Liu Xiao-Zhong, Zeng Zhao
Basic Medical College, Guangzhou University of CM, Guangzhou 510000, Guangdong Province, China.
Zhongguo Zhen Jiu. 2019 Aug 12;39(8):832-6. doi: 10.13703/j.0255-2930.2019.08.009.
To observe the efficacy differences between moxibustion combined with umbilical therapy and oral administration of montmorillonite powder (smecta) on diarrhea symptoms in children of different ages.
A total of 120 children were randomly divided into an observation group and a control group, 60 cases in each group. In the observation group, the children aged under 3 years old were treated with moxibustion at Shenque (CV 8), Zhongwan (CV 12) and Tianshu (ST 25), and each acupoint was treated for less than 3 min, and the total treatment duration was no more than 10 min; the children aged between 3 to 7 years old were treated with moxibustion at Shenque (CV 8), Zhongwan (CV 12), Tianshu (ST 25), Guanyuan (CV 4), Zusanli (ST 36), Pishu (BL 20), Shenshu (BL 23) and Dachangshu (BL 25), each acupoint was treated for less than 3 min, and the total treatment duration was no more than 20 min. After moxibustion, traditional Chinese medicine patch (clove, cinnamon, rhizoma zingiberis, fructus evodiae, hawthorn, rhizoma atractylodis) was applied at Shenque (CV 8). For the children under 1 year old, the medical bag with 30 g powder was heated to 50 ℃ and used for about 30 min; for children over 1 year old, 2-5 g powder was mixed with vinegar and used for 4-8 h each time. The treatment was given once a day, three times as a course of treatment, and a total of one course of treatment was given. The children in the control group were treated with oral administration of montmorillonite powder, 3 g per day for children under 1 year old, 3-6 g per day for children aged 1-2 years old and 6-9 g per day for children over 2 years old. The montmorillonite powder was taken three times a day for 3 days. The diarrhea symptom scores before and after treatment were observed and the clinical efficacy was evaluated. From the first treatment, the recovery cases and recovery time in the two groups were recorded, the recovery cases and recovery time in acute and chronic stages were compared between different age groups. The recurrence was observed 3 months after treatment.
Compared before treatment, the diarrhea symptom score after treatment was decreased in the observation group (<0.05), while there was no significant difference before and after treatment in the control group (>0.05). After treatment, the score of diarrhea symptoms in the observation group was lower than that in the control group (<0.05). The total effective rate was 95.0% (57/60) in the observation group, which was superior to 76.7% (46/60) in the control group (<0.05). The recovery cases of acute stage aged ≤ 1 year old and 5-7 years old, and chronic stage of different age stages in the observation group was insignificantly higher than that in the control group (>0.05). The recovery time of different age stages and average recovery time in the observation group were shorter than those in the control group (<0.05). The recovery time of children in acute stage>1 year old and ≤5 years old and average recovery time in the observation group were shorter than those in the control group (<0.05), while the average recovery time of children in chronic stage in the observation group was shorter than that in the control group (<0.05). Three months after treatment, the recurrence rate was 0% (0/36) in acute phase and 4.8% (1/21) in chronic phase in the observation group, which were superior to 9.7% (3/31) in acute phase and 46.7% (7/15) in chronic phase in the control group (<0.05).
The umbilical therapy combined with moxibustion could improve the symptoms of diarrhea and shorten the recovery time in children of different ages with autumn diarrhea, which have better efficacy than montmorillonite powder.
观察艾灸联合脐疗与口服蒙脱石散（思密达）对不同年龄段小儿腹泻症状的疗效差异。
将120例患儿随机分为观察组和对照组，每组60例。观察组中，3岁以下患儿艾灸神阙（CV 8）、中脘（CV 12）和天枢（ST 25），每个穴位治疗时间少于3分钟，总治疗时间不超过10分钟；3至7岁患儿艾灸神阙（CV 8）、中脘（CV 12）、天枢（ST 25）、关元（CV 4）、足三里（ST 36）、脾俞（BL 20）、肾俞（BL 23）和大肠俞（BL 25），每个穴位治疗时间少于3分钟，总治疗时间不超过20分钟。艾灸后，在神阙（CV 8）处贴敷中药贴（丁香、肉桂、干姜、吴茱萸、山楂、苍术）。1岁以下患儿，将装有30克药粉的药袋加热至50℃，使用约30分钟；1岁以上患儿，每次将2 - 5克药粉与醋混合，使用4 - 8小时。每天治疗1次，3次为一个疗程，共给予一个疗程的治疗。对照组患儿口服蒙脱石散，1岁以下患儿每天3克，1 - 2岁患儿每天3 - 6克，2岁以上患儿每天6 - 9克。蒙脱石散每天服用3次，共服用3天。观察治疗前后的腹泻症状评分并评估临床疗效。从首次治疗开始，记录两组的痊愈病例及痊愈时间，比较不同年龄组急性和慢性阶段的痊愈病例及痊愈时间。治疗后3个月观察复发情况。
与治疗前相比，观察组治疗后的腹泻症状评分降低（<0.05），而对照组治疗前后无显著差异（>0.05）。治疗后，观察组的腹泻症状评分低于对照组（<0.05）。观察组总有效率为95.0%（57/60），优于对照组的76.7%（46/60）（<0.05）。观察组≤1岁和5 - 7岁急性阶段以及不同年龄阶段慢性阶段的痊愈病例略高于对照组（>0.05）。观察组不同年龄阶段的痊愈时间及平均痊愈时间均短于对照组（<0.05）。观察组>1岁且≤5岁急性阶段患儿的痊愈时间及平均痊愈时间短于对照组（<0.05），而观察组慢性阶段患儿的平均痊愈时间短于对照组（<0.05）。治疗后3个月，观察组急性期复发率为0%（0/36），慢性期为4.8%（1/21），均优于对照组急性期的9.7%（3/31）和慢性期的46.7%（7/15）（<0.05）。
艾灸联合脐疗可改善不同年龄段小儿秋季腹泻的症状，缩短痊愈时间，疗效优于蒙脱石散。
