Standardized program of three-part tui na therapy for infant diarrhea
Infantile diarrhea is one of the common diseases in children, and its incidence rate is roughly similar at home and abroad, with literature showing an incidence rate of 1.5 times per person per year for foreign infants and 1.7 times per person per year for domestic infants.
In China, pediatric diarrhea is the second most common pediatric polyvalent disease, with the age of onset mostly within 2 years old, with a peak incidence once or twice a year, one in June, July and August, when the main pathogens are Escherichia coli and Bacillus dysenteriae; the second in October, November and December, called autumn diarrhea, when the main pathogens are rotavirus and adenovirus. The cause of the disease is related to the age of the child itself, the age of the child’s gastrointestinal tract digestive and absorption functions are not well developed, a variety of digestive enzymes and other digestive juices are weaker than adults, but at the same time to bear the energy needed to maintain various physiological activities of the body and to promote growth and development of various nutrients needed.
It can be said that calves do not grow up but have to do heavy work. Coupled with improper feeding, including eating too much or too little, or improper addition of complementary foods, it can lead to the occurrence of diarrhea. Some children are affected by cold in the abdomen, and some are caused by throat infections or upper respiratory tract infections with medication.
There are many ways to treat infant diarrhea, which can be roughly divided into drug therapy and non-drug therapy; drug therapy includes oral administration and intravenous infusion; non-drug therapy includes acupuncture point therapy, acupuncture point injection therapy combining acupuncture point and drug, acupuncture point and drug combination acupuncture point compress therapy, acupuncture point and heat stimulation combination moxibustion therapy, and pediatric massage therapy. Naturally, drug therapy cannot be called green therapy because most drugs have to go through the liver and intestinal circulation and are excreted through metabolism, which can have some adverse effects.
Non-drug therapy is safer than drug therapy, but acupuncture point therapy and acupuncture point injection are invasive therapies, which can cause pain, soreness and other discomfort, and are not easily accepted by children and parents. Although moxibustion therapy is a non-invasive therapy, it is not easy to be adopted in clinical practice because children do not cooperate and have poor endurance, and cannot be informed once overheated. Pediatric Tui Na therapy can be said to be a safe and non-invasive acupuncture point therapy most suitable for infants and children.
Pediatric Tui Na is an ancient method of healing diseases, with a long history. More than two thousand years ago, during the Spring and Autumn and Warring States period, massage therapy was widely used in medical practice. Because massage has the characteristics of no pain, no toxic side effects, it also has advantages in the prevention and treatment of pediatric diseases and pediatric health care. The first mention of pediatric massage was made in the “Fifty-two Disease Formula” of the Han Dynasty. The science of pediatrics flourished in the Song Dynasty, and Qian Yi of the Song Dynasty had a unique understanding of pediatric physiology and pathology, and he believed that when a fetus is in the mother’s womb, “the five internal organs and six internal organs are incomplete”. He also summarized a set of methods to identify the five internal organs according to the characteristics of children’s bodies, and was respected by later generations as “the sage of pediatrics”.
The earliest Chinese monograph on pediatric tui-na was published during the Ming Dynasty, more than 500 years ago, and was included in Yang Jizhou’s “Acupuncture and Moxibustion”. Since then, Pediatric Tui Na has made an indelible contribution to the prevention and treatment of pediatric diseases as an independent discipline. The real popularity of pediatric massage among the people was in the Qing Dynasty. At this time, there were many famous medical monographs such as Zhou Yuefu’s “Secret of Paediatric Tui Na”, Xiong Yingxiong’s “Guang Yi of Paediatric Tui Na”, and Zhang Zhenjun’s “The Essential Techniques of Cizheng Massage”, which played a great role in promoting the development of paediatric tui na.
The Formation Process of Three Parts of Tui Na Therapy
Pediatric massage therapy was quite prevalent in Shandong. The three representative schools of pediatric tuina therapy in Shandong region in recent times refer to the different schools of tuina represented by three deceased old Chinese doctors, namely Sun Chongsan of the Affiliated Hospital of Shandong College of Traditional Chinese Medicine, Li Dexiu of Qingdao City Hospital of Traditional Chinese Medicine and Zhang Hanchen of the Affiliated Hospital of Qingdao College of Medicine, with each of the three schools having its own strengths.
In 2007, I summarized the clinical cases of infant diarrhea treated with pediatric tuina and wrote four papers on infant diarrhea, including “55 cases of infant diarrhea treated with tuina and auricular acupressure”. On this basis, in 2011, I first proposed the three-part Tui Na therapy in the Chinese Medical Tribune. Three-part tui na therapy is summarized as follows: three parts, seven acupuncture points, and 30 minutes. It is a kind of treatment to cure infant diarrhea quickly through the massage technique of tui-na hand acupoints, abdominal acupoints and waist acupoints.
The analysis reveals the following.
Finding 1: The age of onset of children is mainly concentrated in the period from 6 months to 1.5 years old, with less frequent onset in children within 6 months and over 1.5 years old.
Finding 2: The majority of children who came to the outpatient clinic to apply pediatric tui-na had their onset in 4 to 7 days, followed by those who had their onset in more than 8 days, and finally those who had their onset in less than 3 days. Most of the children were referred through pediatric initial treatment, and some of them were untreated for a long time. There are few parents who know to do pediatric tuina at the first onset of illness.
Finding 3: Most of the children who came to the clinic had diarrhea less than 5 times a day, followed by those who had diarrhea 6 to 8 times a day, and finally those who had diarrhea more than 8 times a day. With the prolongation of the disease, all the positive and evil energies were weakened and manifested in a lingering and difficult to cure state.
Finding 4: The results of the viral analysis were not counting untested children, and the number of rotavirus-positive children was slightly higher than the number of positive children among those who had been examined. This suggests that rotavirus infection is only one of the causes of diarrhea in infants and children.
Finding 5: The results of stool routine were not counted in untested children, and the number of patients with pus and red blood cells in stool was lower in those who had been examined than in those who had no pus and red blood cells found.
Finding 6: Among the cured patients, the majority were cured within 3 days, followed by those cured within 7 days, and very few were cured more than 7 times. It is suggested that most of the children were cured after 3 treatments.
The information of children treated for more than 3 days is extracted as follows.
Case 1: Wang X, 5 months, diarrhea for 1 month and 10 days, stools 6-8 times a day, RV (-), lactose test (+), pus cells and red blood cells were not detected. Treatment history with cephalosporins + Simethicone + Durabal (?) . It was cured by 5 times of tui na.
Case 2: Cai X, July, diarrhea for 30 days, stool 3~5 times a day, RV(-), stool routine test: pus cells 3~5, erythrocytes 0-1. Treatment history with regrasp + mamethoxazole + pepcid + simethicone. Before pushing treatment, stool routine was tested 5 times in provincial maternal and child, respectively on 11.11; 11.12; 11.15; 11.25; 12.4. The treatment started on 12.6. Healed after 5 times of treatment.
Case 3: Shen X, March. Diarrhea for 21 days, stools 6~8 times a day, RV(+), stool routine: pus cells 1~2, red blood cells 1~2, OB(weakly positive). Treatment history useful for montelukast + mometasone + bifidobacterium + Vk muscle injection. Pushing 7 times cured.
Case 4: Jiang X, 9 months, diarrhea for 15 days, stools 3~5 times a day. Viral analysis was not tested, and stool routine was tested 5 times in provincial maternal and child, on 10.22; 10.29; 10.31; 11.3; 11.7. The results of the tests before the nudge treatment: pus cells 5~7, OB (positive). Started massage treatment on 11.8. Cured after 5 treatments.
Personal experience
1, the three parts of the massage therapy new, “new” is the standardization of treatment. In most of the literature, most of them like dialectical treatment, but because it is too flexible and changeable, it is not easy for most people to master. The three parts of massage therapy is new in that it is based on the identification of diseases and treatment, so that the whole operation process is standardized and standardized.
2. The “effectiveness” of the three-part massage therapy lies in the reliability of the therapeutic effect. As long as the operation is standardized in seven acupuncture points according to three parts, after 30 minutes of treatment every day, good results will be achieved.
3, three massage therapy simple, “simple” lies in the simplicity of the operation. Through practice, most doctors and parents can master it and get comfortable with it.
4.Three parts of massage therapy is good, “good” in the means of non-invasive. Although the three-part massage therapy also belongs to the acupuncture point therapy, but because of the non-invasive, light stimulation, so has a very comfortable, easy for the children to accept.
5, three massage therapy, “more” in the improvement of both symptoms. Many parents of children reflect that after the massage, the child sleeps deeply and comfortably, and the appetite improves significantly after the disease is healed.
6, three massage therapy strange, “strange” lies in the different from person to person. For the application of pediatric massage doctors or parents, if the method is not fully mastered, the effect will be greatly reduced; in practice, I found that one or two points of massage treatment in the opposite direction, the child’s diarrhea will be aggravated, the healing time will be extended.