1.天津中医药大学第一附属医院 国家中医针灸临床医学研究中心 护理部, 天津, 300381
2.天津中医药大学第一附属医院 国家中医针灸临床医学研究中心 肿瘤科, 天津, 300381
收稿:2025-10-15,
修回:2025-11-10,
录用:2025-11-11,
网络出版:2026-01-07,
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汪亚男, 丁秀领, 刘瑾, 等. 基于“黜浊培本”理论应用刮痧治疗1例肺癌并发上腔静脉综合征患者的护理报告[DB/OL].中西医结合临床案例库, 2026.
WANG Yanan, DING Xiuling, LIU Jin, et al. Nursing Report on the Application of Scraping Therapy Based on the "Eliminating Turbid and Nourishing the Fundamental" Theory in a Patient with Lung Cancer Complicated with Superior Vena Cava Syndrome[DB/OL].Clinical Archives of Integrative Medicine, 2026.
汪亚男, 丁秀领, 刘瑾, 等. 基于“黜浊培本”理论应用刮痧治疗1例肺癌并发上腔静脉综合征患者的护理报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202510150002.
WANG Yanan, DING Xiuling, LIU Jin, et al. Nursing Report on the Application of Scraping Therapy Based on the "Eliminating Turbid and Nourishing the Fundamental" Theory in a Patient with Lung Cancer Complicated with Superior Vena Cava Syndrome[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202510150002.
本文总结1例基于“黜浊培本”理论应用刮痧技术治疗肺癌并发上腔静脉综合征患者的护理效果。本案例以“黜浊培本”理论为指导,在中医辨证基础上确定刮痧方案,通过重点刮拭特定经络与穴位,达到祛除病邪浊毒、扶助机体正气的目的,同时配合起居、饮食、情志及运动等综合护理措施,观察患者症状改善情况。经护理后,患者胸闷喘憋缓解,可平卧休息,面部及上肢水肿明显减轻,血压恢复正常,无疼痛,情绪缓解,睡眠质量与进食情况均有所改善。基于“黜浊培本”理论的刮痧技术能有效改善肺癌并发上腔静脉综合征患者的临床症状,提升患者生存质量,为中西医结合护理该类疾病提供有效路径。
This paper summarizes the nursing effect of a patient with lung cancer complicated with superior vena cava syndrome treated with scraping therapy based on the "Eliminating Turbid and Nourishing the Fundamental" theory. Guided by this theory, the scraping plan was determined based on the TCM syndrome differentiation. By focusing on scraping specific meridians and acupoints, the aim was to eliminate pathogenic turbidity and toxins and support the body's vital energy. This was complemented by comprehensive nursing measures including daily living, diet, emotional regulation, and exercise. The patient's symptoms improved significantly after the nursing intervention, with relief of chest tightness and shortness of breath, the ability to lie flat for rest, significant reduction of facial and upper limb edema, normalization of blood pressure, absence of pain, emotional relief, and improvement in sleep quality and appetite. The scraping therapy based on the "Eliminating Turbid and Nourishing the Fundamental" theory can effectively alleviate the clinical symptoms of patients with lung cancer complicated with superior vena cava syndrome, improve their quality of life, and provide an effective approach for integrated traditional Chinese and Western medicine nursing for such diseases.
李小钰 , 黄青 , 吴雨濛 , 等 . 2022年全球癌症统计报告的窄谱总结和展望 [J]. 肿瘤防治研究 , 2024 , 51 ( 5 ): 307 - 312 .
LI X Y , HUANG Q , WU Y M , et al . The global cancer statistics report in 2022: a narrow spectrum summary and outlook [J]. Cancer Res Prev Treat , 2024 , 51 ( 5 ): 307 - 312 . (in Chinese)
尹悦 , 夏琪琪 , 王如洁 , 等 . 基于鳖甲煎丸组方思路探讨肺癌并发上腔静脉综合征的中医辨治 [J]. 基层中医药 , 2025 , 4 ( 4 ): 56 - 60 .
YIN Y , XIA Q Q , WANG R J , et al . Traditional Chinese medicine diagnosis and treatment of lung cancer complicated by superior vena cava syndrome based on formula of decocted turtle shell pills [J]. Basic Tradit Chin Med , 2025 , 4 ( 4 ): 56 - 60 . (in Chinese)
王玉光 , 史锁芳 . 中医内科学-呼吸分册 [M]. 北京 : 人民卫生出版社 , 2020 : 328 - 332 .
王晓群 , 李玉婷 , 赵林林 , 等 . 贾英杰“黜浊培本”治疗恶性肿瘤学术探讨 [J]. 中医杂志 , 2021 , 62 ( 7 ): 568 - 571 .
WANG X Q , LI Y T , ZHAO L L , et al . Academic discussion on professor JIA yingjie′s theory of “Chuzhuo Peiben” in the treatment of malignant tumors [J]. J Tradit Chin Med , 2021 , 62 ( 7 ): 568 - 571 . (in Chinese)
廖冬颖 , 王晓群 , 王超然 , 等 . “黜浊培本”理论指导下恶性肿瘤减毒思路探析 [J]. 中华中医药杂志 , 2024 , 39 ( 9 ): 4770 - 4774 .
LIAO D Y , WANG X Q , WANG C R , et al . Exploration of thoughts for reducing the toxicity of malignant tumor based on the theory of‘Chuzhuo-Peiben' [J]. China J Tradit Chin Med Pharm , 2024 , 39 ( 9 ): 4770 - 4774 . (in Chinese)
姚万霞 , 柯娟 . 中医护理技术 [M]. 武汉 : 华中科技大学出版社 , 2015 .
王琪 , 王剑 , 金依诺 . 2025年版《NCCN小细胞肺癌指南》更新要点解读 [J]. 中国实用内科杂志 , 2025 , 45 ( 6 ): 495 - 497 .
WANG Q , WANG J , JIN Y N . Interpretation of key updates on NCCN small cell lung cancer guidelines(version 2025) [J]. Chin J Pract Intern Med , 2025 , 45 ( 6 ): 495 - 497 . (in Chinese)
贾凌莹 , 郑苏娜 , 蒋凌云 , 等 . 基于COSMIN的癌症患者自我管理测量工具测量学属性的系统评价 [J]. 护士进修杂志 , 2025 , 40 ( 4 ): 411 - 419, 438 .
JIA L Y , ZHENG S N , JIANG L Y , et al . A systematic review of the psychometric properties for patient-reported outcomes measures tools of COSMIN-based self-management in cancer patients [J]. J Nurses Train , 2025 , 40 ( 4 ): 411 - 419, 438 . (in Chinese)
郑振东 , 黄明 , 金毅 , 等 . 癌症相关性疼痛病人多维疼痛评估量表的构建及信效度检验 [J]. 中国疼痛医学杂志 , 2024 , 30 ( 3 ): 196 - 204 .
ZHENG Z D , HUANG M , JIN Y , et al . Construction and testing of reliability and validity of multi-dimensional brief test scale for pain in cancer-related pain patients [J]. Chin J Pain Med , 2024 , 30 ( 3 ): 196 - 204 . (in Chinese)
曲姗 , 胜利 . 广泛性焦虑量表在综合医院心理科门诊筛查广泛性焦虑障碍的诊断试验 [J]. 中国心理卫生杂志 , 2015 , 29 ( 12 ): 939 - 944 .
QU S , SHENG L . Diagnostic test of screening generalized anxiety disorders in general hospital psychological department with GAD-7 [J]. Chin Ment Health J , 2015 , 29 ( 12 ): 939 - 944 . (in Chinese)
明优 , 曾倩雯 , 陈凯琪 , 等 . 病人健康问卷抑郁自评量表在某三级甲等医院内科住院病人中的应用研究 [J]. 全科护理 , 2022 , 20 ( 23 ): 3302 - 3305 .
MING Y , ZENG Q W , CHEN K Q , et al . A study on the application of the patient health questionnaire depression self-rating scale in inpatients of the internal medicine department in a tertiary a hospital [J]. Chin Gen Pract Nurs , 2022 , 20 ( 23 ): 3302 - 3305 . (in Chinese)
郑涵尹 , 刘建材 , 李传芬 , 等 . 刮痧疗法临床研究现状与展望 [J]. 光明中医 , 2024 , 39 ( 6 ): 1225 - 1228 .
ZHENG H Y , LIU J C , LI C F , et al . Clinical research status and prospect of scrapping therapy [J]. Guangming J Chin Med , 2024 , 39 ( 6 ): 1225 - 1228 . (in Chinese)
张宏允 , 史青凌 . 芬太尼透皮贴结合五行音乐疗法在肿瘤疼痛患者中的应用效果研究 [C]// 临床医学创新与实践学术研讨会论文集 . 重庆 , 2025 : 1174 - 1177 .
张丁一 , 张波 . 酸枣仁汤足浴和足底穴位按摩干预对改善肿瘤科患者睡眠质量的影响 [J]. 中国中医药现代远程教育 , 2020 , 18 ( 9 ): 139 - 141 .
ZHANG D Y , ZHANG B . The effect of foot bath with Suanzaoren decoction and foot massage intervention on improving the sleep quality of oncology patients [J]. Chin Med Mod Distance Educ China , 2020 , 18 ( 9 ): 139 - 141 . (in Chinese)
辛雯艳 , 石正扬 , 刘冬 , 等 . 1990—2021年全球视角下慢性阻塞性肺疾病负担特征及预测研究 [J]. 疾病监测 , 2025 , 40 ( 3 ): 403 - 409 .
XIN W Y , SHI Z Y , LIU D , et al . Characteristics of chronic obstructive pulmonary disease burden during 1990-2021 and future trend worldwide [J]. Dis Surveillance , 2025 , 40 ( 3 ): 403 - 409 . (in Chinese)
金晶 , 李繁漪 , 何春辉 , 等 . 八段锦功法对慢性阻塞性肺疾病患者去脂肪指数及焦虑抑郁状态的影响 [J]. 中国临床保健杂志 , 2024 , 27 ( 4 ): 508 - 512 .
JIN J , LI F Y , HE C H , et al . Effects of Baduanjin in ameliorating FFMI, anti-depression and anti-anxiety in COPD patients [J]. Chin J Clin Healthc , 2024 , 27 ( 4 ): 508 - 512 . (in Chinese)
陈倩倩 , 孔凡铭 , 赵辰辰 , 等 . 贾英杰教授“黜浊培本”理论治疗恶性肿瘤探讨 [J]. 天津中医药 , 2020 , 37 ( 3 ): 282 - 286 .
CHEN Q Q , KONG F M , ZHAO C C , et al . An investigation of Professor JIA Yingjie’s theory of “Chuzhuo Peiben” in the treatment of malignant tumors [J]. Tianjin J Tradit Chin Med , 2020 , 37 ( 3 ): 282 - 286 . (in Chinese)
贾英杰 . 试论癌瘤“正气内虚, 毒瘀并存”的病机观点 [J]. 新中医 , 2013 , 45 ( 6 ): 9 - 11 .
JIA Y J . A discussion on the pathogenic mechanism of cancer tumors: “internal deficiency of righteous qi with coexistence of toxicity and blood stasis” [J]. J New Chin Med , 2013 , 45 ( 6 ): 9 - 11 . (in Chinese)
王晓群 , 廖冬颖 , 徐竞一 , 等 . “黜浊培本”内涵及在恶性肿瘤辨治中的应用 [J]. 中医杂志 , 2023 , 64 ( 6 ): 545 - 549 .
WANG X Q , LIAO D Y , XU J Y , et al . Connotation of “eliminating turbidity and banking up essence” and its application in differentiation and treatment of malignant tumor [J]. J Tradit Chin Med , 2023 , 64 ( 6 ): 545 - 549 . (in Chinese)
贾英杰 . 扶正解毒祛瘀法治疗恶性肿瘤探析 [J]. 中医杂志 , 2013 , 54 ( 24 ): 2145 - 2146 .
JIA Y J . Exploration of the treatment of malignant tumors by the method of supporting the healthy Qi, detoxifying, and removing blood stasis [J]. J Tradit Chin Med , 2013 , 54 ( 24 ): 2145 - 2146 . (in Chinese)
姚姝 , 贾英杰 , 于建春 . 略论恶性肿瘤的动态辨治 [J]. 新中医 , 2018 , 50 ( 5 ): 226 - 229 .
YAO S , JIA Y J , YU J C . A brief discussion on dynamic syndrome differentiation and treatment for malignant tumor [J]. J New Chin Med , 2018 , 50 ( 5 ): 226 - 229 . (in Chinese)
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