Clinical Study On The Treatment Of Transient Tic Disorder (Type Of Spleen Deficiency And Hyperactivity Of Liver) Based On Meridian And Collaterals Syndrome Differentiation Tuina

Objective: To observe the clinical effect of meridian Tuina on transient tic disorder(type of spleen deficiency and hyperactivity of liver)by using the method of randomized control,in order to provide an effective diagnosis and treatment scheme for clinic.Methods: 64 children who met the diagnostic criteria,inclusion criteria and exclusion criteria were randomly divided into the meridian Tuina group(32 cases)and the conventional Tuina group(32 cases).(1)meridian Tuina group: Operation: Bu Pijing,Qing Ganjing,Shunyun Nei bagua,Tui Si hengwen,Qia Wuzhijie,Bu Shenjing,Rou Baihui,Rou Pishu,Rou Ganshu,Rou Erma,Rou Zusanli.Add and subtract with the card: blink with rubbing Sibai(double),Tong ziliao(double);nasal suction with rubbing Juliao(double);The mouth with kneading Daying(double);neck twisting,shoulder shrugging with kneading Fengchi(double);Jianjing,Dazhui,drum belly with kneading Shenque,Tianshu(double);upper limb twitching with kneading Hegu,Chize,Quchi;lower limb twitching with kneading Yang Lingquan,Tiaokou;foot stamping,tiptoe tip with kneading Dadun,Pucan;voice: throat clearing or dry cough with kneading Lianquan,Gongsun.Treatment course: 1 course per day,1 course per week,2days rest between each course,a total of 4 courses of treatment.(2)conventional Tuina group:Operation: Bu Pijing,Qing Ganjing,Shunyun Nei bagua,Tui Si hengwen,Qia Wuzhijie,Bu Shenjing,Rou Baihui,Rou Pishu,Rou Ganshu,Rou Erma,Rou Zusanli.Treatment course: 1 course per day,1 course per week,2 days rest between each course,a total of 4 courses of treatment.Results:(1)Overall efficacy evaluation: the meridian Tuina group was 30 cases,clinical control group was 5 cases,effective group was 14 cases,effective group was 7 cases,ineffective group was 4 cases,the total effective rate was 86.67%;In the conventional Tuina group of 31 cases,1 case was under clinical control,15 cases were effective,8 cases were effective,and 7 cases were ineffective.The total effective rate was 77.42%.The total effective rate of the two groups was statistically significant(Z=-2.96,P=0.03<0.05),suggesting that both groups were effective in the treatment of transient tic disorder(type of spleen deficiency and hyperactivity of liver),especially the meridian Tuina group.(2)Clinical syndrome integral evaluation: the two groups after treatment in twitch type P =0.017 < 0.05,P=0.026 < 0.05,twitch frequency twitch strength P = 0.046 < 0.05,the overall damage P = 0.015 < 0.05,all have significant difference,shows in these four aspects to improve on the meridian Tuina group is superior to the conventional Tuina group,but the differences between the two groups in the complexity,interference degree is not big.After treatment,there were significant differences between the two groups in sleep disturbance P=0.030<0.05 and tolerance P=0.017<0.05,indicating that the meridian Tuina group was better than the conventional Tuina group in terms of sleep and diet improvement,but there was little difference in irritable mood,yellow complexion,inattention,irregular stool and other aspects.(3)Safety evaluation: no obvious adverse reactions occurred in the two groups during the treatment process,indicating that the two treatment methods are relatively safe and suitable for clinical application.Conclusion: The effect of meridian and collaterals Tuina in the treatment of tic disorder(spleen deficiency and liver hyperactivity type)is better than the conventional Tuina,and there is no adverse reaction,can provide an effective clinical diagnosis and treatment scheme.