| 摘要 |
[Objectives] To investigate the therapeutic effects of combined treatment on children diagnosed with pseudomyopia, based on the theoretical framework that the liver is associated with eye health in traditional Chinese medicine. [Methods] A multicenter randomized controlled trial was conducted involving 100 children, with the treatment group consisting of 50 participants receiving a combined treatment, while the control group, also comprising 50 participants, received conventional tuina. In the treatment group, the Yizhichan Pushing Manipulation was applied at a frequency of 120 times/min and a strength of 0.5-1.0 kg, targeting acupoints such as Ganyu and Guangming. The alterations in naked eye visual acuity, diopter measurements, and ciliary muscle regulation function were compared between the two groups of children both prior to and following treatment, and the clinical efficacy was assessed. [Results] The treatment group demonstrated a statistically significant enhancement in visual acuity (1.74±0.49 lines vs. 1.02±0.52 lines), diopter improvement (0.91±0.29 D vs. 0.46±0.25 D), and overall efficiency (96% vs. 78%) when compared to the control group (all P<0.01). [Conclusions] This combined treatment exerts a therapeutic effect through a dual mechanism that involves the regulation of liver meridian qi and blood, as well as the enhancement of ciliary muscle function. This approach merits further dissemination and application in the prevention and management of myopia in children. |
