Nursing Care Experience of Ginger-Separated Moxibustion Combined with Flash Cupping Therapy for One Patient with Dysphagia Secondary to Demyelinating Disease

REN Xiao; CHANG Xiuyan

doi:10.12209/CAIM202605210002

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Nursing Care Experience of Ginger-Separated Moxibustion Combined with Flash Cupping Therapy for One Patient with Dysphagia Secondary to Demyelinating Disease

更新时间：2026-10-14

- Nursing Care Experience of Ginger-Separated Moxibustion Combined with Flash Cupping Therapy for One Patient with Dysphagia Secondary to Demyelinating Disease
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中西医结合医院肿瘤科，北京， 100039
  2.首都医科大学北京中医医院针一病房，北京， 100010
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605210002
  CLC：
- Received：21 May 2026，
  
  Revised：2026-07-21，
  
  Accepted：23 July 2026，
  
  Online First：14 October 2026，
- 稿件说明：
移动端阅览
REN Xiao, CHANG Xiuyan. Nursing Care Experience of Ginger-Separated Moxibustion Combined with Flash Cupping Therapy for One Patient with Dysphagia Secondary to Demyelinating Disease[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

REN Xiao, CHANG Xiuyan. Nursing Care Experience of Ginger-Separated Moxibustion Combined with Flash Cupping Therapy for One Patient with Dysphagia Secondary to Demyelinating Disease[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605210002.

摘要

目的

总结隔姜灸联合闪罐用于脱髓鞘病伴吞咽障碍患者的中西医结合护理经验。

方法

对1例脱髓鞘病伴吞咽障碍患者实施系统护理评估，围绕误吸风险、营养不良、跌倒坠床风险、皮肤受损风险、睡眠障碍及负性情绪等护理问题，针对肝肾阴虚证开展辨证施护。在常规治疗与吞咽康复训练基础上，联合应用隔姜灸、闪罐、五音疗法、进食安全管理、营养支持、跌倒及压力性损伤预防等个体化护理措施。

结果

经过15 d连续干预，患者洼田饮水试验分级由4级改善至2级，Barthel指数由20分提高至80分，Morse跌倒风险评分由80分下降至30分，NRS 2002营养风险评分由5分下降至2分，Braden压疮风险评分由12分提高至19分，PSQI睡眠质量评分由11分下降至6分，住院期间未发生误吸、跌倒坠床及压力性损伤。

结论

在严密风险评估和规范安全管理基础上，隔姜灸联合闪罐可作为脱髓鞘病吞咽障碍患者综合护理的辅助干预方式，有助于改善吞咽功能和日常生活能力，但单病例研究结论仍需更多样本进一步验证。

Abstract

Objective

To summarize the integrated Traditional Chinese and Western Medicine nursing experience of applying ginger-separated moxibustion combined with flash cupping therapy for a patient with dysphagia secondary to demyelinating disease.

Methods

A systematic nursing assessment was conducted for one patient with dysphagia associated with demyelinating disease. Targeted at the identified nursing issues， including aspiration risk， malnutrition， falls and bed-fall risk， skin impairment risk， sleep disturbance， and negative emotions， syndrome differentiation-based nursing care was implemented in accordance with the pattern of liver-kidney yin deficiency. On the basis of conventional treatment and swallowing rehabilitation training， individualized nursing measures were carried out， incorporating ginger-separated moxibustion， flash cupping， five-element music therapy， safe feeding management， nutritional support， and fall and pressure injury prevention.

Results

After 15 days of continuous intervention， the patient's grade on the Kubota Water Swallowing Test improved from grade 4 to grade 2， the Barthel Index increased from 20 to 80， the Morse Fall Risk Score decreased from 80 to 30， the NRS-2002 Nutritional Risk Score decreased from 5 to 2， the Braden Pressure Injury Risk Score increased from 12 to 19， and the Pittsburgh Sleep Quality Index （PSQI） score decreased from 11 to 6. No episodes of aspiration， fall， bed-fall， or pressure injury occurred during hospitalization.

Conclusion

On the premise of rigorous risk assessment and standardized safety management， ginger-separated moxibustion combined with flash cupping therapy may serve as an adjunctive intervention within the comprehensive nursing care of patients with dysphagia secondary to demyelinating disease， contributing to the improvement of swallowing function and activities of daily living. Nevertheless， the conclusions drawn from this single-case report warrant further validation through studies with larger sample sizes.

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references

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