Nursing Experience of Alleviating Discomfort Symptoms in an Elderly Terminal Multiple Myeloma Patient Based on the "One-Qi Circulation" Theory with Traditional Chinese Medicine External Therapies

ZHU Yanling; ZHANG Qian; HAN Liu; MENG Xiangnan; WANG Jie

doi:10.12209/CAIM202606090007

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Nursing Experience of Alleviating Discomfort Symptoms in an Elderly Terminal Multiple Myeloma Patient Based on the "One-Qi Circulation" Theory with Traditional Chinese Medicine External Therapies

更新时间：2026-10-10

- Nursing Experience of Alleviating Discomfort Symptoms in an Elderly Terminal Multiple Myeloma Patient Based on the "One-Qi Circulation" Theory with Traditional Chinese Medicine External Therapies
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京市隆福医院老年科，北京， 100010
  2.北京中医药大学第三附属医院老年科，北京， 100010
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202606090007
  CLC：
- Received：09 June 2026，
  
  Revised：2026-07-19，
  
  Accepted：21 July 2026，
  
  Online First：10 October 2026，
- 稿件说明：
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ZHU Yanling, ZHANG Qian, HAN Liu, et al. Nursing Experience of Alleviating Discomfort Symptoms in an Elderly Terminal Multiple Myeloma Patient Based on the "One-Qi Circulation" Theory with Traditional Chinese Medicine External Therapies[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

ZHU Yanling, ZHANG Qian, HAN Liu, et al. Nursing Experience of Alleviating Discomfort Symptoms in an Elderly Terminal Multiple Myeloma Patient Based on the "One-Qi Circulation" Theory with Traditional Chinese Medicine External Therapies[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202606090007.

摘要

本文报告1例基于“一气周流”理论有序联合中医外治法，维稳高龄多发性骨髓瘤终末期患者气机升降出入，进而缓解患者不适症状的护理体会。患者为90岁女性，存在重度骨痛、睡眠障碍、高营养风险、极度衰弱及焦虑抑郁等多种不适症状。在西医常规对症支持护理基础上，紧扣“中焦失运、肝气郁结、气机升降失调”核心病机，以“调中土、疏肝木、通利气机”为治则，基于“一气周流”理论有序联合砭石疗法、中药热奄包及头部刮痧等中医外治技术干预。经12 d护理干预，患者骨痛、睡眠、营养状态及情绪等不适得到显著改善，终末期生活质量与舒适感明显提升。提示中西医结合护理联合中医外治法，对缓解高龄血液肿瘤终末期患者复合性不适具有临床应用价值。

Abstract

This article reports the nursing experience of orderly integrating traditional Chinese medicine （TCM） external therapies based on the "One-Qi Circulation" theory to stabilize the qi movement of ascending， descending， exiting， and entering in an elderly terminal multiple myeloma patient， thereby alleviating the patient's discomfort symptoms. The patient was a 90-year-old female presenting with multiple distressing symptoms， including severe bone pain， sleep disturbance， high nutritional risk， extreme frailty， as well as anxiety and depression. On the basis of conventional Western symptomatic supportive nursing care， the intervention focused on the core pathogenesis of "dysfunction of the middle jiao， stagnation of liver qi， and dysregulation of qi movement，" with the therapeutic principle of "regulating the middle earth， soothing the liver wood， and promoting the free flow of qi movement." Guided by the "One-Qi Circulation" theory， TCM external techniques， including stone needle therapy， hot herbal compress， and head scraping， were sequentially applied. After 12 days of nursing intervention， the patient's bone pain， sleep quality， nutritional status， and emotional state were significantly improved， and the quality of life and comfort during the terminal stage were notably enhanced. This case suggests that integrated traditional Chinese and Western medicine nursing combined with TCM external therapies holds clinical application value for relieving complex discomfort in elderly patients with terminal-stage hematological malignancies.

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