A Case Report on the Nursing Care of a Patient with Liver Depression-Type Insomnia Treated with Holistic Scraping Technique

ZHANG Li; LI Jiao; JIA Zongyi; LI Meilian; ZHANG Xinhui; WANG Haiming; ZHANG Pei; ZHANG Hua

doi:10.12209/CAIM202512190002

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A Case Report on the Nursing Care of a Patient with Liver Depression-Type Insomnia Treated with Holistic Scraping Technique

更新时间：2026-03-20

- A Case Report on the Nursing Care of a Patient with Liver Depression-Type Insomnia Treated with Holistic Scraping Technique
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中医药大学东方医院二七院区中医绿色护理门诊，北京， 100072
  2.北京中医药大学东方医院二七院区门诊，北京， 100072
  3.北京中医药大学东方医院二七院区康复科，北京， 100072
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202512190002
  CLC：
- Received：19 December 2025，
  
  Revised：2026-02-11，
  
  Accepted：24 February 2026，
  
  Online First：20 March 2026，
- 稿件说明：
移动端阅览
ZHANG Li, LI Jiao, JIA Zongyi, et al. A Case Report on the Nursing Care of a Patient with Liver Depression-Type Insomnia Treated with Holistic Scraping Technique[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

ZHANG Li, LI Jiao, JIA Zongyi, et al. A Case Report on the Nursing Care of a Patient with Liver Depression-Type Insomnia Treated with Holistic Scraping Technique[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202512190002.

摘要

本报告通过1例老年肝郁型失眠患者的护理实践，重点探讨全息刮痧技术在该特定证型中的系统性应用及护理整合模式。本病例具有特殊性，患者为高龄女性，常规西药（艾司唑仑）治疗效果不佳，且失眠与情志因素密切相关，符合中医肝郁证候，为难治性、证型明确的失眠患者提供了观察非药物疗法临床价值的典型样本。病例报告主体围绕以全息刮痧为核心的综合护理方案展开，干预后匹兹堡睡眠质量指数（PSQI）由17分降至6分，失眠严重程度指数（ISI）由19分降至10分，头痛视觉模拟评分（VAS）由7分降至1分，焦虑自评量表（SAS）由56分降至35分。随访显示疗效稳定，且已停用安眠药物。本案例证实，对于肝郁型失眠患者，尤其是高龄、西药疗效不佳或担忧药物依赖的人群，以辨证为指导的全息刮痧技术结合结构化护理，是一种安全、有效且患者接受度高的非药物干预方案。

Abstract

This report focuses on the nursing practice of a 70-year-old female patient with liver depression-type insomnia， exploring the systematic application of holistic scraping technique and the integrated nursing model in this specific syndrome. The case is unique as the patient is an elderly woman with poor response to conventional Western medicine （estazolam） and insomnia closely related to emotional factors， which is consistent with the liver depression syndrome in traditional Chinese medicine. It provides a typical sample for observing the clinical value of non-pharmacological therapies in patients with refractory and clearly defined syndrome-type insomnia. The main body of the case report centers on the comprehensive nursing plan based on holistic scraping technique. After the intervention， the Pittsburgh Sleep Quality Index （PSQI） score decreased from 17 to 6， the Insomnia Severity Index （ISI） score dropped from 19 to 10， the Visual Analogue Scale （VAS） score for headache decreased from 7 to 1， and the Self-Rating Anxiety Scale （SAS） score reduced from 56 to 35. Follow-up showed stable efficacy， and the patient had stopped using sleep medication. This case confirms that for patients with liver depression-type insomnia， especially the elderly， those with poor response to Western medicine， or those concerned about drug dependence， the holistic scraping technique guided by syndrome differentiation combined with structured nursing is a safe， effective， and well-received non-pharmacological intervention approach.

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references

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