Nursing Report on the Application of Gua Sha Combined with Traditional Chinese Medicine Enema Based on "Holographic Theory" for Abdominal Pain in a Patient with Intestinal Obstruction

XI Juanshui; QI Huan

doi:10.12209/CAIM202606160008

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Nursing Report on the Application of Gua Sha Combined with Traditional Chinese Medicine Enema Based on "Holographic Theory" for Abdominal Pain in a Patient with Intestinal Obstruction

更新时间：2026-09-11

- Nursing Report on the Application of Gua Sha Combined with Traditional Chinese Medicine Enema Based on "Holographic Theory" for Abdominal Pain in a Patient with Intestinal Obstruction
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中医药大学东直门医院脾胃病科二区，北京， 101121
  2.北京中医药大学东方医院消化内科，北京， 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202606160008
  CLC：
- Received：16 June 2026，
  
  Revised：2026-06-26，
  
  Accepted：08 July 2026，
  
  Online First：11 September 2026，
- 稿件说明：
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XI Juanshui, QI Huan. Nursing Report on the Application of Gua Sha Combined with Traditional Chinese Medicine Enema Based on "Holographic Theory" for Abdominal Pain in a Patient with Intestinal Obstruction[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

XI Juanshui, QI Huan. Nursing Report on the Application of Gua Sha Combined with Traditional Chinese Medicine Enema Based on "Holographic Theory" for Abdominal Pain in a Patient with Intestinal Obstruction[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202606160008.

摘要

本例为气滞湿阻型粘连性肠梗阻患者，于2026年04月13日入院，入院表现为停止排气排便、恶心呕吐、剧烈腹痛及腹胀，伴随电解质紊乱、低蛋白血症及轻度焦虑。在西医常规护理基础上，基于中医全息理论，采用第二掌骨+耳部全息刮痧联合中药保留灌肠特色中西医结合护理方案。全息刮痧外调脏腑气机、疏通经络，中药灌肠内通肠腑、行气化湿，内外协同干预。经全程辨证施护后，患者腹痛、腹胀症状显著缓解，肠鸣音、排气排便功能逐步恢复，焦虑情绪改善，各项实验室指标回归正常，2026年04月27日顺利出院。本方案安全无创、操作性强，可为同类气滞湿阻型肠梗阻患者的中西医结合护理提供临床参考。

Abstract

This case involved a patient with adhesive intestinal obstruction of the Qi stagnation and dampness obstruction type， who was admitted on April 13， 2026. On admission， the patient presented with cessation of flatus and defecation， nausea， vomiting， severe abdominal pain and distension， accompanied by electrolyte imbalance， hypoalbuminemia， and mild anxiety. On the basis of conventional Western medicine nursing care and guided by the Traditional Chinese Medicine （TCM） holographic theory， a characteristic integrated traditional Chinese and Western medicine nursing protocol was implemented， incorporating holographic Gua Sha on the second metacarpal bone and auricular regions combined with traditional Chinese medicine retention enema. The external intervention of holographic Gua Sha served to regulate visceral Qi dynamics and unblock the meridians， while the internal intervention of TCM enema aimed to dredge the intestinal fu-organs， promote Qi movement， and resolve dampness， achieving synergistic therapeutic effects through internal-external coordination. Following the entire course of nursing care based on syndrome differentiation， the patient's abdominal pain and distension were significantly relieved； bowel sounds， as well as flatus and defecation function， were progressively restored； anxiety was ameliorated； and all laboratory parameters returned to normal. The patient was successfully discharged on April 27， 2026. This protocol is safe， non-invasive， and highly feasible in clinical practice， and may provide a reference for the integrated traditional Chinese and Western medicine nursing care of patients with intestinal obstruction of the Qi stagnation and dampness obstruction type.

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references

李志田，李龙华，江一平，等 . 《不完全性肠梗阻中医临床诊疗专家共识》临床一致性再评价研究［J］. 江西中医药大学学报， 2022 ， 34 （ 3 ）： 32 - 35 .

Li Z T ， Li L H ， Jiang Y P ， et al . Re-evaluation of the clinical consistency of the expert consensus on the clinical management of incomplete intestinal obstruction in Chinese medicine ［J］. J Jiangxi Univ Chin Med ， 2022 ， 34 （ 3 ）： 32 - 35 . （in Chinese）

高菲，范恒，左冬梅，等 . 不完全性肠梗阻中医治疗进展［J］. 中西医结合研究， 2021 ， 13 （ 5 ）： 338 - 340 .

Gao F ， Fan H ， Zuo D M ， et al . Progress in TCM treatment of incomplete intestinal obstruction ［J］. Res Integr Tradit Chin West Med ， 2021 ， 13 （ 5 ）： 338 - 340 . （in Chinese）

丁鹏，周媛，周秀娟，等 . 大承气汤联合复苏合剂加减救治急性肠梗阻合并脓毒性休克的治疗体会［J］. 中国中西医结合急救杂志， 2024 ， 31 （ 3 ）： 342 - 345 .

Ding P ， Zhou Y ， Zhou X J ， et al . Treatment of acute intestinal obstruction complicated with septic shock with Dachengqi decoction and Fusu agent ［J］. Chin J Integr Tradit West Med Intensive Crit Care ， 2024 ， 31 （ 3 ）： 342 - 345 . （in Chinese）

孙兵，车晓明 . 视觉模拟评分法（VAS）［J］. 中华神经外科杂志， 2012 ， 28 （ 6 ）： 645 .

Sun B ， Che X M . Visual Analogue Scale （VAS）［J］. Chin J Neurosurg ， 2012 ， 28 （ 6 ）： 645 . （in Chinese）

汪向东，王希林，马弘 . 心理卫生评定量表手册［M］. 增订版 . 北京：中国心理卫生杂志社， 1999 ： 194 - 197 .

王影利，袁东海 . 复方大承气汤配方颗粒加减应用治疗恶性肠梗阻临床观察［J］. 中医药临床杂志， 2015 ， 27 （ 5 ）： 702 - 704 .

Wang Y L ， Yuan D H . Formula particles of compound bearing gas soup addition and subtraction in the treatment of malignant bowel obstruction ［J］. Clin J Tradit Chin Med ， 2015 ， 27 （ 5 ）： 702 - 704 . （in Chinese）

张秀勤，郝万山 . 全息经络刮痧法［M］. 7版 . 北京：新华出版社， 1995 ： 128 - 132 .

刘翠，王龙，周颖，等 . 以通立法采用大承气汤加减保留灌肠联合通络刮痧治疗恶性肠梗阻的疗效观察［J］. 世界中西医结合杂志， 2022 ， 17 （ 7 ）： 1384 - 1387， 1392 .

Liu C ， Wang L ， Zhou Y ， et al . Clinical efficacy of retention enema with modified Dachengqi decoction combined with Tongluo scrapingfor the treatment of malignant bowel obstruction based on the principle of dredging ［J］. World J Integr Tradit West Med ， 2022 ， 17 （ 7 ）： 1384 - 1387， 1392 . （in Chinese）

俞健，于庆生，吴宗芳，等 . 辨证敷脐联合灌肠治疗粘连性肠梗阻62例［J］. 陕西中医学院学报， 2014 （ 6 ）： 47 - 49 .

Yu J ， Yu Q S ， Wu Z F ， et al . Treatment of 62 cases of adhesive intestinal obstruction by umbilical application combined with enema based on syndrome differentiation ［J］. J Shaanxi Coll Tradit Chin Med ， 2014 （ 6 ）： 47 - 49 . （in Chinese）

徐玉霞 . 活血降逆通腑法对肠结气滞血瘀证疗效观察及IL-6的影响［D］. 济南：山东中医药大学， 2023 .

艾丽娟，陆姝姝，施剑剑，等 . 耳部刮痧在慢性肾衰竭伴恶心呕吐患者中的应用研究［J］. 中华护理杂志， 2025 ， 60 （ 12 ）： 1434 - 1439 .

Ai L J ， Lu S S ， Shi J J ， et al . Application study of auricular Gua Sha in patients with chronic renal failure accompanied by nausea and vomiting ［J］. Chin J Nurs ， 2025 ， 60 （ 12 ）： 1434 - 1439 . （in Chinese）

于子晨，张丽曼，刘翠，等 . 全息刮痧联合大承气汤加减保留灌肠治疗恶性肠梗阻临床研究［J］. 中国药业， 2025 ， 34 （ 9 ）： 105 - 108 .

Yu Z C ， Zhang L M ， Liu C ， et al . Clinical study of holographic scraping combined with modified Dachengqi decoction retention enema in the treatment of malignant intestinal obstruction ［J］. China Pharm ， 2025 ， 34 （ 9 ）： 105 - 108 . （in Chinese）

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