Nursing Report on Improving Lower Limb Spasms in a Patient with Maintenance Hemodialysis Using Auricular Point Pressing with Beans

LIU Jihui; WANG Liwei; DENG Jianhua

doi:10.12209/CAIM202511040001

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Nursing Report on Improving Lower Limb Spasms in a Patient with Maintenance Hemodialysis Using Auricular Point Pressing with Beans

更新时间：2026-02-12

- Nursing Report on Improving Lower Limb Spasms in a Patient with Maintenance Hemodialysis Using Auricular Point Pressing with Beans
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中医药大学东方医院透析中心，北京， 100078
  2.北京中医药大学东方医院肾病科，北京， 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202511040001
  CLC：
- Received：04 November 2025，
  
  Revised：2026-01-05，
  
  Accepted：06 January 2026，
  
  Online First：12 February 2026，
- 稿件说明：
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LIU Jihui, WANG Liwei, DENG Jianhua. Nursing Report on Improving Lower Limb Spasms in a Patient with Maintenance Hemodialysis Using Auricular Point Pressing with Beans[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

LIU Jihui, WANG Liwei, DENG Jianhua. Nursing Report on Improving Lower Limb Spasms in a Patient with Maintenance Hemodialysis Using Auricular Point Pressing with Beans[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202511040001.

摘要

本文报道1例72岁男性糖尿病肾病（慢性肾脏病5期，CKD 5期）维持性血液透析（Maintenance Hemodialysis， MHD）患者，因下肢频繁痉挛（5～7次/周，视觉模拟评分法（VAS）评分5～7分，属中度至重度疼痛）严重影响生活质量，且常规补钙、拉伸干预效果有限。针对其肝肾阴虚、筋脉失养的中医辨证，予耳穴压豆治疗（取神门、皮质下、肝、肾等穴）联合基础治疗，指导患者每日3～4次自行按压王不留行籽，每次每穴按压1～2 min，以局部产生酸麻胀痛感为宜。干预2周后，患者下肢痉挛频率降至1次/周，VAS评分2～3分（属轻度疼痛），匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index， PSQI）由12分改善至5分，下肢痉挛疼痛及睡眠质量均得到显著缓解。结果表明，耳穴压豆作为安全便捷的非药物干预手段，可有效减少MHD患者下肢痉挛发作频率及疼痛程度，提升生活质量，为该并发症管理提供了中医特色护理新选择。

Abstract

This paper reports a 72-year-old male patient with diabetic nephropathy （Chronic Kidney Disease Stage 5， CKD Stage 5） undergoing Maintenance Hemodialysis （MHD）. The patient experienced frequent lower limb spasms （5-7 times/week） with moderate to severe pain （Visual Analogue Scale， VAS score 5-7）， which severely affected his quality of life. Conventional interventions such as calcium supplementation and stretching showed limited efficacy. Based on the TCM syndrome differentiation of liver-kidney yin deficiency and malnutrition of tendons and vessels， auricular point pressing therapy was administered （selecting points such as Shenmen， Subcortex， Liver， and Kidney） in combination with basic treatment. The patient was instructed to self-press the Vaccaria seeds 3-4 times daily， 1-2 minutes per point each time， until a local sensation of soreness， numbness， distension， or pain was felt. After 2 weeks of intervention， the frequency of lower limb spasms decreased to 1 time/week， the VAS score reduced to 2-3 （mild pain）， and the Pittsburgh Sleep Quality Index （PSQI） improved from 12 to 5. Both lower limb spasm pain and sleep quality were significantly relieved. The results indicate that auricular point pressing， as a safe and convenient non-pharmacological intervention， can effectively reduce the frequency and pain intensity of lower limb spasms in MHD patients， improve quality of life， and provide a new TCM characteristic nursing option for managing this complication.

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references

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