- 摘要：This paper summarizes the clinical nursing experience of integrated Traditional Chinese and Western medicine （TCM-WM） care for a patient with decompensated cirrhosis complicated by severe bilateral lower extremity edema， aiming to provide evidence-based references for the management of similar cases. A 66-year-old patient with decompensated cirrhosis presenting with severe bilateral lower extremity edema was treated with conventional Western medical interventions including hepatoprotection， diuresis， and correction of hypoalbuminemia. In parallel， Western nursing measures encompassing fluid management， skin protection， nutritional support， and condition monitoring were implemented， complemented by characteristic TCM interventions such as oral herbal decoctions， acupoint application， and emotional nursing based on TCM theory. Dynamic assessment of disease progression and nursing outcomes was performed throughout the treatment course. Following 21 days of standardized treatment and coordinated TCM-WM nursing care， the patient's severe bilateral lower extremity edema resolved completely. Liver function， serum albumin， and electrolyte parameters improved markedly compared with admission values. No complications such as pressure ulcers， infection， or hepatic encephalopathy occurred during hospitalization， and the patient was discharged in stable condition. These findings indicate that the implementation of targeted integrated TCM-WM nursing care for patients with decompensated cirrhosis complicated by severe bilateral lower extremity edema can effectively alleviate edema symptoms， improve liver function， reduce the risk of complications， and promote patient recovery， thereby enhancing the overall quality of nursing care.关键词：liver cirrhosis;severe bilateral lower extremity edema;integrated traditional Chinese and western medicine nursing care1|0|0更新时间：2026-10-16
- 摘要：This article summarizes the practical experience of integrated traditional Chinese and Western medicine （TCM-WM） nursing for a maintenance hemodialysis （MHD） patient complicated with moderate depression. Patients undergoing regular hemodialysis often suffer from prolonged illness-related distress and frequently present with typical depressive manifestations such as low mood and insomnia. On the basis of conventional Western medicine psychological care and specialized hemodialysis nursing， TCM characteristic nursing techniques including head and facial massage and five-element music therapy were incorporated into the intervention， with a continuous intervention duration of two weeks. The practice confirmed that the integrated TCM-WM nursing model achieves simultaneous management of both the primary disease and accompanying symptoms， effectively alleviating dialysis-related physical discomfort and improving the depressive state of MHD patients. This model is suitable for promotion and application in the clinical setting of hemodialysis units.关键词：maintenance hemodialysis;depression;integrated traditional Chinese and western medicine nursing;emotional care;head and facial massage0|0|0更新时间：2026-10-16
- 摘要：This case involved a neurocritical patient with traumatic intracranial hemorrhage complicated by type 2 diabetes mellitus and hypertension as multiple comorbidities， presenting an overall complex clinical condition with a high risk of various complications and considerable challenges in acute-phase clinical management. A multidisciplinary collaboration model was adopted for this case， integrating characteristic traditional Chinese medicine （TCM） intervention techniques on the basis of conventional Western medical treatment， with systematic nursing implementation and dynamic outcome evaluation carried out concurrently throughout the entire process. Following standardized intervention， the patient demonstrated significant improvement across multiple dimensions， including neurological functional status， metabolic indicators， nutritional status， and infection prevention and control outcomes. This case practice confirms that the evidence-based multidisciplinary collaboration model combined with integrated traditional Chinese and Western medicine nursing can effectively enhance acute-phase management outcomes for neurocritical patients with multiple comorbidities， providing referable clinical practice insights for the development of nursing care plans for similar complex cases.关键词：traumatic intracranial hemorrhage;evidence-based nursing;multidisciplinary collaboration;integrated Traditional Chinese and western medicine2|0|0更新时间：2026-10-16
- 摘要：This article summarizes the clinical practice experience of managing antibiotic-associated diarrhea in an elderly patient with severe pneumonia through intervention guided by the Midnight-Noon Ebb-Flow theory. Grounded in the core principle of traditional Chinese medicine （TCM） syndrome differentiation and treatment， and based on the theoretical foundation of "harmony between heaven and humanity" inherent in the Midnight-Noon Ebb-Flow theory， a clear disease diagnosis and intervention objectives were established under the guidance of TCM syndrome differentiation-based nursing on the basis of conventional treatment and nursing care. A therapeutic protocol combining acupoint application with ginger-separated moxibustion was implemented. The results demonstrated that the intervention effectively improved the patient's clinical symptoms， reduced the frequency of diarrheal episodes， alleviated the systemic inflammatory response， and enhanced the patient's quality of life.关键词：midnight-noon ebb-flow theory;acupoint application;ginger-separated moxibustion;antibiotic-associated diarrhea2|0|0更新时间：2026-10-16
- 摘要：This article summarizes the nursing practice report of one patient with lumbar disc herniation presenting with cold congealing and blood stasis syndrome who was treated with suspended moxibustion combined with Chinese herbal application. On the basis of completing relevant clinical examinations and in combination with traditional Chinese medicine （TCM） theory， syndrome differentiation-based nursing was implemented. An intervention protocol of suspended moxibustion combined with Chinese herbal application was adopted to improve the patient's clinical symptoms， concurrently supplemented with routine nursing and targeted psychological care. Following the intervention， the symptoms associated with lumbar disc herniation of the cold congealing and blood stasis pattern were significantly alleviated， and the patient's postoperative quality of life was markedly improved.关键词：suspended moxibustion;Chinese herbal application;lumbar disc herniation;cold congealing and blood stasis syndrome;integrated traditional Chinese and Western medicine nursing2|0|0更新时间：2026-10-16
- 摘要：ObjectiveTo explore the clinical efficacy of abdominal massage combined with acupoint application and hot compress guided by the theory of strengthening the spleen and harmonizing the middle jiao in managing gastrointestinal reactions induced by intravenous azithromycin in a pediatric patient with Mycoplasma pneumoniae pneumonia.MethodsBased on the four diagnostic methods and visceral pattern differentiation， a three-step intervention consisting of regulating qi， strengthening the spleen， and warming yang was implemented. The intervention measures included abdominal massage， acupoint application， and hot water bag compress， aiming to regulate qi and unblock the fu-organs， fortify the spleen and stomach to consolidate middle qi， and warm and activate spleen yang.ResultsThe discomfort symptoms of gastrointestinal reactions in the pediatric patient were effectively alleviated. Nausea， vomiting， abdominal pain， and diarrhea were significantly relieved， appetite was improved， and the patient demonstrated good compliance with subsequent treatment.ConclusionThe intervention protocol of abdominal massage combined with acupoint application and hot compress under the guidance of the theory of strengthening the spleen and harmonizing the middle jiao can effectively alleviate gastrointestinal reactions induced by azithromycin. The intervention is safe， simple， and noninvasive with high acceptance among pediatric patients， and is worthy of clinical promotion and application.关键词：pediatric Mycoplasma pneumoniae pneumonia;Azithromycin;gastrointestinal reactions;Traditional Chinese Medicine nursing8|0|0更新时间：2026-10-16
- 摘要：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.关键词：secondary rectal malignancy;multiple tumor metastases;phlegm-stasis intermingling syndrome;Traditional Chinese Medicine nursing;acupoint application;TCM external treatment10|0|0更新时间：2026-10-16
- 摘要：This paper summarizes the comprehensive rehabilitation nursing experience of a patient with hydrocephalus， tracheotomy， and severe consciousness disturbance following aneurysm embolization after undergoing ventriculoperitoneal shunt surgery. A standardized catheter nursing protocol and a four-level stepwise airway management model were adopted in clinical practice， combined with early Western functional rehabilitation training and hyperbaric oxygen therapy， complemented by characteristic traditional Chinese medicine nursing techniques including acupuncture， acupoint pressure， and meridian tapping， along with individualized intensive nutritional support intervention. The closed-loop precision nursing model integrating Chinese and Western medicine can effectively prevent shunt-related complications， control pulmonary infection， and correct nutritional imbalance， thereby accelerating the functional recovery of multiple systems including consciousness， respiration， limb function， and swallowing， and improving the long-term rehabilitation prognosis of critically ill neurosurgical patients.关键词：hydrocephalus;ventriculoperitoneal shunt;tracheotomy;integrated Chinese and Western medicine;rehabilitation nursing8|2|0更新时间：2026-10-15
- 摘要：This paper summarizes the individualized nursing experience for a 90-year-old patient with multiple comorbidities complicated by bacterial pneumonia， sepsis， and upper gastrointestinal hemorrhage. Through a systematic review of the entire nursing process for this patient， the core nursing challenges and targeted intervention strategies for elderly critically ill patients with multiple comorbidities were clarified， which can provide a reference for refined nursing practice in clinically similar elderly patients with complex conditions.关键词：elderly patients;multiple comorbidities;Integrated Chinese and Western Medicine Nursing;case nursing7|2|0更新时间：2026-10-15
- 摘要：This paper summarizes the integrated Chinese and Western medicine nursing experience based on TCM syndrome differentiation for a patient with pancreatic head cancer of the damp-heat accumulation and phlegm-blood stasis patterns complicated by hypertension， type 2 diabetes mellitus， and multiple cerebral infarctions during the peri-chemotherapy period. Targeting the patient's core pathogenesis， the intervention principles of "clearing dampness and heat， resolving phlegm and removing blood stasis， and regulating qi to unblock the fu-organs" were adopted. Multiple TCM external therapeutic techniques， including warm moxibustion， herbal paste massage， acupoint application， and traditional Chinese medicine hot compress， were applied in combination with symptomatic Western medicine nursing and standardized management of underlying chronic conditions. Following 15 days of systematic intervention， the patient's symptoms-including abdominal distension， constipation， cancer-related low back pain， chemotherapy-induced nausea， and cancer-related fatigue-were significantly alleviated， nutrition-related indicators and tumor marker levels were concurrently improved， and the current cycle of chemotherapy was completed successfully. This case can provide an effective clinical reference for individualized integrated Chinese and Western medicine nursing practice in patients with intermediate and advanced pancreatic head cancer.关键词：pancreatic head cancer;damp-heat accumulation;phlegm-blood stasis;Traditional Chinese Medicine characteristic nursing;integrated Chinese and Western medicine;adverse reactions of chemotherapy9|3|0更新时间：2026-10-15
- 摘要：This paper summarizes and analyzes the integrated Chinese and Western medicine nursing experience for a patient with lumbar spinal stenosis complicated by severe anemia. On the basis of routine Western medicine specialist nursing， dynamic disease monitoring， and symptomatic supportive treatment， comprehensive intervention measures were implemented， including TCM syndrome differentiation-based nursing， TCM physiotherapy， characteristic TCM nursing techniques， acupuncture intervention， dietary regulation， and emotional counseling. Following systematic intervention， the patient's physical discomfort was significantly alleviated， anemia-related laboratory indicators progressively improved， no adverse complications occurred throughout the course of treatment， and overall rehabilitation outcomes were favorable. The application of the integrated Chinese and Western medicine nursing model for this condition exerts synergistic therapeutic effects， effectively ameliorates clinical symptoms， enhances the patient's physical status， and mitigates various nursing risks. This nursing protocol is safe and effective， and can provide a reference for clinical nursing practice in patients with similar comorbidities.关键词：lumbar spinal stenosis;severe anemia;Integrated Chinese and Western Medicine Nursing;Traditional Chinese Medicine physiotherapy;acupuncture21|2|0更新时间：2026-10-15
- 摘要：This paper summarizes the nursing experience of applying pediatric massage combined with acupoint application of Chinese herbal medicine at the Yongquan point in the treatment of one case of infantile abdominal distension. Under the guidance of syndrome differentiation-based nursing in Traditional Chinese Medicine， daily pediatric massage and vinegar-mixed Chinese herbal application at the Yongquan point were implemented targeting the identified nursing problems of the infant. Concurrently， health education and psychological counseling were provided to the primary caregivers throughout the intervention period. After 7 days of intervention， the infant's abdominal distension and inconsolable crying were significantly alleviated， milk intake returned to normal， and a high level of caregiver satisfaction was reported. The findings suggest that this combined therapy is non-invasive with high patient compliance， and that the synchronous provision of health education for caregivers represents a key component in consolidating therapeutic outcomes. This integrated approach may serve as a reproducible practical reference for the external Traditional Chinese Medicine nursing management of infantile abdominal distension.关键词：massage;acupoint application of Chinese herbal medicine;infantile abdominal distension;nursing care13|0|0更新时间：2026-10-14
- 摘要：This paper summarizes the Traditional Chinese Medicine （TCM） nursing experience for one patient with postoperative gastroparesis syndrome （PGS） following gastric cancer surgery. On the basis of conventional nursing care， TCM external therapies， namely acupoint application at Shenque and Zhongwan combined with suspended moxibustion at Shenque， Zhongwan， and Zusanli， were implemented. The therapeutic principles centered on fortifying the spleen and replenishing qi， soothing the liver and harmonizing the stomach， as well as descending adverse qi and arresting vomiting. Following the nursing intervention， the symptom scores related to nausea， vomiting， and dietary intake were markedly improved， and the patient's sleep quality and anxiety status were notably alleviated. TCM external therapies are characterized by straightforward operation and high patient acceptance， and can effectively facilitate the recovery of gastrointestinal function in affected patients.关键词：gastroparesis;acupoint application;suspended moxibustion;case nursing9|5|0更新时间：2026-10-14
- 摘要：Post-stroke insomnia significantly impedes the recovery of neurological function in affected patients. In elderly patients undergoing maintenance hemodialysis who concurrently present with multiple chronic conditions such as stroke， conventional sedative-hypnotic medications are generally unsuitable for insomnia management due to age-related decline in organ function. This paper summarizes the comprehensive nursing experience of one patient with stroke complicated by diabetes mellitus， hypertension， and chronic kidney disease requiring dialysis who suffered from insomnia. A tailored nursing care plan was developed for the patient， incorporating auricular acupoint pressure combined with Chinese herbal acupoint application as non-pharmacological interventions， alongside foundational nursing care and psychological counseling. After three consecutive months of standardized nursing interventions， the patient's sleep quality was markedly improved. This external Traditional Chinese Medicine approach demonstrates a favorable safety profile and is particularly suitable for elderly patients with compromised organ function， thereby providing a feasible practical paradigm for insomnia management in such clinically complex cases.关键词：stroke;insomnia;Auricular Acupoint Pressure;Chinese herbal acupoint application9|1|0更新时间：2026-10-14
- 摘要：This case report summarizes the nursing experience of managing a peripheral intravenous catheter （PIVC） insertion site infection following ganciclovir infusion in a pediatric patient with infectious mononucleosis. Through a comprehensive intervention incorporating skin care， pain management， nutritional support， psychological intervention， and diversified health education， the infection was effectively controlled and wound healing was promoted， with the pediatric patient ultimately achieving a favorable recovery and successful discharge. This case provides a practical reference for the prevention and management of PIVC insertion site infections caused by strongly alkaline medications in pediatric clinical practice， as well as for enhancing the safety of intravenous therapy.关键词：children;ganciclovir;peripheral intravenous catheter insertion site infection;nursing care7|1|0更新时间：2026-10-14
- 摘要：Chemotherapy-induced nausea and vomiting （CINV） is the most common adverse reaction in bone tumor patients during the chemotherapy stage， which can significantly reduce patients' treatment compliance and interfere with the orderly implementation of antitumor therapy. This paper reports a postoperative chemotherapy patient with undifferentiated pleomorphic sarcoma of the left buttock who developed moderate nausea and vomiting， epigastric and abdominal distension， as well as poor appetite and fatigue after chemotherapy. On the basis of standardized antiemetic treatment in Western medicine， an external intervention protocol of Traditional Chinese Medicine （TCM） was adopted， comprising acupoint application combined with abdominal hot compress with Chinese herbal medicine. Following the TCM therapeutic principles of fortifying the spleen and harmonizing the stomach as well as descending adverse qi and arresting vomiting， standardized external therapeutic procedures， emotional nursing， and dialectical dietary care were carried out. After 6 days of intervention， the patient's vomiting ceased， symptoms of nausea and abdominal distension subsided， dietary intake returned to normal， and no adverse events such as skin allergy or scald occurred， with the current chemotherapy cycle successfully completed. The combination of Chinese herbal hot compress and acupoint application can safely and effectively alleviate chemotherapy-related gastrointestinal reactions in bone tumor patients， featuring simple operation and suitability for clinical application and promotion.关键词：undifferentiated pleomorphic sarcoma;chemotherapy-induced nausea and vomiting;Chinese herbal hot compress;acupoint application;Traditional Chinese Medicine nursing8|1|0更新时间：2026-10-14
- 摘要：This paper summarizes the nursing experience of one patient with chest discomfort and heart pain （coronary heart disease） accompanied by constipation， aiming to explore the application value of combined external interventions of Traditional Chinese Medicine （TCM） in reducing the risk of cardiac events and improving clinical symptoms. The nursing care centered on Bian-stone Chinese medicine ironing-massage penetration therapy combined with warming-Yang cupping therapy， supplemented by routine daily life nursing， emotional counseling， and dietary and exercise guidance. After 7 days of intervention， the patient's symptoms of chest tightness， palpitations， and abdominal distension disappeared， defecation returned to once daily， and no adverse cardiac events occurred. This case demonstrates that the combined intervention protocol is safe and effective， reflecting the advantages of addressing both the superficiality and root cause through the principles of "warming Yang， promoting qi movement， and unblocking the fu-organs，" and can provide a replicable TCM nursing regimen for clinical practice.关键词：unblocking Fu-Organs and draining turbidity;Bian-Stone Chinese medicine ironing-massage penetration therapy;Warming-Yang cupping therapy;chest discomfort and heart pain;constipation;Traditional Chinese Medicine nursing10|1|0更新时间：2026-10-14
- 摘要：This case report presents the implementation of integrated traditional Chinese and Western medicine （TCM-WM） nursing interventions for a patient with mixed cervical spondylosis. On the basis of a comprehensive nursing assessment， characteristic TCM-WM nursing techniques， including auricular acupressure and warm-moxibustion scraping therapy， were administered. The results demonstrated significant improvement in clinical symptoms induced by cervical spondylosis， such as dizziness， headache， and a sensation of heaviness in the head， effectively enhancing the patient's quality of life.关键词：cervical spondylosis;scraping therapy;auricular acupressure;limb numbness;dizziness7|3|0更新时间：2026-10-14
- 摘要：This article summarizes the nursing experience of integrated traditional Chinese and Western medicine （TCM-WM） for a patient with a lower extremity venous ulcer complicated by infection. On the basis of routine anti-infective treatment and therapies to improve venous return， nursing interventions grounded in TCM syndrome differentiation were implemented， including herbal debridement to remove necrotic tissue from the wound surface， topical application of recombinant human basic fibroblast growth factor （rh-bFGF） and Moist Exposed Burn Ointment （MEBO） to promote wound healing， oral administration of modified Simiao San combined with Wuwei Xiaodu Yin， and TCM external therapies such as herbal soaking compress and hot herbal compress packages. Throughout the course of treatment， dynamic wound assessment， postural management， emotional nursing based on TCM theory， and dietary regulation were simultaneously carried out. Through this systematic intervention， wound infection was effectively controlled， granulation tissue growth was promoted， wound pain was alleviated， and the overall quality of wound healing was significantly improved.关键词：lower extremity venous ulcer;integrated traditional Chinese and western medicine nursing;downward flow of damp-heat syndrome;ecthyma12|0|0更新时间：2026-10-14
- 摘要：This paper summarizes the nursing experience of auricular scraping combined with abdominal visceral massage in the treatment of a patient with constipation of the kidney deficiency and blood stasis pattern. Based on the principles of nursing care guided by traditional Chinese medicine （TCM） syndrome differentiation， and targeting the core pathogenesis of kidney deficiency with blood stasis and impaired intestinal transmission， a combined intervention was implemented comprising auricular scraping to regulate the zang-fu organs and abdominal visceral massage to unblock the fu-qi， supplemented by comprehensive nursing measures including dietary guidance， emotional regulation， and exercise prescription. Through nursing assessment， implementation of interventions， and outcome evaluation， the combined therapy was found to effectively alleviate constipation symptoms and relieve anxiety， while demonstrating a favorable safety profile and good patient tolerability. This case may serve as a practical reference for the clinical nursing care of patients with chronic renal failure complicated by constipation.关键词：copper-bian auricular scraping;abdominal visceral massage;chronic renal failure;constipation;kidney deficiency and blood stasis pattern;Traditional Chinese Medicine nursing8|3|0更新时间：2026-10-14
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