Nursing Experience of Combined Fire Dragon Can and Auricular Point Pressing Therapy in Treating an Elderly Patient with Insomnia of Heart-Spleen Deficiency Type

WANG Chao

doi:10.12209/CAIM202511210002

您当前的位置：

首页 >

文章列表页 >

Nursing Experience of Combined Fire Dragon Can and Auricular Point Pressing Therapy in Treating an Elderly Patient with Insomnia of Heart-Spleen Deficiency Type

更新时间：2026-02-27

- Nursing Experience of Combined Fire Dragon Can and Auricular Point Pressing Therapy in Treating an Elderly Patient with Insomnia of Heart-Spleen Deficiency Type
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  天津中医药大学第一附属医院国家中医针灸临床医学研究中心急症病房，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202511210002
  CLC：
- Received：21 November 2025，
  
  Revised：2026-01-01，
  
  Accepted：04 January 2026，
  
  Online First：27 February 2026，
- 稿件说明：
移动端阅览
WANG Chao. Nursing Experience of Combined Fire Dragon Can and Auricular Point Pressing Therapy in Treating an Elderly Patient with Insomnia of Heart-Spleen Deficiency Type[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

WANG Chao. Nursing Experience of Combined Fire Dragon Can and Auricular Point Pressing Therapy in Treating an Elderly Patient with Insomnia of Heart-Spleen Deficiency Type[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202511210002.

摘要

本文总结老年心脾两虚型原发性失眠患者的中西医结合治疗护理经验，探讨“以中医特色护理为核心，基础护理为保障，心理干预为补充”联合方案的应用价值。选取1例72岁老年女性患者，入院后采用匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index， PSQI）、焦虑自评量表（Self-Rating Anxiety Scale， SAS）、抑郁自评量表（Self-Rating Depression Scale， SDS）及中医证候积分量表完成基线评估，干预方案以中医特色护理为核心，火龙罐疗法每周3次，选取背俞穴（脾俞、心俞、膈俞）及任脉穴位（中脘、气海、关元），每穴操作5 min，耳穴贴压选取神门、心、脾、肾、皮质下、枕等穴位；基础护理措施包括睡眠环境优化、饮食指导及心理干预。干预4周后，患者睡眠指标显著改善，焦虑抑郁状态缓解，心脾两虚证临床痊愈。本案例表明，与单纯药物治疗或常规护理相比，该联合方案不仅能有效改善老年心脾两虚型原发性失眠患者的睡眠质量，还可对其焦虑、抑郁的心理状态起到良好的调节作用，为老年心脾两虚型原发性失眠的临床护理提供了可复制的个性化干预方案参考。

Abstract

This paper summarizes the experience of integrated traditional Chinese and Western medicine treatment and nursing for elderly patients with primary insomnia of heart-spleen deficiency type， and explores the application value of a combined plan centered on traditional Chinese medicine （TCM） characteristic nursing， with basic nursing as a guarantee and psychological intervention as a supplement. A 72-year-old female patient was selected. After admission， baseline assessment was completed using the Pittsburgh Sleep Quality Index （PSQI）， Self-Rating Anxiety Scale （SAS）， Self-Rating Depression Scale （SDS）， and TCM syndrome score scale. The intervention plan was centered on TCM characteristic nursing， with fire dragon can therapy performed three times a week， selecting back-shu points （Spleen Shu， Heart Shu， Diaphragm Shu） and Ren meridian points （Zhongwan， Qihai， Guanyuan）， each point operated for 5 minutes， and auricular point pressing selecting Shenmen， Heart， Spleen， Kidney， Subcortex， and Zhi points. Basic nursing measures included optimizing the sleep environment， dietary guidance， and psychological intervention. After 4 weeks of intervention， the patient's sleep indicators significantly improved， anxiety and depression states were relieved， and the clinical symptoms of heart-spleen deficiency syndrome were completely cured. This case indicates that compared with simple drug treatment or conventional nursing， this combined plan can not only effectively improve the sleep quality of elderly patients with primary insomnia of heart-spleen deficiency type， but also play a good regulatory role in their anxiety and depression psychological states， providing a replicable personalized intervention plan reference for the clinical nursing of elderly patients with heart-spleen deficiency type primary insomnia.

关键词

Keywords

references

周仲瑛，薛博瑜 . 周仲瑛实用中医内科学［M］. 北京：中国中医药出版社， 2012 . 2012 .

魏保生 . 痤疮［M］. 北京：中国医药科技出版社， 2016 .

中华医学会心身医学分会数字心身医学协作学组，失眠症数字疗法的中国专家共识写作组 . 失眠症数字疗法的中国专家共识（2024版）［J］. 中华医学杂志， 2024 ， 104 （ 9 ）： 650 - 661 .

The Digital Psychosomatic Medicine Collaborative Group of the Psychosomatic Medicine Branch of the Chinese Medical Association ， the Writing Group for the Chinese Expert Consensus on Digital Therapies for Insomnia . Chinese expert consensus on digital therapeutics for insomnia （2024 edition）［J］. Natl Med J China ， 2024 ， 104 （ 9 ）： 650 - 661 . （in Chinese）

刘海燕 . 基于数据挖掘的中医治疗失眠处方用药规律研究［J］. 中医药导报， 2016 ， 22 （ 1 ）： 20 - 21， 29 .

LIU H Y . Study on the prescription law of Chinese medicine for insomnia based on data mining ［J］. Guid J Tradit Chin Med Pharm ， 2016 ， 22 （ 1 ）： 20 - 21， 29 . （in Chinese）

唐娜娜，余建玮，吴长汶，等 . 失眠的阴证阳证分类探析［J］. 中华中医药杂志， 2017 ， 32 （ 5 ）： 2178 - 2181 .

TANG N N ， YU J W ， WU C W ， et al . Analysis on Yin syndrome insomnia and Yang syndrome insomnia ［J］. China J Tradit Chin Med Pharm ， 2017 ， 32 （ 5 ）： 2178 - 2181 . （in Chinese）

张伯礼，吴勉华，（澳）林子强 . 中医内科学［M］. 北京：中国中医药出版社， 2019 .

谢伟杰，张永萍，徐剑，等 . 罐疗作为经皮给药物理促渗新技术的研究状况［J］. 世界科学技术-中医药现代化， 2015 ， 17 （ 7 ）： 1530 - 1536 .

XIE W J ， ZHANG Y P ， XU J ， et al . Progress of fu’s cupping therapy as new physical penetration technologies for transdermal administration ［J］. Mod Tradit Chin Med Mater Med World Sci Technol ， 2015 ， 17 （ 7 ）： 1530 - 1536 . （in Chinese）

中华中医药学会 . 中医护理常规技术操作规程［M］. 北京：中国中医药出版社， 2006 .

国家卫生健康委员会，国家疾病预防控制局 . 国家消除疟疾报告［M］. 北京：人民卫生出版社， 2022 ： 168 - 171 .

廖晓英，秦烨，李清秋，等 . 红炉拨筋罐联合耳穴压豆改善不寐患者睡眠情况及对血浆褪黑素水平的影响［J］. 湖北中医药大学学报， 2025 ， 27 （ 3 ）： 91 - 93 .

LIAO X Y ， QIN Y ， LI Q Q ， et al . The improvement of Red furnace cupping combined with ear acupressure on sleep quality and its effect on plasma melatoninin ［J］. J Hubei Univ Chin Med ， 2025 ， 27 （ 3 ）： 91 - 93 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing experience of fire dragon cupping intervention on a patient with cerebral collateral obstruction and mouth obstruction

Nursing Experience of Retention Enema with Glycerin Suppository via Pediatric Catheter in an Elderly Patient with Constipation

Case Nursing of a Patient with Insomnia after Lumbar Fracture Surgery Treated by Acupoint Embedding Needles Combined with Auricular Point Pressing

Nursing Experience in the Treatment of a Patient with Herpes Zoster by Integrated Traditional Chinese and Western Medicine

Integrated Traditional Chinese and Western Medicine Nursing for an Elderly Patient with Atrial Fibrillation Comorbid with Anxiety Disorder

Related Author

FENG Baoqin

WANG Hongxia

WANG Chunfeng

XU Hongli

CAO Haiying

LUO Hongyu

ZHANG Yue

TIAN Dan

Related Institution

Digestive Endoscopy Center， Henan Provincial Hospital of traditional Chinese medicine

Department of Nursing， Henan Provincial Hospital of traditional Chinese medicine

Encephalopathy Area 2， Henan Provincial Hospital of traditional Chinese medicine

Department of Emergency， Beijing Tongzhou Hospital of Integrated Traditional Chinese and Western Medicine

Department of Acupuncture and Moxibustion， Ningxia Hui Autonomous Region Hospital of Traditional Chinese Medicine

⁰