Case Report on TCM Nursing for a Patient with Thyroid Nodules of Qi Stagnation and Phlegm Coagulation Type

KANG Jie; KANG Qing; CUI Xin; DU Juan; FAN Jiao; TIAN Runxi

doi:10.12209/CAIM202512010001

您当前的位置：

首页 >

文章列表页 >

Case Report on TCM Nursing for a Patient with Thyroid Nodules of Qi Stagnation and Phlegm Coagulation Type

更新时间：2026-02-10

- Case Report on TCM Nursing for a Patient with Thyroid Nodules of Qi Stagnation and Phlegm Coagulation Type
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中医药大学东直门医院门诊超声科，北京， 100700
  2.北京中医药大学东直门医院放射科，北京， 100700
  3.北京中医药大学东直门医院外科门诊，北京， 100700
  4.北京中医药大学东直门医院护理部，北京， 100700
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202512010001
  CLC：
- Received：01 December 2025，
  
  Revised：2026-01-08，
  
  Accepted：09 January 2026，
  
  Online First：10 February 2026，
- 稿件说明：
移动端阅览
KANG Jie, KANG Qing, CUI Xin, et al. Case Report on TCM Nursing for a Patient with Thyroid Nodules of Qi Stagnation and Phlegm Coagulation Type[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

KANG Jie, KANG Qing, CUI Xin, et al. Case Report on TCM Nursing for a Patient with Thyroid Nodules of Qi Stagnation and Phlegm Coagulation Type[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202512010001.

摘要

本研究介绍1例气郁痰凝型瘿病（甲状腺结节）患者的非药物综合干预案例，构建了“辨证施术—辨证施情—辨证施膳”三位一体的中医特色护理模式。通过融合穴位贴敷、五行音乐、情志疏导与药膳食疗等非药物干预手段，形成系统化健康管理方案。其中，“五行音乐配合太冲、内关穴位按摩”在改善患者焦虑情绪方面效果突出。该方案不仅能缓解颈前胀痛等症状、促进甲状腺结节体积缩小，更构建生理—心理—社会多维度干预体系，为非药物中医护理在甲状腺结节管理中的标准化实践提供了临床参考。

Abstract

This study presents a case of non-pharmacological comprehensive intervention for a patient with goiter （thyroid nodules） of qi stagnation and phlegm coagulation type， constructing a TCM characteristic nursing model of "syndrome differentiation-based treatment—emotion management—dietary regulation". A systematic health management plan was formed by integrating non-pharmacological interventions such as acupoint application， five-element music therapy， emotional counseling， and medicinal diet therapy. Among these， "five-element music combined with Taichong and Neiguan acupoint massage" showed remarkable efficacy in improving the patient's anxiety. This program not only alleviated symptoms such as anterior cervical distension and pain and promoted the reduction of thyroid nodule volume but also established a multi-dimensional intervention system covering physical， psychological， and social aspects， providing clinical reference for the standardized practice of non-pharmacological TCM nursing in thyroid nodule management.

关键词

Keywords

references

胥武望 . 超声引导下细针穿刺活检用于不同直径甲状腺结节的诊断价值［J］. 浙江创伤外科， 2025 ， 30 （ 11 ）： 2062 - 2064， 2068 .

XU W W . Diagnostic value of ultrasound-guided fine needle biopsy in thyroid nodules with different diameters ［J］. Zhejiang J Trauma Surg ， 2025 ， 30 （ 11 ）： 2062 - 2064， 2068 . （in Chinese）

赵燕，吴丹，涂建飞，等 . SWE与BRAFV600E基因检测对超声引导下FNAC结果不确定甲状腺结节的诊断价值［J］. 中国中西医结合影像学杂志， 2025 ， 23 （ 6 ）： 724 - 728 .

ZHAO Y ， WU D ， TU J F ， et al . Diagnostic value of SWE and BRAF V600E gene detection for ultrasound-guided FNAC uncertain thyroid nodules ［J］. Chin Imag J Integr Tradit West Med ， 2025 ， 23 （ 6 ）： 724 - 728 . （in Chinese）

李玉姝，单忠艳，滕卫平 . 《甲状腺结节和分化型甲状腺癌诊治指南（第二版）》解读［J］. 中国实用内科杂志， 2023 ， 43 （ 11 ）： 884 - 889 .

LI Y S ， SHAN Z Y ， TENG W P . Interpretation of the guidelines for the diagnosis and treatment of thyroid nodules and differentiated thyroid cancer（second edition）［J］. Chin J Pract Intern Med ， 2023 ， 43 （ 11 ）： 884 - 889 . （in Chinese）

李秋兰，黄菲 . 中医外治法治疗甲状腺结节的研究进展［J］. 中外医学研究， 2023 ， 21 （ 25 ）： 180 - 184 .

LI Q L ， HUANG F . Research progress in the traditional Chinese medicine external treatments for thyroid nodules ［J］. Chin Foreign Med Res ， 2023 ， 21 （ 25 ）： 180 - 184 . （in Chinese）

HE H T ， HAO D J ， TIAN L X ， et al . Research on the expression of miR-218-2 in the serum of patients with papillary thyroid cancer and its clinical significance ［J］. Eur J Transl Myol ， 2024 ： 34 （ 3 ）.

CHEN J L ， CHENG X Y ， XU Y ， et al . Analysis on the physiological changes of residents before and during the COVID-19 pandemic： a cross-sectional study ［J］. J Med Virol ， 2023 ， 95 （ 2 ）： e28562 .

裴艳红，张勤 . 中医情志护理促进甲状腺术后康复的效果分析［J］. 实用中医内科杂志， 2023 ， 37 （ 3 ）： 113 - 115 .

PEI Y H ， ZHANG Q . Effect of emotional nursing of traditional Chinese medicine on postoperative rehabilitation of thyroid surgery ［J］. J Pract Tradit Chin Intern Med ， 2023 ， 37 （ 3 ）： 113 - 115 . （in Chinese）

LI Y ， LI L Q ， GUO R J ， et al . Clinical efficacy of Shugan granule in the treatment of mixed anxiety-depressive disorder： a multicenter， randomized， double-blind， placebo-controlled trial ［J］. J Ethnopharmacol ， 2022 ， 290 ： 115032 .

HAN Q Q ， LIU B ， LIN S M ， et al . Pittsburgh Sleep Quality Index score predicts all-cause mortality in Chinese dialysis patients ［J］. Int Urol Nephrol ， 2021 ， 53 （ 11 ）： 2369 - 2376 .

ZHU J ， ZHAO Y T ， HUANG L ， et al . Impact of multi-point nursing strategies under a clinical problem-solving framework on adverse events associated with thyroid nodule resection ［J］. Eval Health Prof ， 2024 ， 47 （ 3 ）： 279 - 282 .

CHEN D ， YANG F ， XING S L ， et al . Effect of comprehensive nursing intervention on the quality of life and clinical outcomes of patients with thyroid nodules treated by ultrasound-guided microwave ablation ［J］. Pak J Med Sci ， 2024 ， 40 （ 4 ）： 663 - 668 .

ZOU D Y ， LYU F ， PAN Y Q ， et al . Enhancing diagnostic precision for thyroid C-TIRADS category 4 nodules： a hybrid deep learning and machine learning model integrating grayscale and elastographic ultrasound features ［J］. Quant Imaging Med Surg ， 2025 ， 15 （ 9 ）： 7951 - 7963 .

LU W W ， ZHANG D ， ZHOU W ， et al . Diagnosis of thyroid nodules using ultrasound images based on deep learning features： online dynamic nomogram and gradient-weighted class activation mapping ［J］. Quant Imaging Med Surg ， 2025 ， 15 （ 6 ）： 5689 - 5702 .

WANG X Q ， PEI C F ， JIA C ， et al . Analysis of the service needs of outpatients undergoing thyroid fine needle aspiration biopsy based on the Kano model ［J］. BMC Nurs ， 2025 ， 24 （ 1 ）： 43 .

资艳，陈顺琪，何菲妤，等 . 从中医体质学角度探究多病共存的防治［J］. 中华中医药杂志， 2024 ， 39 （ 11 ）： 5801 - 5804 .

ZI Y ， CHEN S Q ， HE F Y ， et al . Exploration on prevention and treatment of coexistence of multiple diseases from perspective of traditional Chinese medicine constitution ［J］. China J Tradit Chin Med Pharm ， 2024 ， 39 （ 11 ）： 5801 - 5804 . （in Chinese）

WANG Y ， YU H ， YANG X L . Nursing and treatment experience of COVID-19 with facial paralysis ［J］. SAGE Open Nurs ， 2023 ， 9 ： 23779608231196845 .

ZHANG H B ， MENG D ， ZHANG J . Management of patients with AIDS and retroperitoneal calcified fibrosis during the perioperative period： a case report ［J］. J PeriAnesthesia Nurs ， 2025 ， 40 （ 6 ）： 1423 - 1426.e1 .

Zhang Z . Diagnosis and treatment protocol for COVID-19 patients （Trial Version 9）［J］. Health Care Sci ， 2022 ， 1 （ 1 ）： 14 - 28 .

YE D X ， DING K Q ， YU Y E ， et al . The clinical practice of personnel management in performing epidemic containment and treatment tasks for coronavirus disease 2019 （COVID-19） in the county-designated hospital ［J］. Medicine ， 2025 ， 104 （ 39 ）： e44891 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Report on Auricular Acupuncture Combined with Five-Element Music Therapy for Postoperative Anxiety in a Patient with Thyroid Nodules

Case Report on the Treatment of Mechanical Low Back Pain with Qi Stagnation and Blood Stasis Pattern Using Herbal Ointment Massage Combined with Bian Stone Therapy

Nursing Experience in Treating a Patient with Insomnia Due to Kidney Essence Deficiency Using a Combined Approach of Suanzaoren Decoction Foot Bath and Five-Element Music Therapy

Nursing Experience of Holistic Scratching Therapy in Treating a Case of Insomnia of Liver Depression and Spleen Deficiency Type

Case Analysis of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Acute Cerebral Infarction （Stroke Disease） Caused by Phlegm-Heat Stasis Obstruction

Related Author

DONG Yuxia

WEI Yongchun

JIANG Jing

E Haiyan

WANG Zhijing

WANG Hui

GUO Xuejie

SU Guohua

Related Institution

Department of Anorectal Diseases， Dongfang Hospital Beijing University of Chinese Medicine

Nursing Department， Dongfang Hospital Beijing University of Chinese Medicine

Department of General Surgery， China-Japan Friendship Hospital

Department of General Surgery， Dongfang Hospital Beijing University of Chinese Medicine

International Department， Dongzhimen Hospital Beijing University of Chinese Medicine

⁰