C12. Research on Operation Method of Tuina Treatment of Constipation in Children Based on Data Mining Technology

Abstract

Objective: To explore the Tuina manipulation (manipulation and acupoints) for treating pediatric constipation.
Methods: Randomized controlled clinical studies (RCTs) on treating pediatric constipation by Traditional Chinese Medicine (TCM) Tuina were searched from the self-established database of PubMed, Web of Science, Cochrane Library, CNQI, VIP, and Wanfang database to December 2020. SATI, UCINET, and other data mining software were used to analyze the frequency statistics, visualization centrality and support degree of relevant operation methods (manipulation + acupoint) of TCM Tuina treatment for pediatric constipation, and SPSS 26.0 were used for cluster analysis.
Results: A total of 874 pieces of literature were retrieved, and 133 RCTs literature were included after screening. Data shows 101 undifferentiated constipation prescriptions and 94 differentiated constipation prescriptions (including 48 excessive constipation and 46 deficient constipation). The results show undifferentiated constipation with abdominal rubbing manipulation (frequency 70, support 69.3%), pushing down Qijiegu manipulation (frequency 69, support 68.3%), clearing the Large Intestine manipulation (frequency 69, support 68.3%) has the highest centrality, which is a commonly used in combination. For excessive constipation, Clearing the Large Intestine manipulation (frequency 40, support 83.3%), pushing down Qijiegu manipulation (frequency 40, support 83.3%), abdominal rubbing manipulation (frequency 38, support 79.2%), Tuiliufu manipulation (frequency 35, support 72.9%) and the centrality is the highest, which is a commonly used in combination. For deficient constipation, strengthening spleen meridian (frequency 40, support 87.0%), spine pinching manipulation (frequency 37, support 80.4%), pushing Sanguan manipulation (frequency 32, support 69.6%) with the highest centrality, which is a commonly used in combination.
Conclusion: The main idea of pediatric Tuina treatment of constipation is the dredging method. They are usually treated by rubbing the abdomen, pushing down Qijiegu, and clearing the Large Intestine manipulation. Tuisanguan and clear away heat and toxic material manipulations are frequently used to treat excessive constipation. For deficient constipation, strengthening spleen meridian, spine pinching, and Tuisanguan manipulations are frequently used to replenish Qi, strengthen the spleen and relieve constipation.