Nursing Case Report on Fire Dragon Cupping Combined with Moxibustion for Knee Osteoarthritis （Cold-Dampness Obstruction Syndrome） with Joint Effusion

ZHANG Jianying; LI Yafei; WEI Xueqiao; DENG Ying

doi:10.12209/CAIM202512120001

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Nursing Case Report on Fire Dragon Cupping Combined with Moxibustion for Knee Osteoarthritis （Cold-Dampness Obstruction Syndrome） with Joint Effusion

更新时间：2026-03-09

- Nursing Case Report on Fire Dragon Cupping Combined with Moxibustion for Knee Osteoarthritis （Cold-Dampness Obstruction Syndrome） with Joint Effusion
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  湖南中医药大学第一附属医院内分泌内科，湖南长沙， 410007
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202512120001
  CLC：
- Received：12 December 2025，
  
  Revised：2026-02-02，
  
  Accepted：03 February 2026，
  
  Online First：09 March 2026，
- 稿件说明：
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ZHANG Jianying, LI Yafei, WEI Xueqiao, et al. Nursing Case Report on Fire Dragon Cupping Combined with Moxibustion for Knee Osteoarthritis （Cold-Dampness Obstruction Syndrome） with Joint Effusion[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

ZHANG Jianying, LI Yafei, WEI Xueqiao, et al. Nursing Case Report on Fire Dragon Cupping Combined with Moxibustion for Knee Osteoarthritis （Cold-Dampness Obstruction Syndrome） with Joint Effusion[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202512120001.

摘要

本文总结1例采用火龙罐综合灸治疗寒湿痹阻型膝骨关节炎伴关节积液患者的护理体会。患者为73岁女性，西医诊断为膝骨关节炎伴关节积液，中医诊断为膝痹（寒湿痹阻证）。护理团队通过全面评估患者病情，制定了以火龙罐综合灸为核心，结合分期康复锻炼、情志调摄及健康指导的中医特色护理方案。在中医特色护理方案干预下，经过10次治疗后，患者膝关节肿痛症状显著缓解，关节积液吸收，行走功能基本恢复，睡眠质量明显改善。结果表明，火龙罐综合灸能够有效温经散寒、祛湿通络、促进关节积液吸收，有助于改善膝骨关节炎患者的关节疼痛、肿胀及活动受限症状，提升患者生活质量，值得在临床护理中进一步推广应用。

Abstract

This report summarizes the nursing experience of a 73-year-old female patient with knee osteoarthritis （KOA） and joint effusion， diagnosed as Bi syndrome （cold-dampness obstruction pattern） in Traditional Chinese Medicine （TCM）. The patient received an integrated TCM nursing protocol centered on Fire Dragon Cupping combined with moxibustion， supplemented by staged rehabilitation exercises， emotional regulation， and health education. After 10 treatment sessions， the patient achieved significant relief in knee swelling and pain， complete absorption of joint effusion， restored walking function， and improved sleep quality. The results demonstrate that Fire Dragon Cupping combined with moxibustion effectively warms meridians， dispels cold-dampness， promotes effusion absorption， and alleviates pain and mobility limitations in KOA patients， highlighting its clinical value for broader application.

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references

NELSON E N ， OATES M E . Tc-99m bone scintigraphy of large knee joint effusions in osteoarthritis ［J］. Clin Nucl Med ， 2004 ， 29 （ 6 ）： 394 - 396 .

WANG X ， JIN X Z ， BLIZZARD L ， et al . Associations between knee effusion-synovitis and joint structural changes in patients with knee osteoarthritis ［J］. J Rheumatol ， 2017 ， 44 （ 11 ）： 1644 - 1651 .

PICERNO V ， FILIPPOU G ， BERTOLDI I ， et al . Prevalence of Baker’s cyst in patients with knee pain： an ultrasonographic study ［J］. Reumatismo ， 2014 ， 65 （ 6 ）： 264 - 270 .

RUTHERFORD D J . Intra-articular pressures and joint mechanics： should we pay attention to effusion in knee osteoarthritis？［J］. Med Hypotheses ， 2014 ， 83 （ 3 ）： 292 - 295 .

LIM S H ， HONG B Y ， OH J H ， et al . Effects of joint effusion on quadriceps muscles in patients with knee osteoarthritis ［J］. Phys Ther Sport ， 2016 ， 17 ： 14 - 18 .

HONG B Y ， LIM S H ， IM S A ， et al . Effects of acute joint effusion on balance in patients with knee osteoarthritis ［J］. Am J Phys Med Rehabil ， 2013 ， 92 （ 1 ）： 45 - 52 .

ZHANG D ， WANG Q F ， YANG L L ， et al . Study on musculuskeletal ultrasound features and correlation of knee osteoarthritis ［J］. China J Orthop Traumatol ， 2018 ， 31 （ 12 ）： 1108 - 1113 .

万丽，赵晴，陈军，等 . 疼痛评估量表应用的中国专家共识（2020版）［J］. 中华疼痛学杂志， 2020 ， 16 （ 3 ）： 177 - 187 .

WAN L ， ZHAO Q ， CHEN J ， et al . Expert consensus on the application of pain evaluation questionnaires in China（2020）［J］. Chin J Painology ， 2020 ， 16 （ 3 ）： 177 - 187 . （in Chinese）

SILVA JÚNIOR J E FDA ， DIBAI-FILHO A V ， SANTOS I S ， et al . Measurement properties of the short version of the Western Ontario and McMaster Universities Arthritis Index （WOMAC） for individuals with knee osteoarthritis ［J］. BMC Musculoskelet Disord ， 2023 ， 24 （ 1 ）： 574 .

BUYSSE D J ， 3rd REYNOLDS C F ， MONK T H ， et al . The Pittsburgh Sleep Quality Index： a new instrument for psychiatric practice and research ［J］. Psychiatry Res ， 1989 ， 28 （ 2 ）： 193 - 213 .

BELLAMY N ， BUCHANAN W W ， GOLDSMITH C H ， et al . Validation study of WOMAC： a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee ［J］. J Rheumatol ， 1988 ， 15 （ 12 ）： 1833 - 1840 .

CUI H H ， ZHAO Y X ， JU C M ， et al . The effectiveness of traditional Chinese medicine fumigation and washing nursing care after arthroscopic debridement of Knee Osteoarthritis： a protocol for systematic review and meta-analysis ［J］. Medicine ， 2021 ， 100 （ 11 ）： e24752 .

YAN Y H ， LIU X Z ， CHEN Y ， et al . Effects of platelet-rich plasma combined with physical therapy on IL-1β， TGF-β1， and MMP-3 in patients with knee osteoarthritis ［J］. Mol Biotechnol ， 2025 ， 67 （ 5 ）： 1991 - 2001 .

FENG F ， FANG Y ， CHEN R G ， et al . Randomized， double-blind， parallel controlled， multicenter clinical trial of effectiveness and safety of Shexiang Zhuifeng Zhitong Ointment in alleviating pain in knee osteoarthritis（syndrome of cold-dampness obstruction）［J］. Zhongguo Zhongyao Zazhi ， 2024 ， 49 （ 9 ）： 2512 - 2521 .

ZHAO L M ， ZHOU S S ， WANG S W ， et al . Zhuifeng Tougu capsules in the treatment of knee osteoarthritis （cold dampness obstruction syndrome）： a randomized， double blind， multicenter clinical study ［J］. Chin Med ， 2024 ， 19 （ 1 ）： 18 .

ZHAO J L ， LIANG G H ， HUANG H T ， et al . Potential mechanisms underlying the therapeutic roles of Gancao Fuzi decoction in cold-dampness obstruction syndrome-type knee osteoarthritis ［J］. Curr Comput Aided Drug Des ， 2024 ， 20 （ 4 ）： 384 - 395 .

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