumn diarrhea often has dehydration and electrolyte disorders, so it is necessary to replace the lost water and electrolytes in a timely manner. If the dehydration is severe, accompanied by vomiting, oral rehydration is not possible, then intravenous rehydration is required. In diarrhea, feeding and absorption are reduced, while nutritional needs are increased. Therefore, emphasis should be placed on continuing the diet to meet physiological needs and replenish disease consumption in order to shorten the recovery time after diarrhea, but reasonable adjustments should be made according to the specific pathophysiological condition of the disease, individual digestive and absorption functions and usual dietary habits. Breastfed infants continue to breastfeed and suspend complementary foods; artificially fed children can be fed with equal amounts of rice soup or diluted milk or other milk substitutes, and gradually transition from rice soup, porridge, noodles, etc. to a normal diet. Those with severe vomiting can be temporarily fasted for 4-6 hours (without water), and continue feeding after improvement, from less to more, from thin to thick. After the diarrhea stops, continue to give a nutritious diet and add meals once a day for 2 weeks to restore the child’s constitution. For the prevention of autumn diarrhea, the following points can be noted: 1. It is best to breastfeed. Because breast milk is rich in immunoglobulins, which helps to enhance the immunity of the gastrointestinal tract of infants and children, breast-fed babies are less likely to get fall diarrhea, and even if they do, the condition will be much lighter. 2, pay attention to dietary hygiene, to prevent disease from the mouth. 3, reasonable feeding, regular rationing, gradually add complementary foods, do not add several complementary foods together. 4, eat less fat-rich food, eat more fresh vegetables, supplement vitamin B, improve gastrointestinal function. 5, early treatment of malnutrition, rickets, anemia, micronutrient deficiency and other chronic diseases. 6, rational use of drugs, do not abuse broad-spectrum antibiotics to avoid the imbalance of the normal intestinal flora. 7, vaccination rotavirus vaccination. 6 months ~ 3 years old baby, annual vaccination rotavirus live vaccine to prevent rota fall diarrhea. The vaccination is given once a year from July to September, before the onset of the autumn diarrhea epidemic season.