Nursing Care for an Elderly Patient with Spleen-Deficiency Qi-Stagnation Constipation Based on the Theory of "Treating Both the Manifestation and Root Cause"

GAO Simiao; LIANG Fang

doi:10.12209/CAIM202606110007

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Nursing Care for an Elderly Patient with Spleen-Deficiency Qi-Stagnation Constipation Based on the Theory of "Treating Both the Manifestation and Root Cause"

更新时间：2026-09-20

- Nursing Care for an Elderly Patient with Spleen-Deficiency Qi-Stagnation Constipation Based on the Theory of "Treating Both the Manifestation and Root Cause"
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  中国中医科学院广安门医院脾胃病科，北京， 100053
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202606110007
  CLC：
- Received：11 June 2026，
  
  Revised：2026-07-14，
  
  Accepted：15 July 2026，
  
  Online First：20 September 2026，
- 稿件说明：
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GAO Simiao, LIANG Fang. Nursing Care for an Elderly Patient with Spleen-Deficiency Qi-Stagnation Constipation Based on the Theory of "Treating Both the Manifestation and Root Cause"[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

GAO Simiao, LIANG Fang. Nursing Care for an Elderly Patient with Spleen-Deficiency Qi-Stagnation Constipation Based on the Theory of "Treating Both the Manifestation and Root Cause"[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202606110007.

摘要

本文总结基于“标本兼治”理论干预1例老年脾虚气滞型便秘患者的护理经验。患者主要表现为排便困难、腹胀。护理上在整体评估和中医辨证基础上，围绕“理气通腑以治标，健脾益气以治本”的思路，实施药罐治疗、耳部全息刮痧联合耳穴贴压，并配合辨证施膳、运动指导、五音疗法、生活起居调护及延续护理。干预8 d后，患者症状缓解，便秘患者症状自评量表（PAC-SYM）评分由27分降至5分；胃肠疾病中医症状评分表由45分降至10分；便秘患者生活质量评分由83分降至32分。本案例提示，基于“标本兼治”理论的中医综合护理干预，可有效改善老年脾虚气滞型便秘患者的排便频率、粪便性状及便秘相关症状，提高老年便秘患者的生活质量。

Abstract

This paper summarizes the nursing experience of intervening in an elderly patient with spleen-deficiency qi-stagnation constipation based on the theory of "treating both the manifestation and root cause". The patient primarily presented with difficult defecation and abdominal distension. Grounded in holistic assessment and TCM pattern differentiation， the nursing care followed the principle of "regulating qi and unblocking the fu organs to address the manifestation， while fortifying the spleen and replenishing qi to address the root cause." The intervention comprised medicinal cupping therapy， auricular holographic scraping combined with auricular acupressure， complemented by pattern-based dietary guidance， exercise instruction， five-element music therapy， lifestyle regulation， and continuity of care. After an eight-day intervention， the patient's symptoms were relieved： the Patient Assessment of Constipation Symptoms （PAC-SYM） score decreased from 27 to 5； the TCM Symptom Score Scale for Gastrointestinal Diseases declined from 45 to 10； and the Patient Assessment of Constipation-Quality of Life （PAC-QOL） score decreased from 83 to 32. This case indicates that the comprehensive TCM nursing intervention based on the theory of "treating both the manifestation and root cause" can effectively improve defecation frequency， stool consistency， and constipation-related symptoms in elderly patients with spleen-deficiency qi-stagnation constipation， thereby enhancing their quality of life.

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