Objective To analyze the clinical efficacy of"Siming Acupoint"massage technique in the treatment of true myopia in children and adolescents,and explore the related factors influencing the therapeutic effect.Methods From January 2021 to January 2024,257 cases of children and adolescents with true myopia and 475 eyes treated and followed up at the Pediatric Massage Center of Shandong Hospital of Traditional Chinese Medicine were included in this study.And they were divided into the low myopia group(374 eyes),the moderate myopia group(76 eyes)and the high myopia group(25 eyes).The clinical efficacy was analyzed by comparing the observation indicators changes before and after the intervention.The occurrence of ineffective treatment was observed,and the related factors of ineffective treatment were explored by using univariate comparison and multivariate Logistic regression analysis.Results Clinical results showed that the effective rate of 257 children and 475 eyes was 93.05%;the effective rate of 374 eyes in the low myopia group was 98.13%;the effective rate of 76 eyes in the moderate myopia group was 81.58%;the effective rate of 25 eyes in the high myopia group was 52.00%.The score of visual fatigue symptoms after the intervention was significantly lower than that before the intervention(P<0.001);The naked eye vision after the intervention was significantly higher than that before the intervention(P<0.001);After the intervention,NRA and PRA were significantly enhanced compared with those before the intervention(P all<0.001).Risk factor analysis of ineffectiveness showed that there were 33 eyes in the ineffective group and 442 eyes in the effective group.The proportion of patients with a history of sweet tooth in the ineffective group was significantly higher than that in the effective group(P=0.020);The course of disease in the ineffective group was significantly longer than that in the effective group(P=0.001);And there were also significant differences in the degree of myopia between the two groups,the proportion of high myopia in the ineffective group was significantly higher than that in the effective group(P<0.001);The spherical diopter,equivalent spherical diopter and cylindrical diopter in the ineffective group were all significantly higher than those in the effective group(P all<0.001);The axial length of the eye in the ineffective group was significantly longer than that in the effective group(P=0.005);The naked eye vision before treatment and the corrected naked eye vision at the first treatment in the ineffective group were both worse than those in the effective group(both P<0.001);The proportion of patients with outdoor activities<2 hours/day and the proportion of patients with night sleep time<7 hours/day in the ineffective group were significantly higher than those in the effective group(P=0.022,P=0.012).Binary multivariate Logistic regression analysis showed that combined outdoor activities<2 hours/day(OR=8.270,P<0.001),equivalent spherical diopter(OR=2.724,P=0.005),and night sleep time<7 hours/day(OR=2.507,P=0.014)were the risk factors for ineffective treatment of true myopia in children and adolescents with"Siming Acupoints"massage technique.The ROC curve showed that the area under the curve for outdoor activities<2 hours/day was 0.603;The area under the curve for equivalent spherical diopter was 0.678;the area under the curve for night sleep time<7 hours/day was 0.667.Conclusion The"Siming Acupoints"massage technique may be able to improve the naked eye vision of patients,improve NRA,PRA and visual fatigue symptoms,and control the growth of axial length and equivalent spherical diopter.Outdoor activities<2 hours/day,equivalent spherical diopter,and night sleep time<7 hours/day are the risk factors for ineffective treatment of true myopia in children and adolescents with"Siming Point"massage technique.

Objective To analyze the clinical efficacy of"Siming Acupoint"massage technique in the treatment of true myopia in children and adolescents,and explore the related factors influencing the therapeutic effect.Methods From January 2021 to January 2024,257 cases of children and adolescents with true myopia and 475 eyes treated and followed up at the Pediatric Massage Center of Shandong Hospital of Traditional Chinese Medicine were included in this study.And they were divided into the low myopia group(374 eyes),the moderate myopia group(76 eyes)and the high myopia group(25 eyes).The clinical efficacy was analyzed by comparing the observation indicators changes before and after the intervention.The occurrence of ineffective treatment was observed,and the related factors of ineffective treatment were explored by using univariate comparison and multivariate Logistic regression analysis.Results Clinical results showed that the effective rate of 257 children and 475 eyes was 93.05%;the effective rate of 374 eyes in the low myopia group was 98.13%;the effective rate of 76 eyes in the moderate myopia group was 81.58%;the effective rate of 25 eyes in the high myopia group was 52.00%.The score of visual fatigue symptoms after the intervention was significantly lower than that before the intervention(P<0.001);The naked eye vision after the intervention was significantly higher than that before the intervention(P<0.001);After the intervention,NRA and PRA were significantly enhanced compared with those before the intervention(P all<0.001).Risk factor analysis of ineffectiveness showed that there were 33 eyes in the ineffective group and 442 eyes in the effective group.The proportion of patients with a history of sweet tooth in the ineffective group was significantly higher than that in the effective group(P=0.020);The course of disease in the ineffective group was significantly longer than that in the effective group(P=0.001);And there were also significant differences in the degree of myopia between the two groups,the proportion of high myopia in the ineffective group was significantly higher than that in the effective group(P<0.001);The spherical diopter,equivalent spherical diopter and cylindrical diopter in the ineffective group were all significantly higher than those in the effective group(P all<0.001);The axial length of the eye in the ineffective group was significantly longer than that in the effective group(P=0.005);The naked eye vision before treatment and the corrected naked eye vision at the first treatment in the ineffective group were both worse than those in the effective group(both P<0.001);The proportion of patients with outdoor activities<2 hours/day and the proportion of patients with night sleep time<7 hours/day in the ineffective group were significantly higher than those in the effective group(P=0.022,P=0.012).Binary multivariate Logistic regression analysis showed that combined outdoor activities<2 hours/day(OR=8.270,P<0.001),equivalent spherical diopter(OR=2.724,P=0.005),and night sleep time<7 hours/day(OR=2.507,P=0.014)were the risk factors for ineffective treatment of true myopia in children and adolescents with"Siming Acupoints"massage technique.The ROC curve showed that the area under the curve for outdoor activities<2 hours/day was 0.603;The area under the curve for equivalent spherical diopter was 0.678;the area under the curve for night sleep time<7 hours/day was 0.667.Conclusion The"Siming Acupoints"massage technique may be able to improve the naked eye vision of patients,improve NRA,PRA and visual fatigue symptoms,and control the growth of axial length and equivalent spherical diopter.Outdoor activities<2 hours/day,equivalent spherical diopter,and night sleep time<7 hours/day are the risk factors for ineffective treatment of true myopia in children and adolescents with"Siming Point"massage technique.

Objective To observe the clinical efficacy of pediatric massage based on"Siming points"in the intervention of mild to moderate myopia.Methods Eighty children aged 6-12 years with mild to moderate myopia were randomly divided into the"Siming points"based pediatric Tuina group and the general Tuina group.The observation group was given"Siming points"-based pediatric Tuina intervention,while the control group was given ordinary Tuina intervention,once every other day,3 times a week,6 times a course.After the intervention,we observed the changes of naked eye visual acuity,refraction and eye axis length after ciliary muscle paralysis before and after the intervention,and counted the difference of efficacy between the two groups.Results At the end of the intervention,the effective rate of the observation group(98.57%)was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The naked eye visual acuity of both the observation group and the control group increased significantly,and the comparison of naked eye visual acuity within and between groups was statistically significant(P<0.05);the refraction and axial length of the eyes after ciliary muscle paralysis both increased after the intervention,but the growth rate of the observation group was slower than that of the control group,and the difference was statistically significant(P<0.05),and the observation group was better than the control group.Conclusion Pediatric Tuina based on"Siming points"has better efficacy for mild to moderate myopia,and is more effective than ordinary Tuina in improving the naked eye visual acuity of myopic children,slowing down the myopic refractive error and controlling the growth rate of the eye axis.

Xiaotianxin acupoint is located at the middle root of the palm, in the depression of the junction between the major and minor thenar eminence. Manual operation includes kneading, pinching, pounding, pinching-kneading method, and it has the effect of clearing heat and promoting urination, tranquilizing fringt and mind, brightening vision, dredging meridians, sweating and releasing muscle, clinical indications of infantile convulsions, night crying, hot urine, jaundice, strabismus, low vision. This paper, by reviewing ancient and modern literatures, the positioning, operation methods and clinical application of Xiaotianxin acupoint are combed and analyzed. The mechanism of the acupoint should be explored from two aspects of traditional and modern medicine, in order to understand the acupoint comprehensively and deeply. And it will provide a theoretical basis for the treatment of diseases by Xiaotianxin, and guide the clinical application through theoretical research.

Objective Applyingthe traditional Chinese medical knowledge service and sharing system, to explore the medication rules of ankylosing spondylitis in the medical records.Methods The ankylosing spondylitis medical records in the traditional chinese medical knowledge service and sharing system has been searched and 149 prescriptions were identified. The medication frequency, association rules, herbal combination and the cluster analyses were explored.Results Among the 149 prescriptions with 210 drugs, the use of high frequency drugs wereGouji, Baishao, Danggui, Duzhong, Weilingxian, and other medication whose frequency was more than 20 times were good at tonifying liver and kidney, activating blood circulation, clearing heat and promoting diuresis, dispelling cold and removing dampness. The high frequency of drug combinations included Sangjisheng and Gouji, Duzhong and Gouji, Baishao and Gouji, Guizhi and Baishao, Gancao and Danggui.Conclusions The treatment of ankylosing spondylitis with Chinese medicine is mainly based on tonifying liver and kidney, supplemented with drugs for warming Kidney Yang, dispelling cold and dehumidification, promoting blood circulation and removing blood stasis, clearing heat and promoting diuresis, dispelling wind and cold.