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1.北京中医药大学东方医院 妇科, 北京, 100078
2.中国中医科学院望京医院 康复科, 北京, 100102
Received:14 May 2026,
Revised:2026-06-03,
Accepted:16 June 2026,
Online First:24 July 2026,
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WANG Xuejing, LU Ying, JI Yingxia, et al. Traditional Chinese Medicine Nursing Case for a Patient with Lower Limb Dysfunction Following Stroke Based on the "Brain-Spinal Cord-Nerve Axis" Repair Theory[DB/OL].Clinical Archives of Integrative Medicine, 2026.
WANG Xuejing, LU Ying, JI Yingxia, et al. Traditional Chinese Medicine Nursing Case for a Patient with Lower Limb Dysfunction Following Stroke Based on the "Brain-Spinal Cord-Nerve Axis" Repair Theory[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605140003.
本文选取1例风痰瘀阻证中风后下肢功能障碍患者,依据“脑—脊髓—神经轴”修复理论,采用督灸、循经火龙罐及中医刮痧三联中医特色护理方案协同干预,配合个性化辨证施护。治疗后,患者患侧肌力分级明显提升,下肢功能活动显著改善,Fugl-Meyer评分、Barthel指数大幅升高,焦虑状态明显缓解。可见,基于“脑—脊髓—神经轴”修复的中医护理干预可温阳通络、化痰逐瘀并调和气血,有效改善风痰瘀阻证中风后肢体功能,提升生活自理能力,且安全无不良反应,为中风后康复提供了安全有效的中医外治新思路。
This paper reports a case of a stroke patient with lower limb dysfunction presenting with the pattern of wind-phlegm-stasis obstruction (feng tan yu zu). Guided by the "brain-spinal cord-nerve axis" repair theory, a triple integrated Traditional Chinese Medicine (TCM) characteristic nursing protocol was implemented, comprising Du-moxibustion (governor vessel moxibustion), meridian-following fire dragon cupping, and Traditional Chinese Medicine scraping therapy, in conjunction with individualized pattern differentiation-based nursing care. Following treatment, the muscle strength grade of the affected lower limb was markedly improved, and motor function showed significant enhancement. The Fugl-Meyer Assessment scores and Barthel Index increased substantially, while the patient's anxiety state was notably alleviated. The findings indicate that TCM nursing intervention based on the "brain-spinal cord-nerve axis" repair theory can warm yang and unblock collaterals, resolve phlegm and dispel stasis, and harmonize qi and blood, thereby effectively improving limb function and enhancing self-care ability in activities of daily living in post-stroke patients with the wind-phlegm-stasis obstruction pattern. The protocol demonstrated a favorable safety profile with no adverse reactions, providing a safe and effective novel external TCM approach for post-stroke rehabilitation.
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