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J. Acupunct. Tuina. Sci.

(2009) 7: 280-282
DOI: 10.1007/s11726-009-0280-8

Clinical Study

Tuina plus Cupping Therapy for 60 Cases of


Infantile Cough
LIU Deng-hong (刘登红)
Department of Rehabilitation and Physiotherapy, Guang Dian Hospital of Zibo, Shandong 255000, P. R. China

【摘要】目的:观察推拿配合拔罐治疗小儿咳嗽的临床疗效。方法:符合诊断标准的 60
例患儿,以捏脊、推脊推拿治疗为主,配合辨证取穴推拿法及拔罐。结果:60 例患儿中
治愈 40 例,好转 20 例,总有效率 100%。结论:推拿结合拔罐治疗小儿咳嗽疗效好,无
不良反应。
【关键词】推拿;按摩;拔罐;穴,夹脊;背俞穴;咳嗽
【Abstract】Objective: To observe the clinical effect of tuina plus cupping therapy for infantile
cough. Methods: Sixty subjects were mainly treated with pinching and pushing the spine,
coordinating with the tuina manipulations and cupping therapy based on syndrome
differentiation. Results: Among the 60 patients, 40 cases were cured and 20 cases got improved,
the total effective rate was 100%. Conclusion: Tuina plus cupping therapy works effectively on
infantile cough and without adverse reactions.
【Key Words】Tuina; Massage; Cupping Therapy; Points, Jiaji (Ex-B 2); Points, Back-Shu;
Cough
【CLC Number】R244.1
【Document Code】B

Cough is a common symptom of lung system pinching it 3 times, then tui-push the spine 100-300
conditions. It may occur as a result of either an times (Fig.1)[2].
external contraction or internal injury. The author
treated 60 cases of infantile cough by tuina plus
cupping therapy, the report is as follows.

1 Clinical Data
The 60 cases of patients were all from the
out-patient and in-patient department, Guang Dian
Hospital, who met the diagnostic criteria and
syndrome differentiation of cough in The Criteria of
Diagnosis and Therapeutic Effects for TCM Fig.1. Tui-pushing the spine
Diseases and Syndromes[1]. There were 32 boys and For those with wind-cold cough, combine
28 girls, the age ranged from 5 months to 7 years tui-pushing Sanguan [pushing along the radial
old, and the disease duration ranged from 3 d to 2 forearm from Yangchi (TE 4) to Quchi (LI 11)] and
months. qia-pinching and rou-kneading Ershanmen
(pinching & kneading introcessions on base of
2 Therapeutic Methods proximal phalanx of dorsal middle finger); for those
2.1 Tuina with wind-heat cough, combine rou-kneading
Nie-Pinch the spine 3-5 times, lift the skin after Fenglong (ST 40) and Zhangxiao- hengwen (on the
palm, base of proximal phalanx of little finger, and
Author: LIU Deng-hong (1972- ), female, attending physician top of ulnaris palm print); for those with chronic
of traditional Chinese medicine. cough because of yin or yang deficiency, combine
● 280 ●︱Copyright©2009 Shanghai Research Institute of Acupuncture and Meridian
J. Acupunct. Tuina. Sci. (2009) 7: 280-282

reinforcing Pijing and Shenjing (Fig.2) as well as 3.2 Results


rou-kneading Zusanli (ST 36). The treatment was Of the 60 cases, 40 cases were cured, 20 cases
conducted once daily. were improved, and the total effective rate was
100%.
2.2 Cupping therapy 3.3 Case report
Points: Dazhui (GV 14), bilateral Feishu The patient was a 5-year old boy.
(BL 13), Pishu (BL 20) and Shenshu (BL 23). Chief complaints: Recurrent common colds and
Operation: Apply flash-fire cupping method, and coughing lasting for over one month.
retain the cups for 5-10 min. Apply cupping after History of present illness: The patient suffered
bloodletting for fever patients. The treatment was from cough, itchy sore throat, stuffy runny nose one
conducted once every other day. month prior to the treatment. The sore throat and
Seven treatments constituted a treatment course, stuffy runny nose got improved after taking Da
and the effect was evaluated after 2 courses. Qing Ye He Ji (folium isatidis mixture) and
Amoxicillin, while the cough remained no change,
but experienced dry throat and small amount of
white sputum. The cough became worse at night,
disturbed sleep and resulted in lassitude and
paroxysmal night sweats, and did not respond to
antibiotics and Carbetapentane.
Physical examination: Little moist rale in lungs
could be heard by auscultation. A sallow
complexion, a pale tongue with scanty coating and a
weak, deep and thready pulse, and a dark red throat.
Diagnosis: Cough (kidney failing to receive qi).
Treatment: Nie-pinching the spine was performed
for 5 times, tui-pushing the spine for 300 times,
reinforcing Feijing, Pijing and Shenjing, as well as
rou-kneading Zusanli (ST 36). The aforementioned
operations were given once daily; cupping therapy
was applied on Dazhui (GV 14), and bilateral
Feishu (BL 13), Pishu (BL 20) every 2 d. Symptoms
were substantially alleviated after 7-day treatments.
Patients got recovered after 14-day treatments. No
recurrence was found in 6-month follow-up.

4 Discussion
Fig.2. Points of upper limb for tuina therapy

The child has very delicate Zang-fu, contraction


3 Therapeutic Results
of exogenous pathogenic factors, yin deficiency,
phlegm-damp obstructing the lungs or kidney
3.1 Therapeutic effect criteria failing to receive qi may all cause cough. Apply
Cured: Cough and accompanied symptoms Nie-pinching or tui-pushing spine manipulations
disappeared, and no dry or moist rale in lungs; from Dazhui (GV 14) to Changqiang (GV 1) with
Improved: Cough and accompanied symptoms 0.5 cun apart from the spinal cord [just the location
relieved substantially, and dry or moist rale in lungs of Jiaji (Ex-B2) points]. The treatment can regulate
almost disappeared; yin and yang, adjust qi and blood, harmonize the
Ineffective: The cough and rale in lungs remained Zang-fu organs and unblock meridians and
unchanged. collaterals as well as cultivate Yuan-Primordial qi,
Copyright©2009 Shanghai Research Institute of Acupuncture and Meridian︱● 281 ●
J. Acupunct. Tuina. Sci. (2009) 7: 280-282

which works effectively on chronic diseases caused strengthens the metabolism and also improves the
by congenital and/or postnatal deficiency[2]. nutrition of local tissues. Cupping therapy could
Reinforcing Feijing can tonify lung qi. Reinforcing promote gastro-intestinal motility, improve the
Pijing can strengthen the spleen and stomach, and digestive function and hasten the elimination of
tonify qi and blood. Reinforcing Shenjing can metabolism products thus to palliate the congestion
invigorate the kidney yang and strengthen tendons and hydropsia of trachea, bronchus and alveolar,
and bones. Rou-kneading Zhangxiaohengwen acts finally the cough was alleviated[7].
to clear heat and eliminate stagnation, disperse The research indicated that tuina plus cupping
lungs, ease cough and dissolve phlegm, which has therapy is simple, safe and effective for infantile
curative effect on moist rale in lungs[3]. Tui-pushing cough and is worth to be generalized.
Sanguan can warm yang to expel cold, tonify qi and
activate blood as well as induce sweat and dispell References
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Translator: YANG Ling (杨玲)
cupping therapy dilates local blood vessels, and
Received Date: March 24, 2009
improves the blood circulation and congestion,

● Advance Notice ●
Main Contents of the Sixth Issue in 2009

• Clinical Experiences of Treating Cervical Spondylosis with Acupuncture, Tuina and Psychotherapy
• Clincal Observation on Treatment of Chronic Pelvic Inflammatory Disease with Acupuncture plus Chinese
Herbs
• Influence of Electroacupuncture on bcl-2、bcl-XL Expression in Rats with Degeneration of Cervical
Intervertebral Disc
• Clinical Observation on Treatment of Knee Osteoarthritis with Warming Needle Moxibustion
• Clinical Study of Puncturing Acupoints at Low Back for Treating Knee Pain
• Clinical Observation on Treatment of Tennis Elbow with Injecting Ozone in Ashi Point

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