解表透热汤中药足部熏洗结合循经刮痧治疗小儿风热型外感发热的临床疗效分析

doi:10.20274/j.cnki.issn.1674-3865.2026.02.014

Abstract

Abstract:

Objective To explore the intervention effect of foot bath with Jiebiao Toure decoction (decoction for resolving symptoms and clearing heat) combined with meridian scraping on children with wind-heat-type exogenous fever. Method A total of 100 children with exogenous fever (wind-heat type) admitted to Pediatric Department of Affiliated Hospital of Changchun University of Chinese Medicine from April 2024 to October 2024 were selected and randomly divided into a control group and an observation group, each consisting of 50 cases. The control group received conventional treatment with western medicines, while the observation group received the treatment of foot bath with Jiebiao Toure decoction combined with meridian scraping in addition to the conventional western treatment. The total clinical effective rate after 3 days of treatment, changes in TCM symptom scores (red throat, nasal congestion, runny nose and cough), body temperature at each time point, time of complete defervescence, onset time of defervescence, frequency of antipyretic drug use, and average length of hospital stay were observed in both groups. Result There were 4 cases of loss of follow-up in the control group and 3 cases of dropping out in the observation group, and finally 93 patients completed the whole course of observation (46 in the control group and 47 in the observation group). The total effective rate was 89.4% (42/47) in the observation group, higher than the control group (71.7%, 33/46), and the difference was statistically significant(P<0.05). The symptom scores of red throat, runny nose and nasal congestion significantly decreased after treatment compared to before treatment, and the observation group was lower than the control group, with statistically significant difference(P<0.05). There was no statistically significant difference in symptom score of cough(P>0.05).The measurements at 1.5 h, 48 h and 72 h after treatment showed that the body temperature of the observation group was significantly lower than that of the control group, and all the differences were statistically significant(P<0.05). The time of complete defervescence, the onset time of defervescence and the average length of hospital stay were shorter in the observation group than in the control group, and the differences were statistically significant(P<0.01). There was no statistically significant difference in the frequency of antipyretic drug use between the two groups(P>0.05). Conclusion The combination of Chinese herbal medicine foot bath with meridian scraping can reduce the body temperature of children and improve clinical symptoms, has a significant antipyretic effect, and effectively shortens the treatment cycle.

Key words: Exogenous fever, Wind-heat type, Meridian scraping, Foot bath with Chinese herbal medicine, Child

CLC Number:

R725.6

Xuejiao WANG, Chen SHEN, Miao YU, Yiwen GAO, Heng LI. Clinical efficacy analysis of foot bath with Jiebiao Toure decoction combined with meridian scraping in the treatment of exogenous fever (wind-heat type) in children[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(2): 168-173.

Figures/Tables 4

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References 30

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组别	n	痊愈	显效	有效	无效	总有效
对照组	46	9（19.6）	14（30.4）	10（21.7）	13（28.3）	33（71.7）
观察组	47	16（34.0）	17（36.2）	9（19.2）	5（10.6）	42（89.4）^a

组别	n	咽红		流涕		鼻塞		咳嗽
组别	n	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组	46	3.52±1.89	3.40±1.91^a	3.26±1.90	2.65±1.84	3.17±1.77	2.74±1.81	3.26±1.90	2.83±1.87
观察组	47	3.40±1.91	1.91±1.61^a	3.06±1.86	1.83±1.71^a	3.02±1.76	2.00±1.44^a	3.11±1.90	2.72±1.88
t值		0.298	2.172	0.505	2.232	0.417	2.176	0.392	0.264
P值		0.766	0.032	0.615	0.028	0.678	0.032	0.696	0.792

组别	n	治疗前	治疗后0.5 h	治疗后1.5 h	治疗后2 h
对照组	46	38.21±0.32	38.25±0.33	38.28±0.26	38.33±0.24
观察组	47	38.09±0.33	38.04±0.33	37.97±0.33	38.30±0.31
t值		1.13	2.01	2.96	0.34
P值		0.908	0.304	0.025	>0.999
组别	n	治疗后4 h	治疗后24 h	治疗后48 h	治疗后72 h
对照组	46	38.02±0.62	37.58±0.76	37.38±0.76	37.01±0.71
观察组	47	37.75±0.53	37.53±0.61	37.05±0.56	36.68±0.48
t值		2.66	0.49	3.19	3.17
P值		0.062	0.999	0.012	0.013

组别	n	退热时间（h）	退热起效时间（h）	退热药使用次数	住院时间（d）
对照组	46	32.48±8.77	2.65±0.48	4.26±1.50	5.30±1.30
观察组	47	25.85±8.45	2.34±0.48	3.83±1.29	3.89±1.17
t值		3.711	3.130	1.488	5.519
P值		0.000	0.002	0.140	0.000

Clinical efficacy analysis of foot bath with Jiebiao Toure decoction combined with meridian scraping in the treatment of exogenous fever (wind-heat type) in children

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