• 1. Evidence Based Social Science Research Centre, School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
  • 2. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P.R.China;
  • 3. Department of Guidelines and Standards, Lanzhou University Institute of Health Data Science, Lanzhou 73000, P.R.China;
  • 4. Key Laboratory of Evidence-based Medicine and Clinical Transformation in Gansu Province, Lanzhou 730000, P.R.China;
  • 5. GRADE Chinese Centre, Lanzhou University, Lanzhou 730000, P.R.China;
  • 6. Evidence-based Nursing Center, School of Nursing, Lanzhou University, Lanzhou 730000, P.R.China;
  • 7. State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/ Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, P.R.China;
  • 8. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P.R.China;
  • 9. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, P.R.China;
  • 10. Haici Medical Group of Qingdao City, Qingdao 266033, P.R.China;
  • 11. The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, P.R.China;
  • 12. Beijing Massage Hospital, Beijing 100035, P.R.China;
  • 13. Shenzhen Children’s Hospital, Shenzhen 518038, P.R.China;
  • 14. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, P.R.China;
  • 15. The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun 130117, P.R.China;
  • 16. Foshan City Nanhai District Maternity and Child Health Hospital, Foshan 528212, P.R.China;
  • 17. Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome, Guangzhou 510120, P.R.China;
WU Darong, Email: darongwu@gzucm.edu.cn
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Acute diarrhea has a high incidence in children. Pediatric tuina has been widely used in children with acute diarrhea in China. However, there is no guideline on the treatment of tuina for children with acute diarrhea. This guideline was developed following evidence-based principle and the World Health Organization handbook for guideline development. The linked systematic review was conducted following the Cochrane handbook. The quality of evidence and strength of recommendations were evaluated using the GRADE approach. The reporting of guideline followed the RIGHT statement. Seven clinical questions (2 foreground questions and 5 background questions) were identified by literature review and expert consensus. Based on the linked systematic review, comprehensively considering the balance of benefit and harm, the quality of evidence, patient preferences, and other resources, we formulated the recommendations using Delphi expert consensus. We suggested that weak recommendation for tuina combined with western medicine usual care to treat children with acute diarrhea. This guideline can be used by clinicians and nurses in the department of traditional Chinese medicine pediatrics, and department of pediatric tuina, and can also be used as a reference for relevant clinicians of Western medicine, and is also applicable to all institutions that practice tuina treatment.