A Nursing Case Report： Bian Stone Therapy Combined with Acupoint Application for Alleviating Chest Tightness in a Patient with True Heart Pain （Acute Myocardial Infarction）

AN Junqing

doi:10.12209/CAIM202604300007

您当前的位置：

首页 >

文章列表页 >

A Nursing Case Report： Bian Stone Therapy Combined with Acupoint Application for Alleviating Chest Tightness in a Patient with True Heart Pain （Acute Myocardial Infarction）

更新时间：2026-07-13

- A Nursing Case Report： Bian Stone Therapy Combined with Acupoint Application for Alleviating Chest Tightness in a Patient with True Heart Pain （Acute Myocardial Infarction）
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市回民医院心血管内科，北京， 100053
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202604300007
  CLC：
- Received：30 April 2026，
  
  Revised：2026-06-08，
  
  Accepted：09 June 2026，
  
  Online First：13 July 2026，
- 稿件说明：
移动端阅览
AN Junqing. A Nursing Case Report： Bian Stone Therapy Combined with Acupoint Application for Alleviating Chest Tightness in a Patient with True Heart Pain （Acute Myocardial Infarction）[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

AN Junqing. A Nursing Case Report： Bian Stone Therapy Combined with Acupoint Application for Alleviating Chest Tightness in a Patient with True Heart Pain （Acute Myocardial Infarction）[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202604300007.

摘要

真心痛（即急性心肌梗死）病情凶险，老年患者临床护理难度大，胸痛与不良情绪是亟待解决的护理难题。本文选取1例老年急性非ST段抬高型心肌梗死（心气虚血瘀证）患者为个案，在常规西医治疗及基础护理基础上，重点运用砭石温热理疗联合中药穴位贴敷中医特色疗法干预，借助砭石温通经络、开通穴位，配合药物穴位贴敷直达病所，协同发挥益气活血、通脉止痛之效，同时辅以情志护理、饮食调理与健康指导。经干预后，患者胸痛症状大幅减轻，疼痛评分显著降低，焦虑情绪得到改善，心肌相关指标逐步恢复，康复效果理想。证实砭石联合穴位贴敷用于真心痛护理疗效确切，可有效缓解胸痛不适、助力病情恢复，且操作简便安全，极具临床应用与推广价值。

Abstract

True heart pain （acute myocardial infarction， AMI） is a critically life-threatening condition， and the clinical care of elderly patients presents considerable challenges， with chest pain and negative emotions being pressing nursing issues requiring prompt resolution. This paper presents a single case of an elderly patient with acute non-ST-segment elevation myocardial infarction （NSTEMI） classified as heart qi deficiency with blood stasis syndrome. On the basis of conventional Western medical treatment and standard nursing care， the intervention primarily employed Bian stone （stone needle） thermotherapy combined with Traditional Chinese Medicine （TCM） acupoint application as a characteristic TCM therapy. By leveraging the warming and unblocking effects of Bian stone on the meridians and acupoints， in conjunction with the direct penetration of herbal preparations into affected sites through acupoint application， the combined approach synergistically exerted the effects of replenishing qi， activating blood circulation， unblocking the vessels， and relieving pain. This was supplemented by emotional nursing， dietary regulation， and health education. Following the intervention， the patient's chest pain was substantially alleviated， pain scores decreased significantly， anxiety was ameliorated， myocardial-related indicators gradually returned to normal， and the rehabilitation outcomes were favorable. The findings confirm that the combined application of Bian stone therapy and acupoint application is effective in the nursing care of true heart pain， capable of relieving chest discomfort and facilitating disease recovery. Moreover， the technique is simple， safe， and holds considerable value for clinical application and widespread promotion.

关键词

Keywords

references

郭继东，王喜萍，赵媛媛，等 . 急性心肌梗死发生的高危因素分析［J］. 中国卫生标准管理， 2022 ， 13 （ 7 ）： 65 - 68 .

Guo J D ， Wang X P ， Zhao Y Y ， et al . Analysis of high risk factors of acute myocardial infarction ［J］. China Heal Standard Manag ， 2022 ， 13 （ 7 ）： 65 - 68 . （in Chinese）

陈亚亚，杨晶，丁劲，等 . 国内近十年冠心病患者便秘护理研究热点的共词聚类分析［J］. 中国疗养医学， 2022 ， 31 （ 11 ）： 1125 - 1129 .

Chen Y Y ， Yang J ， Ding J ， et al . Co-word clustering analysis of research hotspots of constipation nursing in patients with coronary heart disease in China in recent 10 years ［J］. Chin J Conval Med ， 2022 ， 31 （ 11 ）： 1125 - 1129 . （in Chinese）

郭翠花，李莉，郭敬，等 . 砭石热熨加按揉经穴治疗项背肌筋膜炎的随机对照试验［J］. 北京中医药， 2024 ， 43 （ 8 ）： 857 - 860 .

Guo C H ， Li L ， Guo J ， et al . A randomized controlled trial of stone-needle used in hot compress combined with massage on points along channels for nuchal dorsal myofascitis ［J］. Beijing J Tradit Chin Med ， 2024 ， 43 （ 8 ）： 857 - 860 . （in Chinese）

薛慧莹，赵紫昊，朱楠楠 . 中药外敷联合推拿手法在产褥期急性乳腺炎中的应用价值［J］. 实用中医内科杂志， 2024 ， 38 （ 1 ）： 113 - 115 .

Xue H Y ， Zhao Z H ， Zhu N N . Application value of external application of traditional Chinese medicine combined with massage in puerperal acute mastitis ［J］. J Pract Tradit Chin Intern Med ， 2024 ， 38 （ 1 ）： 113 - 115 . （in Chinese）

郑振东 . 癌症相关性疼痛病人多维疼痛评估量表的构建及信效度检验［J］. 中国疼痛医学杂志， 2024 ， 30 （ 3 ）：： 196- 204 ..

Zheng Z D . Construction and testing of reliability and validity of multi-dimensional brief test scale for pain in cancer-related pain patients ［J］. Chin J Pain Med ， 2024 ， 30 （ 3 ）： 196 - 204 . （in Chinese）

梁家柱，覃重航，赵敏芳，等 . 朱琏指针点按疗法对项背肌筋膜炎的临床疗效分析［J］. 贵州医药， 2025 ， 49 （ 4 ）： 553 - 555 .

Liang J Z ， Qin C H ， Zhao M F ， et al . Clinical effect analysis of Zhu Lian’s point-pressing therapy on nuchal dorsal myofascitis ［J］. Guizhou Medical Journal ， 2025 ， 49 （ 4 ）： 553 - 555 . （in Chinese）

中华医学会心血管病学分会心力衰竭学组，中国医师协会心力衰竭专业委员会，中华心血管病杂志编辑委员会 . 中国心力衰竭诊断和治疗指南2018 ［J］. 中华心血管病杂志， 2018 ， 46 （ 10 ）： 760 - 789 .

The Cardiology Branch of the Chinese Medical Association's Cardiovascular Disease Society ， the Heart Failure Specialty Committee of the Chinese Medical Doctors Association ， and the Editorial Board of Chinese Journal of Cardiovascular Diseases . China guidelines for diagnosis and treatment of heart failure 2018 ［J］. Chin J Cardiol ， 2018 ， 46 （ 10 ）： 760 - 789 . （in Chinese）

唐玲，郭红，祝静，等 . 《北京市“十四五”中医护理发展规划》解读［J］. 中西医结合护理， 2022 （ 7 ）： 157 - 162 .

Tang L ， Guo H ， Zhu J ， et al . Interpretation of the 14th Five-Year Plan for the develop⁃ment of traditional Chinese medicine nursing in Beijing ［J］. Chin J Integr Nurs ， 2022 （ 7 ）： 157 - 162 . （in Chinese）

印筱婷，程雅琳 . 以患者需求导向的中西医护理模式对提升老年科护理质量的影响［J］. 中医药管理杂志， 2025 ， 33 （ 22 ）： 137 - 139 .

Yin X T ， Cheng Y L . Influence of patient demand-oriented nursing mode of traditional Chinese and western medicine on improving nursing quality in geriatrics department ［J］. J Tradit Chin Med Manag ， 2025 ， 33 （ 22 ）： 137 - 139 . （in Chinese）

赖美丽，刘盈盈，林安妮 . 中医护理查房在心内科中医特色护理管理中的应用［J］. 中医药管理杂志， 2021 ， 29 （ 20 ）： 65 - 67 .

Lai M L ， Liu Y Y ， Lin A N . Application of TCM nursing rounds in TCM characteristic nursing management of cardiology department ［J］. J Tradit Chin Med Manag ， 2021 ， 29 （ 20 ）： 65 - 67 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Experience of Acupoint Application in a Patient with Type 2 Diabetes Mellitus and Abdominal Obesity

Nursing Experience with Moxibustion Combined with Acupoint Application for Nocturia in a Patient with Benign Prostatic Hyperplasia

Nursing Experience of Acupoint Application Therapy in a Case of Chronic Renal Failure Complicated with Respiratory Failure

Moxibustion combined with acupoint application in the treatment of chest pain in a patient with advanced lung cancer and related nursing measures

Nursing care of a case of pain after external stripping and internal ligation of mixed hemorrhoids treated with acupoint application combined with moxibustion

Related Author

JIN Tong

YANG Yuting

JIA Shan

DING Yan

FAN Yanmei

ZHAO Mengsi

GUO Xiaowen

LIN Qiang

Related Institution

Department of Nephrology and Endocrinology， Dongzhimen Hospital， Beijing University of Chinese Medicine

Department of Urology， Yuquan Hospital， Tsinghua University

Department of Urology， Guang'anmen Hospital， China Academy of Chinese Medical Sciences

Department of Critical Care Medicine， Beijing Jiangong Hospital

Department of Oncology， First Teaching Hospital of Tianjin University of Traditional Chinese medicine

⁰