Integrated Traditional Chinese and Western Medicine Nursing Practice Based on TCM Syndrome Differentiation for a Patient with Diabetic Foot （Gangrene）

ZHENG Wen; GUO Qingchuan; GUO Jing

doi:10.12209/CAIM202510120001

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Integrated Traditional Chinese and Western Medicine Nursing Practice Based on TCM Syndrome Differentiation for a Patient with Diabetic Foot （Gangrene）

更新时间：2026-04-20

- Integrated Traditional Chinese and Western Medicine Nursing Practice Based on TCM Syndrome Differentiation for a Patient with Diabetic Foot （Gangrene）
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京中医药大学东方医院周围血管科，北京， 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202510120001
  CLC：
- Received：12 October 2025，
  
  Revised：2026-03-18，
  
  Accepted：18 March 2026，
  
  Online First：20 April 2026，
- 稿件说明：
移动端阅览
ZHENG Wen, GUO Qingchuan, GUO Jing. Integrated Traditional Chinese and Western Medicine Nursing Practice Based on TCM Syndrome Differentiation for a Patient with Diabetic Foot （Gangrene）[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

ZHENG Wen, GUO Qingchuan, GUO Jing. Integrated Traditional Chinese and Western Medicine Nursing Practice Based on TCM Syndrome Differentiation for a Patient with Diabetic Foot （Gangrene）[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202510120001.

摘要

糖尿病足患者多以足部感染、溃疡及坏疽等为主要临床表现，致残率、致死率均较高，长期生活质量低下。本文对1例辨证为“气虚血瘀、湿热瘀阻”证的糖尿病足患者，实施以中医特色护理技术（皮内针、穴位贴敷及中药注射液静脉滴注）为核心，结合基础护理、健康指导、情志干预及生活调护的整体护理方案。经过综合护理，患者足趾坏疽症状明显改善，创面肉芽组织新鲜，疼痛、麻木及乏力等症状缓解，间歇性跛行距离延长，Barthel指数提升，Morse跌倒风险评分降低，未发生跌倒、感染等不良事件。基于辨证施护的中西医结合护理可有效改善糖尿病足患者症状，促进创面愈合，提升生活质量，具有良好的临床推广价值。

Abstract

Diabetic foot patients often present with clinical manifestations such as foot infections， ulcers， and gangrene， accompanied by high rates of disability and mortality， leading to long-term poor quality of life. This article reports a case of a diabetic foot patient diagnosed with the TCM syndrome pattern of "qi deficiency and blood stasis， damp-heat and stasis obstruction." A holistic nursing protocol was implemented， centered on TCM-specific techniques （intradermal acupuncture， acupoint application， and intravenous infusion of Chinese herbal injections）， combined with foundational nursing care， health education， emotional intervention， and lifestyle guidance. After comprehensive nursing intervention， the patient showed significant improvement in toe gangrene symptoms， fresh granulation tissue formation in the wound， alleviation of pain， numbness， and fatigue， increased intermittent claudication distance， elevated Barthel Index， and reduced Morse Fall Risk Score， with no adverse events such as falls or infections. The integrated TCM and Western medicine nursing approach based on syndrome differentiation effectively alleviated symptoms， promoted wound healing， and enhanced quality of life， demonstrating strong clinical applicability.

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references

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