Traditional Chinese Medicine Nursing for a Patient with Secondary Rectal Malignancy （Phlegm-Stasis Intermingling Syndrome）： A Case Report

ZUO Shanshan; LI Jin

doi:10.12209/CAIM202606140005

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Traditional Chinese Medicine Nursing for a Patient with Secondary Rectal Malignancy （Phlegm-Stasis Intermingling Syndrome）： A Case Report

更新时间：2026-10-16

- Traditional Chinese Medicine Nursing for a Patient with Secondary Rectal Malignancy （Phlegm-Stasis Intermingling Syndrome）： A Case Report
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市健宫医院普外科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202606140005
  CLC：
- Received：14 June 2026，
  
  Revised：2026-07-24，
  
  Accepted：27 July 2026，
  
  Online First：16 October 2026，
- 稿件说明：
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ZUO Shanshan, LI Jin. Traditional Chinese Medicine Nursing for a Patient with Secondary Rectal Malignancy （Phlegm-Stasis Intermingling Syndrome）： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

ZUO Shanshan, LI Jin. Traditional Chinese Medicine Nursing for a Patient with Secondary Rectal Malignancy （Phlegm-Stasis Intermingling Syndrome）： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202606140005.

摘要

本例为多发肿瘤转移复杂个案，研究对象为58岁女性原发子宫内膜癌患者，经多次抗肿瘤治疗后出现直肠继发转移，合并不完全性肠梗阻，存在多部位手术史，中医辨证为肠癌痰瘀互结证。护理全程围绕化痰逐瘀、行气止痛的核心护则拟定干预方案，实施多维度护理评估，确立与辨证结果对应的护理诊断，采用中药外洗、穴位贴敷及耳穴压丸等中医外治技术，同步配合西医生命体征监护、饮食调护、情志护理及并发症专项防护。经6 d干预后，患者腹胀坠胀、纳差乏力等痰瘀相关证候得到显著改善，无新发并发症出现，治疗依从性明显提升。本例实践证实，中西医结合辨证护理可高效缓解晚期转移肿瘤患者的躯体不适症状，为合并多重基础疾病的肿瘤患者开展个体化中医护理提供了可参考的实践依据。

Abstract

This report presents a complex case involving multiple tumor metastases. The subject was a 58-year-old female patient with primary endometrial cancer who developed secondary rectal metastasis after multiple antitumor treatments， complicated by incomplete intestinal obstruction and a history of multiple surgical procedures. Based on pattern differentiation in traditional Chinese medicine （TCM）， the patient was diagnosed with intestinal cancer presenting as phlegm-stasis intermingling syndrome. The nursing care was centered on the core principles of resolving phlegm， expelling stasis， promoting qi movement， and relieving pain. A multidimensional nursing assessment was conducted， nursing diagnoses corresponding to the syndrome differentiation results were established， and TCM external treatment techniques including herbal washing， acupoint application， and auricular point pressing with seeds were applied， alongside Western medicine approaches such as vital sign monitoring， dietary regulation， emotional care， and targeted prevention of complications. After 6 days of intervention， the phlegm-stasis-related symptoms including abdominal distension and bearing-down sensation， poor appetite， and fatigue were significantly alleviated， no new complications occurred， and the patient's treatment compliance improved markedly. This case practice demonstrates that the integration of traditional Chinese and Western medicine in syndrome-based nursing can effectively alleviate physical discomfort symptoms in patients with advanced metastatic tumors， providing a referable practical basis for the implementation of individualized TCM nursing in cancer patients with multiple underlying diseases.

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references

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