Nursing Experience of Ear Apex Bloodletting Combined with Ear Acupoint Therapy in Improving Postherpetic Neuralgia in an Elderly Patient

SUN Xiangyuan; LIU Supo; ZHOU Songfei; LIU Ying; LI Weiwei

doi:10.12209/CAIM202605200008

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Nursing Experience of Ear Apex Bloodletting Combined with Ear Acupoint Therapy in Improving Postherpetic Neuralgia in an Elderly Patient

更新时间：2026-09-28

- Nursing Experience of Ear Apex Bloodletting Combined with Ear Acupoint Therapy in Improving Postherpetic Neuralgia in an Elderly Patient
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京市回民医院老年病科，北京， 100054
  2.中国中医科学院广安门医院南区护理部，北京， 102618
  3.中国中医科学院广安门医院南区脑病针灸康复科，北京， 102618
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605200008
  CLC：
- Received：20 May 2026，
  
  Revised：2026-07-13，
  
  Accepted：14 July 2026，
  
  Online First：28 September 2026，
- 稿件说明：
移动端阅览
SUN Xiangyuan, LIU Supo, ZHOU Songfei, et al. Nursing Experience of Ear Apex Bloodletting Combined with Ear Acupoint Therapy in Improving Postherpetic Neuralgia in an Elderly Patient[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

SUN Xiangyuan, LIU Supo, ZHOU Songfei, et al. Nursing Experience of Ear Apex Bloodletting Combined with Ear Acupoint Therapy in Improving Postherpetic Neuralgia in an Elderly Patient[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605200008.

摘要

本文总结1例耳尖放血联合耳穴疗法改善高龄带状疱疹后遗神经痛患者中西医结合护理的经验。在常规护理基础上，实施以耳尖放血及耳穴贴压为主的中医特色护理，配合中药内服、针灸等中医治疗，并针对高龄患者特点实施了多重用药管理、跌倒预防等专项护理措施。干预2周后，患者NRS疼痛评分从6分降至2分，PSQI睡眠质量评分从17分降至6分，SAS焦虑评分从75分降至52分，Barthel指数从60分升至85分，未发生不良事件。表明耳尖放血联合耳穴疗法可安全有效地缓解高龄带状疱疹后遗神经痛，改善患者睡眠与情绪，值得临床借鉴推广。

Abstract

This article summarizes the experience of integrated traditional Chinese and Western nursing care for an elderly patient with postherpetic neuralgia treated with ear apex bloodletting combined with ear acupoint therapy. Based on standard nursing care， a distinctive TCM nursing approach focusing on ear apex bloodletting and ear acupoint pressure was implemented， complemented by oral Chinese herbal medicine and acupuncture treatments. Specialized nursing measures were also applied according to the characteristics of elderly patients， including multiple medication management and fall prevention. Two weeks after intervention， the patient's NRS pain score decreased from 6 to 2， PSQI sleep quality score dropped from 17 to 6， SAS anxiety score reduced from 75 to 52， and Barthel index improved from 60 to 85， without any adverse events. The results indicate that ear apex bloodletting combined with ear acupoint therapy is safe and effective in alleviating postherpetic neuralgia in the elderly， improving sleep and emotional well-being， and thus merits clinical application and promotion.

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references

中国医师协会神经内科医师分会头痛与感觉障碍学组，中国研究型医院学会头痛与感觉障碍专委会，中华医学会疼痛学分会，等 . 带状疱疹后神经痛中西医结合诊疗专家共识（2026版）［J］. 中华医学杂志， 2026 ， 106 （ 18 ）： 1821 - 1834 .

Headache and Sensory Disorders Study Group ， Neurology Branch of the Chinese Medical Doctor Association ； Headache and Sensory Disorders Professional Committee ， Chinese Society of Research Hospitals ； Pain Medicine Branch ， Chinese Medical Association ， et al . Expert consensus on integrated traditional Chinese and western medicine treatment of postherpetic neuralgia （2026 edition）［J］. Natl Med J China ， 2026 ， 106 （ 18 ）： 1821 - 1834 . （in Chinese）

周慧，双慧，张夫坤 . 我国带状疱疹流行病学特征及预防措施的研究进展［J］. 中国生物制品学杂志， 2025 ， 38 （ 4 ）： 508 - 512 .

Zhou H ， Shuang H ， Zhang F K . Research progress on epidemiological characteristics and prevention of herpes zoster in China ［J］. Chin J Biologicals ， 2025 ， 38 （ 4 ）： 508 - 512 . （in Chinese）

齐晓静，任晨昕，粟顺彩，等 . 针刺治疗带状疱疹后遗神经痛的研究进展［J］. 中国中医急症， 2025 ， 34 （ 3 ）： 560 - 564 .

Qi X J ， Ren C X ， Su S C ， et al . Research progress on acupuncture treatment of postherpetic neuralgia ［J］. J Emerg Tradit Chin Med ， 2025 ， 34 （ 3 ）： 560 - 564 . （in Chinese）

路清源，吴景东 . 中医治疗带状疱疹后遗神经痛的进展［J］. 实用中医内科杂志， 2025 ， 39 （ 1 ）： 113 - 115 .

Lu Q Y ， Wu J D . Advances in traditional Chinese medicine treatment of postherpetic neuralgia ［J］. J Pract Tradit Chin Intern Med ， 2025 ， 39 （ 1 ）： 113 - 115 . （in Chinese）

张琪悦，刘倩，刘志勇，等 . 基于厥阴理论辨治带状疱疹后遗神经痛［J］. 环球中医药， 2025 ， 18 （ 10 ）： 2166 - 2169 .

Zhang Q Y ， Liu Q ， Liu Z Y ， et al . Differentiation and treatment of postherpetic neuralgia based on Jueyin theory ［J］. Glob Tradit Chin Med ， 2025 ， 18 （ 10 ）： 2166 - 2169 . （in Chinese）

乐薇，姚函伶，贾文，等 . 刺络拔罐联合耳穴揿针治疗气滞血瘀型胸腰部带状疱疹后遗神经痛：随机对照试验［J］. 中国针灸， 2024 ， 44 （ 8 ）： 899 - 904 .

Le W ， Yao H L ， Jia W ， et al . Pricking-cupping combined with auricular thumbtack needle for postherpetic neuralgia of qi stagnation and blood stasis on chest and waist： a randomized controlled trial ［J］. Chin Acupunct Moxibustion ， 2024 ， 44 （ 8 ）： 899 - 904 . （in Chinese）

李吴雨，吴节 . 基于“菀陈则除之”探讨刺络拔罐法在带状疱疹后神经痛治疗中的应用［J］. 成都中医药大学学报， 2023 ， 46 （ 2 ）： 8 - 11 .

Li W Y ， Wu J . Exploration of application of pricking-cupping method in treatment of postherpetic neuralgia based on the principle of removing blood stasis ［J］. J Chengdu Univ Tradit Chin Med ， 2023 ， 46 （ 2 ）： 8 - 11 . （in Chinese）

颜硕，王曙辉，颜北芳 . 耳穴压豆改善轻中度抑郁症伴失眠患者抑郁状态、睡眠质量的效果观察［J］. 四川中医， 2022 ， 40 （ 12 ）： 193 - 196 .

Yan S ， Wang S H ， Yan B F . Effect of auricular point pressing beans on improving depression and sleep quality of patients with mild to moderate depression and insomnia ［J］. J Sichuan Tradit Chin Med ， 2022 ， 40 （ 12 ）： 193 - 196 . （in Chinese）

王昕旭，陈晗晖，王宇昊，等 . Zung焦虑自评量表在社区居民中的信效度检验［J］. 临床精神医学杂志， 2024 ， 34 （ 5 ）： 397 - 401 .

Wang X X ， Chen H H ， Wang Y H ， et al . Reliability and validity of Zung self-rating anxiety scale among community residents ［J］. J Clin Psychiatry ， 2024 ， 34 （ 5 ）： 397 - 401 . （in Chinese）

陈梓嘉，陈锴壕，王冬梅 . 补阳还五汤治疗周围神经病理性疼痛的研究进展［J］. 广州中医药大学学报， 2025 ， 42 （ 6 ）： 1538 - 1544 .

Chen Z J ， Chen K H ， Wang D M . Research progress on Buyang Huanwu decoction in the treatment of peripheral neuropathic pain ［J］. J Guangzhou Univ Tradit Chin Med ， 2025 ， 42 （ 6 ）： 1538 - 1544 . （in Chinese）

谭惠英，杨巧红，李耀霞 . 带状疱疹后神经痛患者疼痛护理研究进展［J］. 上海护理， 2022 ， 22 （ 3 ）： 66 - 69 .

Tan H Y ， Yang Q H ， Li Y X . Progress on pain care in patients with postherpetic neuralgia ［J］. Shanghai Nurs ， 2022 ， 22 （ 3 ）： 66 - 69 . （in Chinese）

刘育卓佳，李忻红 . 带状疱疹后神经痛中西医结合研究进展［J］. 医学综述， 2024 ， 30 （ 23 ）： 2903 - 2909 .

Liu Y ， Li X H . Research progress of integrated traditional Chinese and western medicine of postherpetic neuralgia ［J］. Med Recapitulate ， 2024 ， 30 （ 23 ）： 2903 - 2909 . （in Chinese）

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