A Case Report on the Nursing Care of a Teacher with Severe Seasonal Allergic Rhinitis Treated with a Combined Therapy of Auricular Massage， Gua Sha， and Auricular Point Pressing with Seeds

WANG Meiqing

doi:10.12209/CAIM202506260016

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A Case Report on the Nursing Care of a Teacher with Severe Seasonal Allergic Rhinitis Treated with a Combined Therapy of Auricular Massage， Gua Sha， and Auricular Point Pressing with Seeds

更新时间：2026-04-24

- A Case Report on the Nursing Care of a Teacher with Severe Seasonal Allergic Rhinitis Treated with a Combined Therapy of Auricular Massage， Gua Sha， and Auricular Point Pressing with Seeds
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  天津中医药大学第一附属医院骨伤科，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202506260016
  CLC：
- Received：26 June 2025，
  
  Revised：2026-01-01，
  
  Accepted：04 January 2026，
  
  Online First：24 April 2026，
- 稿件说明：
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WANG Meiqing. A Case Report on the Nursing Care of a Teacher with Severe Seasonal Allergic Rhinitis Treated with a Combined Therapy of Auricular Massage， Gua Sha， and Auricular Point Pressing with Seeds[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

WANG Meiqing. A Case Report on the Nursing Care of a Teacher with Severe Seasonal Allergic Rhinitis Treated with a Combined Therapy of Auricular Massage， Gua Sha， and Auricular Point Pressing with Seeds[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202506260016.

摘要

本案例针对1名西药不耐受的教师患者（职业敏感+拒服可致嗜睡药物），采用纯中医非药物方案管理其中重度季节性过敏性鼻炎。核心干预为耳穴三联疗法（按摩+刮痧+埋豆），主穴取内鼻、风溪及肾上腺，配穴神门、脾，双耳交替操作，2次/周，共4周。辅以四维支持体系，环境防护上，采用N95口罩防护、HEPA空气净化及卧室除湿（维持湿度40%～50%）；饮食调护上，予润肺健脾药膳（山药茯苓羹、辛夷鸡蛋汤）；情志调节上，指导478呼吸法、太冲穴按压及八段锦练习；症状管理上，予鼻梁冷敷、柠檬精油局部抑痒干预。治疗4周后，患者总鼻症状评分（TNSS）从11分降至5分，降幅达54.5%；广泛性焦虑障碍量表（GAD-7）评分从7分降至2分，降幅达71.4%，伴随症状基本消失；随访3个月未复发（TNSS=5分）。患者依从性良好，主动计划于过敏季前行预防性刮痧干预。本研究证实，该多维中医护理模式可有效控制症状、改善生活质量，为西药不耐受的过敏性鼻炎患者提供安全可行的替代方案。

Abstract

This case report presents the management of a teacher patient with severe seasonal allergic rhinitis who was intolerant to Western medicine （due to occupational sensitivity and refusal to take sedative drugs）. A pure traditional Chinese medicine non-pharmacological approach was adopted. The core intervention was a three-in-one auricular therapy （massage， gua sha， and auricular point pressing with seeds）， with main points at the inner nose， Fengxi， and adrenal gland， and auxiliary points at Shenmen and Spleen. The treatment was performed alternately on both ears， twice a week for four weeks. A four-dimensional support system was also implemented， including environmental protection measures such as N95 mask use， HEPA air purification， and bedroom dehumidification （maintaining humidity at 40% to 50%）； dietary adjustments with lung-nourishing and spleen-strengthening medicinal soups （Yam and Poria Soup， Magnolia and Egg Soup）； emotional regulation with 4-7-8 breathing exercises， Taichong acupoint pressing， and Baduanjin practice； and symptom management with nasal bridge cold compress and local anti-itch intervention with lemon essential oil. After four weeks of treatment， the patient's total nasal symptom score （TNSS） decreased from 11 to 5， a reduction of 54.5%； the Generalized Anxiety Disorder 7-item scale （GAD-7） score decreased from 7 to 2， a reduction of 71.4%， with most accompanying symptoms disappearing. There was no recurrence during the three-month follow-up （TNSS = 5）. The patient had good compliance and actively planned to undergo preventive gua sha intervention before the allergy season. This study confirms that this multi-dimensional traditional Chinese medicine nursing model can effectively control symptoms and improve quality of life， providing a safe and feasible alternative for patients with allergic rhinitis who are intolerant to Western medicine.

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references

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