Nursing Case Report of a Patient with Temporomandibular Joint Disorder of Wind-Cold-Dampness Obstruction Pattern Treated with Chinese Herbal Ointment Massage Combined with Moxa Stick Moxibustion

LI Meilian; LIU Supo; LI Jiao; JIN Min; ZHOU Songfei; GAO Donghua

doi:10.12209/CAIM202505140002

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Nursing Case Report of a Patient with Temporomandibular Joint Disorder of Wind-Cold-Dampness Obstruction Pattern Treated with Chinese Herbal Ointment Massage Combined with Moxa Stick Moxibustion

更新时间：2025-07-30

- Nursing Case Report of a Patient with Temporomandibular Joint Disorder of Wind-Cold-Dampness Obstruction Pattern Treated with Chinese Herbal Ointment Massage Combined with Moxa Stick Moxibustion
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  1.北京中医药大学东方医院西院区中医绿色护理门诊，北京， 100072
  2.中国中医科学院广安门医院南区内分泌科，北京， 102600
  3.中国中医科学院广安门医院南区中医护理门诊，北京， 102600
  4.北京中医药大学东方医院西院区综合病房，北京， 100072
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202505140002
  CLC：
- Received：14 May 2025，
  
  Accepted：27 June 2025，
  
  Published Online：30 July 2025，
- 稿件说明：
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LI Meilian, LIU Supo, LI Jiao, et al. Nursing Case Report of a Patient with Temporomandibular Joint Disorder of Wind-Cold-Dampness Obstruction Pattern Treated with Chinese Herbal Ointment Massage Combined with Moxa Stick Moxibustion[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

LI Meilian, LIU Supo, LI Jiao, et al. Nursing Case Report of a Patient with Temporomandibular Joint Disorder of Wind-Cold-Dampness Obstruction Pattern Treated with Chinese Herbal Ointment Massage Combined with Moxa Stick Moxibustion[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202505140002.

摘要

本文总结1例风寒湿痹型颞下颌关节紊乱病（TMD）患者采用中药膏摩联合艾条灸治疗的中医特色护理方案。基于“温经通络，祛风除湿”治则，选用防风、秦艽等组方制成通痹膏行穴位推摩，配合艾灸下关、颊车、阿是穴等穴位，辅以关节功能训练及情志护理等，以达到祛除疼痛，恢复功能之功效。本治疗方案将药物透皮吸收与物理温热效应相结合，形成“药—灸—动”三维干预模式，突破传统单一疗法局限。本方案为风寒湿痹型颞下颌关节紊乱病提供了安全有效的中医外治新路径，尤其在避免长期口服药物依赖、降低手术风险方面具有临床推广价值，为该病的临床护理提供了新的思路。

Abstract

This article summarizes a specialized Traditional Chinese Medicine （TCM） nursing protocol involving Chinese herbal ointment massage combined with moxa stick moxibustion for a patient with temporomandibular joint disorder （TMD） of wind-cold-dampness obstruction pattern. Guided by the therapeutic principle of "warming meridians to unblock collaterals， dispelling wind and eliminating dampness，" a custom-formulated Tongbi ointment containing herbs like Radix Saposhnikoviae （Fangfeng） and Radix Gentianae Macrophyllae （Qinjiao） was applied via acupoint-specific massage. This was synergistically combined with moxibustion at acupoints including Xiaguan （ST7）， Jiache （ST6）， and Ashi points. Adjunctive interventions included orofacial functional training and emotional regulation therapy， collectively targeting pain relief and functional restoration. The regimen integrates transdermal drug delivery with thermophysiological effects， establishing a novel tri-dimensional therapeutic model （"herbal-moxa-exercise"） that transcends conventional monotherapy limitations. This protocol offers a safe and effective TCM external treatment pathway for wind-cold-dampness obstruction-type TMD， demonstrating significant clinical value in mitigating long-term oral medication dependency and reducing surgical risks. It provides novel insights for clinical nursing management of this condition.

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references

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