title: [Kneading and dispersing manipulation in treatment of early-stage acute mastitis: a randomized controlled trial].
abstract: BACKGROUND
  Acute mastitis is an acute infectious disease of breast. Antibiotic treatment is often unable to obtain a good effect, and we should actively look for a safe and effective non-drug therapy.
  
  
  OBJECTIVE
  To validate the clinical efficacy of kneading and dispersing manipulation in treatment of early-stage acute mastitis.
  
  
  METHODS
  According to the multicenter randomized controlled trial design, 198 cases of acute mastitis from Yueyang Hospital of Integrated Traditional Chinese Medicine, Longhua Hospital, and Shanghai Yangpu Maternity and Child Health Hospital were randomly divided into treatment group and control group. There were 99 cases in each group. Patients in the treatment group were only treated with manipulation, and cefradine was orally administered to patients in the control group.
  
  
  METHODS
  The local breast lump size, clinical symptoms and the adverse reactions in the two groups were observed before and after the treatment.
  
  
  RESULTS
  The total response rates in the treatment and control group were 95.92% (94/98) and 80% (76/95) respectively. There was a significant difference in the total response rate between the two groups (P<0.05). There were significant differences in the score of breast lump size, and the score of signs and symptoms between the two groups (P<0.05).
  
  
  CONCLUSIONS
  Kneading and dispersing manipulation has certain effects on early-stage acute mastitis, and the therapy is safe and repeatable.
authors.affiliation: Department of Chinese Traditional Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. drzhoumin@126.com
authors.forename: Min
authors.initials: M
authors.lastname: Zhou
authors.forename: Xin
authors.initials: X
authors.lastname: Li
authors.forename: Yi-qin
authors.initials: YQ
authors.lastname: Cheng
authors.forename: Rong
authors.initials: R
authors.lastname: Shen
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhao
authors.forename: Huai-zhi
authors.initials: HZ
authors.lastname: Zhao
authors.forename: Juan
authors.initials: J
authors.lastname: Wang
authors.forename: Dong-mei
authors.initials: DM
authors.lastname: Shi
mesh_terms: D000208:Acute Disease; D005260:Female; D006801:Humans; D008405:Massage; D008413:Mastitis / Q000628:therapy*; D016896:Treatment Outcome