Nursing Experience of Constipation-Specific Tuina Combined with Large Intestine Meridian Pushing Therapy for a Patient with Post-Stroke Constipation of Gastrointestinal Heat Accumulation Pattern： A Case Report

ZHAO Jiali; YANG Songran; YANG Jiaorong; LIU Wenhui

doi:10.12209/CAIM202606050006

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Nursing Experience of Constipation-Specific Tuina Combined with Large Intestine Meridian Pushing Therapy for a Patient with Post-Stroke Constipation of Gastrointestinal Heat Accumulation Pattern： A Case Report

更新时间：2026-08-31

- Nursing Experience of Constipation-Specific Tuina Combined with Large Intestine Meridian Pushing Therapy for a Patient with Post-Stroke Constipation of Gastrointestinal Heat Accumulation Pattern： A Case Report
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京按摩医院护理部，北京， 100021
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202606050006
  CLC：
- Received：05 June 2026，
  
  Revised：2026-06-22，
  
  Accepted：03 July 2026，
  
  Online First：31 August 2026，
- 稿件说明：
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ZHAO Jiali, YANG Songran, YANG Jiaorong, et al. Nursing Experience of Constipation-Specific Tuina Combined with Large Intestine Meridian Pushing Therapy for a Patient with Post-Stroke Constipation of Gastrointestinal Heat Accumulation Pattern： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

ZHAO Jiali, YANG Songran, YANG Jiaorong, et al. Nursing Experience of Constipation-Specific Tuina Combined with Large Intestine Meridian Pushing Therapy for a Patient with Post-Stroke Constipation of Gastrointestinal Heat Accumulation Pattern： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202606050006.

摘要

本文旨在总结1例中风后胃肠积热型便秘患者的护理经验。通过四诊合参明确辨证后实施针对性护理，予患者便秘推拿联合推大肠经治疗，并采用便秘主要症状评分标准、中医证候疗效标准量表及平均每周自发完全排便次数（SCBM）进行疗效评估。结果显示，患者住院期间排便困难、腹胀等不适症状得到显著改善，本案例可为该类患者的临床护理实践提供参考依据。

Abstract

This article aims to summarize the nursing experience of a patient with post-stroke constipation presenting with the gastrointestinal heat accumulation pattern. Following syndrome differentiation through a comprehensive analysis of the four TCM diagnostic methods， targeted nursing care was implemented， incorporating constipation-specific tuina therapy in conjunction with Large Intestine Meridian pushing therapy. Therapeutic outcomes were evaluated using the Constipation Main Symptom Scoring Standard， the Traditional Chinese Medicine （TCM） Syndrome Efficacy Evaluation Scale， and the mean weekly frequency of Spontaneous Complete Bowel Movements （SCBM）. The results demonstrated that symptoms such as defecation difficulty and abdominal distension were significantly improved during hospitalization. This case report may serve as a reference for the clinical nursing practice of patients with this condition.

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