Nursing Experience of Traditional Chinese Medicine External Therapies Combined with Syndrome Differentiation-Based Care in a Patient with Pelvic Inflammatory Disease： A Case Report

XIONG Mei

doi:10.12209/CAIM202605150002

您当前的位置：

首页 >

文章列表页 >

Nursing Experience of Traditional Chinese Medicine External Therapies Combined with Syndrome Differentiation-Based Care in a Patient with Pelvic Inflammatory Disease： A Case Report

更新时间：2026-07-24

- Nursing Experience of Traditional Chinese Medicine External Therapies Combined with Syndrome Differentiation-Based Care in a Patient with Pelvic Inflammatory Disease： A Case Report
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  广州中医药大学深圳医院（福田）妇科，广东深圳， 518034
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605150002
  CLC：
- Received：15 May 2026，
  
  Revised：2026-06-04，
  
  Accepted：16 June 2026，
  
  Online First：24 July 2026，
- 稿件说明：
移动端阅览
XIONG Mei. Nursing Experience of Traditional Chinese Medicine External Therapies Combined with Syndrome Differentiation-Based Care in a Patient with Pelvic Inflammatory Disease： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

XIONG Mei. Nursing Experience of Traditional Chinese Medicine External Therapies Combined with Syndrome Differentiation-Based Care in a Patient with Pelvic Inflammatory Disease： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605150002.

摘要

目的

总结中医特色外治法联合辨证施护方案干预气滞血瘀转肝肾阴虚证盆腔炎的护理经验与临床疗效。

方法

对1例慢性盆腔炎患者实施动态辨证施护，患者前期辨证为气滞血瘀证，予以能量艾灸杯全背温通刮痧联合中药保留灌肠干预，以通络泄瘀、清泻瘀热；后期辨证转为肝肾阴虚证，予以背部火龙罐干预联合滋补肝肾中药口服，以温养元气、滋阴填精，同时配合情志调理、饮食指导及健康宣教等综合护理措施。

结果

干预后患者下腹隐痛视觉模拟评分法（VAS）评分由5分降至1分，焦虑自评量表（SAS）评分由55分降至38分，匹兹堡睡眠质量指数（PSQI）评分由12分降至6分，患者焦虑情绪显著缓解，睡眠质量改善、体质提升，可自主完成疾病自我管理。

结论

中医特色外治法联合动态辨证施护可有效缓解慢性盆腔炎患者的疼痛症状，改善患者情志状态与睡眠质量、调理体质，且操作安全、简便易行，具备临床推广应用价值。

Abstract

Objective

To summarize the nursing experience and clinical efficacy of traditional Chinese medicine （TCM） external therapies combined with a dynamic syndrome differentiation-based care protocol in the management of pelvic inflammatory disease （PID） with syndrome transition from qi stagnation and blood stasis to liver-kidney yin deficiency.

Methods

A patient with chronic pelvic inflammatory disease received staged nursing care guided by dynamic syndrome differentiation. In the early stage， the patient was identified as having the qi stagnation and blood stasis pattern and was treated with whole-back warming-unblocking gua sha using an energy moxibustion cup combined with traditional Chinese herbal retention enema， aiming to unblock the collaterals， drain stasis， and clear stagnant heat. In the later stage， as the pattern transformed into liver-kidney yin deficiency， fire dragon cupping therapy on the back was applied in conjunction with oral Chinese herbal decoctions for nourishing the liver and kidney， with the purpose of warming and replenishing primordial qi as well as enriching yin and replenishing essence. Throughout the course of treatment， comprehensive nursing measures including emotional regulation， dietary guidance， and health education were also provided.

Results

Following the intervention， the patient's Visual Analogue Scale （VAS） score for lower abdominal dull pain decreased from 5 to 1， the Self-Rating Anxiety Scale （SAS） score dropped from 55 to 38， and the Pittsburgh Sleep Quality Index （PSQI） score declined from 12 to 6. The patient's anxiety was significantly alleviated， sleep quality improved， and overall constitution was enhanced， enabling her to independently manage her own condition.

Conclusion

The combination of TCM external therapies with dynamic syndrome differentiation-based nursing can effectively relieve pain symptoms in patients with chronic pelvic inflammatory disease， improve emotional status and sleep quality， regulate body constitution， and is safe， simple， and feasible to perform， demonstrating considerable value for clinical promotion and application.

关键词

Keywords

references

余小玲 . 慢性盆腔炎的发病机制与中医药治疗进展［J］. 临床合理用药， 2025 ， 18 （ 22 ）： 178 - 181 .

Yu X L . Pathogenesis of chronic pelvic inflammatory disease and progress in treatment of traditional Chinese medicine ［J］. Chin J Clin Ration Drug Use ， 2025 ， 18 （ 22 ）： 178 - 181 . （in Chinese）

农秀明，黄小丽 . 中医外治法在慢性盆腔炎治疗中的应用研究进展［J］. 广西中医药， 2024 ， 47 （ 3 ）： 67 - 70 .

Nong X M ， Huang X L . Research progress on the application of external treatment of traditional Chinese medicine in the treatment of chronic pelvic inflammatory disease ［J］. Guangxi J Tradit Chin Med ， 2024 ， 47 （ 3 ）： 67 - 70 . （in Chinese）

王晶 . 基于辨证施护的中医护理对慢性盆腔炎的临床研究［J］. 卫生职业教育， 2025 ， 43 （ 14 ）： 136 - 139 .

Wang J . Clinical study on TCM nursing on chronic pelvic inflammatory disease based on syndrome differentiation nursing ［J］. Heal Vocat Educ ， 2025 ， 43 （ 14 ）： 136 - 139 . （in Chinese）

李星 . 盆腔炎性疾病后遗症慢性盆腔痛患者的中医证型与焦虑抑郁的分布规律及影响因素分析［D］. 成都：成都中医药大学， 2021 .

陆艳榕，薛海华，徐亚梅 . 中医辩证施护联合循证护理在围绝经期功能性子宫出血护理中的应用效果［J］. 中国医药指南， 2024 ， 22 （ 2 ）： 182 - 185 .

Lu Y R ， Xue H H ， Xu Y M . Application effect of traditional Chinese medicine evidence-based conceptual nursing combined with evidence-based nursing in patients with perimenopausal functional uterine bleeding ［J］. Guide China Med ， 2024 ， 22 （ 2 ）： 182 - 185 . （in Chinese）

万丽，赵晴，陈军，等 . 疼痛评估量表应用的中国专家共识（2020版）［J］. 中华疼痛学杂志， 2020 ， 16 （ 3 ）： 177 - 187 .

Wan L ， Zhao Q ， Chen J ， et al . Expert consensus on the application of pain evaluation questionnaires in China（2020）［J］. Chin J Painology ， 2020 ， 16 （ 3 ）： 177 - 187 . （in Chinese）

高璐，孔德昭，王思佳，等 . 中医外治法改善失眠症睡眠质量的网状Meta分析［J］. 世界中医药， 2022 ， 17 （ 19 ）： 2753 - 2758 .

Gao L ， Kong D Z ， Wang S J ， et al . Improvement of sleep quality of insomnia patients with external treatment of traditional Chinese medicine： a network meta-analysis ［J］. World Chin Med ， 2022 ， 17 （ 19 ）： 2753 - 2758 . （in Chinese）

郝俊芳 . 分析阶段性护理对慢性盆腔炎患者焦虑状态及症状缓解时间的改善价值［C］// 关爱生命大讲堂之生命关怀与智慧康养系列学术研讨会， 2025 ： 220 - 221 .

麦贞，邬凯媛，张金香 . 子午流注择时温通刮痧联合中药保留灌肠对慢性盆腔炎的影响［J］. 中医研究， 2024 ， 37 （ 12 ）： 59 - 62 .

Mai Z ， Wu K Y ， Zhang J X . Effect of ziwu Liuzhu on chronic pelvic inflammatory disease by timing warming and scraping combined with retention enema of traditional Chinese medicine ［J］. Tradit Chin Med Res ， 2024 ， 37 （ 12 ）： 59 - 62 . （in Chinese）

戴瑶兰，邓建文 . 中医特色护理技术配合中药保留灌肠对慢性盆腔炎患者恢复的影响［J］. 黑龙江医学， 2025 ， 49 （ 7 ）： 878 - 881 .

Dai Y L ， Deng J W . Impact of traditional Chinese medicine characteristic nursing techniques combined with traditional Chinese medicine retention enema on the recovery of patients with chronic pelvic inflammatory disease ［J］. Heilong Med Jouranl ， 2025 ， 49 （ 7 ）： 878 - 881 . （in Chinese）

钟燕月，黄少华，黎敏 . 火龙罐结合肌筋膜触发点治疗慢性盆腔炎疼痛临床研究［J］. 新中医， 2023 ， 55 （ 19 ）： 196 - 200 .

Zhong Y Y ， Huang S H ， Li M . Clinical study on fire-dragon cupping combined with myofascial trigger point for chronic pelvic inflammatory pain ［J］. New Chin Med ， 2023 ， 55 （ 19 ）： 196 - 200 . （in Chinese）

林小敏 . 盆腔炎性疾病后遗症慢性盆腔痛的影响因素及雷火灸联合五行音乐干预研究［D］. 南宁：广西中医药大学， 2024 .

杨丹，易蓉，秦宗梅，等 . 中医综合疗法对盆腔炎性疾病后遗症慢性盆腔痛患者中医证候积分及生活质量的影响［J］. 临床合理用药， 2025 ， 18 （ 25 ）： 118 - 121 .

Yang D ， Yi R ， Qin Z M ， et al . Effect of TCM comprehensive therapy on TCM syndrome score and quality of life of patients with chronic pelvic pain caused by sequelae of pelvic inflammatory disease ［J］. Chin J Clin Ration Drug Use ， 2025 ， 18 （ 25 ）： 118 - 121 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Care Report of Chinese Medicine Hot Compression Combined with Chrono-Meridian Regulation Therapy for a Patient with Qi Stagnation and Blood Stasis Pattern of Defecation Difficulty

Traditional Chinese Medicine Characteristic Nursing Report for a Young Male Patient After Distal Radius Fracture Surgery： A Case Report

Nursing Experience of Fire Dragon Cupping Combined with Herbal Hot Compress Therapy for a Case of Lumbago due to Cold-Dampness Stagnation

Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Severe Case of Psittacosis Complicated with Multiple Underlying Diseases

Nursing Experience of Calabash Moxibustion Intervention in a Case of Lumbar Impediment with Qi Stagnation and Blood Stasis Complicated by Chronic Nephritis and Hypertension

Related Author

ZHANG Fuxia

CHANG Yaping

ZHAO Qing

LIU Yilin

WANG Jing

WANG Jie

WANG Aimin

JIANG Wenyan

Related Institution

Department of General Surgery， First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

Department of Traditional Chinese Medicine， Air Force Medical Center

National Clinical Research Center for Chinese Medicine

Department of Acupuncture and Moxibustion， First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

EICU， Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

⁰