C28. Comprehensive therapy based on pediatric Tuina in the treatment of Idiopathic Thrombocytopenic Purpura: A case report
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Abstract
Introduction: Idiopathic thrombocytopenic purpura (ITP) is characterized by extensive skin, mucosal or visceral bleeding, and the platelet count is less than 100×109/L. The etiology of ITP is unclear, the pathogenesis is complex and diverse, and there is no specific drug. Tuina and moxibustion are traditional external treatments of traditional Chinese medicine, which have the advantages of safety, effectiveness, and no adverse reactions. This paper reports a clinical case of ITP treated with TCM comprehensive therapy based on pediatric Tuina with satisfactory curative effect.
Objective: To observe the clinical efficacy of pediatric Tuina in the treatment of patients with ITP and to explore the feasibility of Tuina in the treatment of ITP.
Case description: Sex, 8 years old, seeing a doctor on November 25, 2021. Two months ago, the patient suffered from subcutaneous hemorrhage in both lower limbs due to unknown causes, and the platelet count was as low as 30× 109/L. he was diagnosed with ITP in another hospital, then received oral prednisone acetate treatment, 5mg every time, 3 times a day, after meals, treated with traditional Chinese medicine at the same time. After 2 months of treatment, subcutaneous bleeding disappeared, and platelet count increased, accompanied by obesity, dizziness, joint pain, facial acne, and other adverse reactions. With Tuina treatment, once a day, 20 minutes per time, moxibustion once a day, 20 minutes per time, and taking Prednisone Acetate, the platelet count, body weight, and adverse reactions were gradually decreased. The treatment lasted for 12 weeks and was followed up for 1 month.
Results: Subcutaneous hemorrhage disappeared, dizziness and joint pain disappeared, weight loss, facial acne cured, bright and shiny skin, good mental state, platelet count fluctuated at about 80× 109/L, liver and kidney function examination were normal. The patients were followed up for 1 month without discomfort and could return to normal life and study.
Conclusion: The report of this case shows that under the guidance of the basic theory of traditional Chinese medicine, the comprehensive therapy of pediatric Tuina combined with moxibustion can improve the clinical symptoms and quality of life of patients with ITP.
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