HE Fanghong, ZHANG Yuchen. Nursing Case Report on Integrated Medical-Nursing Ward Rounds for a Patient with Perineal Carbuncle[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI:
HE Fanghong, ZHANG Yuchen. Nursing Case Report on Integrated Medical-Nursing Ward Rounds for a Patient with Perineal Carbuncle[DB/OL].Clinical Archives of Integrative Medicine, 2026.DOI: 10.12209/CAIM202602130002.
Nursing Case Report on Integrated Medical-Nursing Ward Rounds for a Patient with Perineal Carbuncle
This article summarizes the experience of integrated medical-nursing ward rounds in the management of a patient with perineal carbuncle. The patient's condition was attributed to spleen-stomach disharmony and dysfunction of qi and blood circulation, with exuberant heat generating tissue necrosis and culminating in carbuncle formation. Guided by the therapeutic principles of "supporting healthy qi and eliminating pathogenic factors" and "addressing both the manifestation and the root cause," the medical and nursing team conducted integrated ward rounds and applied the findings to direct clinical decision-making. The therapeutic regimen included anti-infection therapy, glycemic control, and correction of anemia and electrolyte imbalance. Nursing interventions encompassed comprehensive measures alongside distinctive traditional Chinese medicine (TCM) modalities: irrigation and wet compress with Compound Huangbai Liquid to clear heat, drain dampness, and promote wound repair; auricular acupoint sticking and pressing at Shenmen, Subcortex, and Sympathetic points to unblock meridians, tranquilize the mind, and relieve pain; and ginger-separated moxibustion at Zhongwan, Zusanli, and Sanyinjiao to warm and activate meridians, strengthen the spleen, harmonize the stomach, and facilitate nutrient absorption. Following treatment, the perineal carbuncle resolved completely, with marked improvement in spleen-stomach function, alleviation of clinical symptoms, and eventual recovery and discharge.
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