Nursing Care Report of One Case of Facial Melanosis Treated by Thunder-Fire Moxibustion Combined with Scraping Therapy

BIAN Yanli

doi:10.12209/CAIM202602060002

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Nursing Care Report of One Case of Facial Melanosis Treated by Thunder-Fire Moxibustion Combined with Scraping Therapy

更新时间：2026-09-09

- Nursing Care Report of One Case of Facial Melanosis Treated by Thunder-Fire Moxibustion Combined with Scraping Therapy
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市回民医院灸疗中心，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202602060002
  CLC：
- Received：06 February 2026，
  
  Revised：2026-07-04，
  
  Accepted：06 July 2026，
  
  Online First：09 September 2026，
- 稿件说明：
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BIAN Yanli. Nursing Care Report of One Case of Facial Melanosis Treated by Thunder-Fire Moxibustion Combined with Scraping Therapy[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

BIAN Yanli. Nursing Care Report of One Case of Facial Melanosis Treated by Thunder-Fire Moxibustion Combined with Scraping Therapy[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202602060002.

摘要

本文报道1例50岁女性面部黑变病患者的中医外治护理经验。该患者面部曝光部位存在20余年弥漫性灰褐色、紫褐色网状斑片，针对西医治疗局限性，采用雷火灸联合刮痧纯中医外治法，结合情志疏导、健康宣教及并发症预防系统化护理。通过黄褐斑面积和严重程度指数（MASI）评分评估，患者初始评分为15.45分（中度），经1年余中医外治调理后，面部色素显著改善，皮肤质地恢复良好，MASI评分降至6.30分（轻度），且全程无不良反应。研究表明，刮痧联合雷火灸配合整体护理安全有效，可弥补西医治疗不足，为顽固性面部黑变病提供有价值的临床实操参考。

Abstract

This paper reports the traditional Chinese medicine （TCM） external treatment and nursing experience for one 50-year-old female patient with facial melanosis. The patient presented with diffuse gray-brown and purplish-brown reticular macules on the photo-exposed areas of the face for over 20 years. In view of the limitations of Western medical treatment， pure TCM external therapies of thunder-fire moxibustion combined with scraping therapy were adopted， along with systematic nursing interventions including emotional counseling， health education， and prevention of complications. Evaluated by the Melasma Area and Severity Index （MASI）， the patient had an initial score of 15.45 （moderate）， which decreased to 6.30 （mild） after more than one year of TCM external conditioning， with significant improvement in facial pigmentation and restoration of skin texture. No adverse reactions occurred throughout the treatment. The findings indicate that scraping therapy combined with thunder-fire moxibustion alongside holistic nursing care is safe and effective， which can compensate for the shortcomings of Western medical treatment and provide a valuable practical reference for the clinical management of refractory facial melanosis.

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references

王华，陈林伟，袁成业，等 . 雷火灸的研究现状及展望［J］. 中华中医药杂志， 2019 ， 34 （ 9 ）： 4204 - 4206 .

Wang H ， Chen L W ， Yuan C Y ， et al . Research status and prospect of thunder-fire moxibustion ［J］. China J Tradit Chin Med Pharm ， 2019 ， 34 （ 9 ）： 4204 - 4206 . （in Chinese）

钟兆怡，陶颖娜，王海宁，等 . 中医药治疗黄褐斑研究进展［J］. 中医文献杂志， 2025 ， 43 （ 1 ）： 95 - 100， 105 .

Zhong Z Y ， Tao Y N ， Wang H N ， et al . Research progress in the treatment of melasma with traditional Chinese medicine ［J］. J Tradit Chin Med Lit ， 2025 ， 43 （ 1 ）： 95 - 100， 105 . （in Chinese）

吴美达，贺莉雅，曾秋菊，等 . 廖列辉从中焦虚寒治疗面部黑变病撷要［J］. 浙江中医药大学学报， 2022 ， 46 （ 8 ）： 909 - 912， 919 .

Wu M D ， He L Y ， Zeng Q J ， et al . LIAO liehui’s experience in treating facial melanosis from deficiency cold of middle-Jiao ［J］. J Zhejiang Chin Med Univ ， 2022 ， 46 （ 8 ）： 909 - 912， 919 . （in Chinese）

曹金凤 . 中医 “五脏相音” 与 “导引” 理论用于女性黄褐斑患者心理护理中的效果分析［J］. 中外女性健康研究， 2023 （ 12 ）： 156 - 157， 186 .

Cao J F . Analysis of the Effect of Traditional Chinese Medicine's "Five Organs' Corresponding Sounds" and "Guidance" Theory in Psychological Care for Women with Age Spots ［J］. Women’s Heal Res ， 2023 （ 12 ）： 156 - 157， 186 . （in Chinese）

郭玉凤，肖茜，李丽 . 中医情志护理对黄褐斑患者自我效能感及心理弹性的影响［J］. 中国医药导报， 2022 ， 19 （ 30 ）： 184 - 187 .

Guo Y F ， Xiao Q ， Li L . Influence of emotional nursing of traditional Chinese medicine on self-efficacy and mental resilience of patients with chloasma ［J］. China Med Her ， 2022 ， 19 （ 30 ）： 184 - 187 . （in Chinese）

周玉豪 . 耳穴压豆联合穴位按摩的规范化护理对眩晕患者焦虑自评量表评分及日常活动能力的影响分析［J］. 山西卫生健康职业学院学报， 2025 ， 35 （ 6 ）： 144 - 146， 183 .

Zhou Y H . Analysis on the influence of standardized nursing of auricular point pressing bean combined with acupoint massage on the score of self-rating anxiety scale and the ability of daily activities of vertigo patients ［J］. J Shanxi Heal Vocat Coll ， 2025 ， 35 （ 6 ）： 144 - 146， 183 . （in Chinese）

李朝英 . 雷火灸的临床应用及研究现状［J］. 中国民间疗法， 2020 ， 28 （ 22 ）： 111 - 112 .

Li C Y . Clinical application and research status of thunder fire moxibustion ［J］. China’s Naturopathy ， 2020 ， 28 （ 22 ）： 111 - 112 . （in Chinese）

许子铭 . 中医外治法治疗气滞血瘀型黄褐斑的现状及展望［J］. 中国美容医学， 2023 ， 32 （ 7 ）： 194 - 198 .

Xu Z M . Research progress of TCM external treatment for chloasma with qi stagnation and blood stasis syndrome ［J］. Chin J Aesthetic Med ， 2023 ， 32 （ 7 ）： 194 - 198 . （in Chinese）

孙梓之，陈贵生，顾茜彦，等 . 通督解郁法针刺联合局部围刺治疗肝郁气滞型黄褐斑34例［J］. 中国针灸， 2026 ， 46 （ 3 ）： 367 - 371 .

Sun Z Z ， Chen G S ， Gu Q Y ， et al . Tongdu Jieyu acupuncture combined with local surrounding needling for 34 cases of melasma with liver qi stagnation ［J］. Chin Acupunct Moxibustion ， 2026 ， 46 （ 3 ）： 367 - 371 . （in Chinese）

耿蒙利，赵一丁，闫小宁，等 . 面部刮痧联合自拟珍僵汤治疗肝郁气滞型黄褐斑患者的临床效果［J］. 临床医学研究与实践， 2023 ， 8 （ 24 ）： 126 - 129 .

Geng M L ， Zhao Y D ， Yan X N ， et al . Clinical effect of facial scraping combined with self-made Zhenjiang decoction in the treatment of patients with chloasma of liver depression and Qi stagnation type ［J］. Clin Res Pract ， 2023 ， 8 （ 24 ）： 126 - 129 . （in Chinese）

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Department of Nursing， National Clinical Research Center for Acupuncture and Moxibustion， First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

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