Clinical Study Of Tongfuxiere Tuina Method In The Treatment Of Infantile Constipation (Internal Heat Type Of Food Accumulation)

Objective : To observe the clinical effect of Tongfu Xiere Tuina therapy on constipation in children(internal heat type of food accumulation),and to provide clinical basis for Tongfu Xiere Tuina therapy on constipation in children(internal heat type of food accumulation).Methods: A total of 108 children with constipation who met the inclusion and exclusion criteria were randomly divided into treatment group,control group 1 and control group 2,with 36 cases in each group.The treatment group was treated with Tongfu Xiere Tuina.The control group 1 was treated with Maren pills;The control group 2 was treated with Tongfu Xiere Tuina combined with Maren pills.Each patient was treated for 2 courses,5 days for 1course.Symptoms were quantitatively scored before and after treatment,and constipation symptom scale of traditional Chinese medicine and Bristol stool classification scale were selected as the efficacy evaluation criteria.Results:A total of 108 children were included in this clinical program,including 5 cases of shedding,5 cases were excluded,and 98 cases were effective.1.Clinical efficacy evaluation : After two courses of treatment,the treatment group showed 5 cases cured,7 cases markedly effective,14 cases effective,and 7 cases ineffective,with the total effective rate of 78.79 %;Control group 1 : 4 cases were cured,6cases markedly effective,15 cases effective,8 cases ineffective,the total effective rate was75.76 %;Control group 2 : 19 cases were cured,8 cases markedly effective,3 cases effective,2 cases ineffective,the total effective rate was 90.91 %.2.Evaluation of TCM symptom score : 1 After two courses of treatment,the total TCM symptom score of each group after treatment was significantly lower than that before treatment,and there was a significant difference before and after treatment(P < 0.05).The curative effect of control group 2 was the best,and the curative effect of treatment group was better than that of control group 1.2 Compared with control 1,the treatment group had significant advantages in alleviating the decrease of appetite,abdominal pain or abdominal distension,crying at night,and improving the Bristol fecal typing of children(P< 0.05).3 The main symptoms of TCM in the treatment group and the control group 2,such as constipation,difficulty in discharge,reduced appetite,abdominal pain or abdominal distension,crying at night,fever and yellow urine,were improved compared with those before treatment,and there was significant difference before and after treatment(P < 0.01).3.The integral evaluation of Bristol stool classification scale : After two courses of treatment,the stool classification of each group was significantly improved compared with before treatment,and there was a significant difference before and after treatment(P<0.01).The improvement of control group 2 was the best,and the improvement of treatment group was better than that of control group.Conclusion:Tongfu Xiere Tuina method can effectively improve the main symptoms of constipation and discharge difficulties in children.It also has obvious therapeutic effect on reducing appetite,abdominal pain or abdominal distension,crying at night,naked fever,yellow urine and other complications.Compared with oral Maren pill,Tongfu Xiere Tuina method has better curative effect in improving appetite reduction,abdominal distension or abdominal pain and long-term curative effect.Through this study,it has been proved that Tongfu Xiere massage has obvious curative effect on infantile constipation without any adverse reactions,indicating that Tongfu Xiere massage has clinical application value.