Application Research Of Strengthening Lung And Spleen Manipulation In The Health Care For Preschool Children With Susceptible Constitution

Objective Observing the effect of family intervention with Strengthening Lung and Spleen Manipulation on preschool children in improving TCM symptoms and preventing respiratory and digestive diseases.Methods In this study,a randomized controlled trial was conducted in which 200 children from eligible preschools in Hangzhou were randomly divided into 2 groups,including 100 cases in the manipulation intervention group and 100 cases in the blank control observation group,and the manipulation group was treated by their guardians based on the family intervention model after the manipulation training,5 times a week for 3 months.The children in both groups were evaluated and recorded before,after and at 1 month,3 months and 6 months after the course of treatment,respectively,for the points of TCM syndromes,anorexia,diarrhea and respiratory tract infections.Results A total of 200 children were included in this study,12 cases were dislodged,and 188 cases were finally included for statistical analysis,including 95 cases in the manipulation intervention group and 93 cases in the blank control observation group.There were no statistically significant differences in age,gender and the points of TCM syndromes between the two groups of children before intervention（P>0.05）,and the baseline equilibrium was comparable.The total effective rate of the manipulation intervention group reached 84.21%after 3 months based on the family intervention,which was significantly higher than that of the observation group at 10.75%（P<0.05）.After the intervention and the follow-up of 1 month,3 months and 6 months,the total points of TCM syndromes of the manipulation intervention group were significantly lower than those of the observation group at the same period（P<0.05）;the single syndrome points were significantly lower than those of the observation group after the intervention（P<0.05）,except for chest tightness,excessive sweating and pulse points,and the remaining syndromes points of the manipulation group except for pulse points were significantly lower than those of the observation group at the same period at the follow-up of 1 month and 3 months（P<0.05）.At the follow-up of 6 months,the points of fever,chest tightness,lazy speech,belching,vomiting,nausea,abdominal discomfort,stool condition,urine condition and tongue points in the manipulation group decreased significantly compared with those in the observation group（P<0.05）.The number of diarrhea was significantly reduced in the manipulation group compared with the observation group after the intervention（P<0.05）,and the number of upper respiratory tract infection,anorexia,and diarrhea were significantly reduced in the follow-up 1 month compared with the observation group（P<0.05）,and the number of upper respiratory tract infection and anorexia were significantly reduced in the follow-up 3 months compared with the observation group（P<0.05）,and the number of anorexia was still significantly reduced in the follow-up 6 months compared with the observation group（P<0.05）.Conclusion Family intervention with Strengthening Lung and Spleen Manipulation is effective in improving the TCM symptoms and preventing respiratory and digestive diseases in preschool-prone children in the short term,and has certain long-term effects.Its operational model based on family intervention is feasible and can effectively improve the disease prevention of preschool-age susceptible children,and is worth further promotion.