香港大学深圳医院 中医科, 广东 深圳, 518053
收稿:2026-04-24,
修回:2026-06-12,
录用:2026-06-15,
网络首发:2026-07-24,
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卢艳, 覃渊博, 李玉林. 铜砭刮痧治疗1例中枢神经病理性疼痛不寐的护理[DB/OL].中西医结合临床案例库, 2026.
LU Yan, QIN Yuanbo, LI Yulin. Nursing Care of a Patient with Central Neuropathic Pain and Insomnia Treated with Copper-Bian Gua Sha: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
卢艳, 覃渊博, 李玉林. 铜砭刮痧治疗1例中枢神经病理性疼痛不寐的护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202604240004.
LU Yan, QIN Yuanbo, LI Yulin. Nursing Care of a Patient with Central Neuropathic Pain and Insomnia Treated with Copper-Bian Gua Sha: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604240004.
本文总结1例多发性硬化中枢神经病理性疼痛患者应用循经铜砭刮痧的护理体会。通过辨证施护,以脏腑别通论为依据制定刮痧方案,采用循经铜砭刮痧,结合八段锦练习、中医药膳饮食指导及常规护理措施,以达到缓解疼痛、改善焦虑情绪与睡眠质量的目的。
This article summarizes the nursing experience of applying meridian-based copper-bian gua sha in a patient with central neuropathic pain secondary to multiple sclerosis. Guided by syndrome differentiation and based on the theory of extraordinary connections among the zang-fu organs, a tailored gua sha protocol was developed. Interventions comprised meridian-based copper-bian gua sha therapy combined with Baduanjin (Eight Pieces of Brocade) exercise, dietary guidance based on traditional Chinese medicine medicated diet, and routine nursing care, aiming to alleviate pain, relieve anxiety, and improve sleep quality.
Thouaye M , Yalcin I . Neuropathic pain: From actual pharmacological treatments to new therapeutic horizons [J]. Pharmacol Ther , 2023 , 251 : 108546 .
吴大胜 , 陶蔚 , 朱谦 . 神经病理性疼痛评估与管理中国指南(2024版) [J]. 中国疼痛医学杂志 , 2024 , 30 ( 1 ): 5 - 14 .
Wu D S , Tao W , Zhu Q . China guidelines for evaluation and management of neuropathic pain (2024 edition) [J]. Chin J Pain Med , 2024 , 30 ( 1 ): 5 - 14 . (in Chinese)
中国神经病理性疼痛诊疗指南制订专家组 , 中国老年保健协会疼痛病学分会 , 程志祥 , 等 . 中国神经病理性疼痛诊疗指南(2024版) [J]. 中华疼痛学杂志 , 2024 , 20 ( 4 ): 484 - 508 .
Expert Group for the Development of Chinese Guidelines for the Diagnosis and Treatment of Neuropathic Pain , Pain Medicine Branch of the China Association for Geriatric Health Care , Cheng Z X , et al . A Chinese guideline for the diagnosis and treatment of neuropathic pain (2024 edition) [J]. Chin J Painology , 2024 , 20 ( 4 ): 484 - 508 . (in Chinese)
国家疼痛专业质控中心神经病理性疼痛专家组 , 吴大胜 , 陶蔚 , 等 . 神经病理性疼痛评估与管理中国指南(2024版) [J]. 中国疼痛医学杂志 , 2024 , 30 ( 1 ): 5 - 14 .
National Pain Quality Control Center, Expert Group on Neuropathic Pain, Wu D S, Tao W, et al . China guidelines for evaluation and management of neuropathic pain (2024 edition) [J]. Chin J Pain Med , 2024 , 30 ( 1 ): 5 - 14 . (in Chinese)
Melzack R . The short-form McGill pain questionnaire [J]. Pain , 1987 , 30 ( 2 ): 191 - 197 .
Spitzer R L , Kroenke K , Williams J B , et al . A brief measure for assessing generalized anxiety disorder: the GAD-7 [J]. Arch Intern Med , 2006 , 166 ( 10 ): 1092 - 1097 .
丁海蓉 , 赵晓东 , 卞旭东 , 等 . 焦虑、抑郁与中青年失眠患者中医体质的相关性研究 [J]. 中国医药导报 , 2026 , 23 ( 3 ): 45 - 50 .
Ding H R , Zhao X D , Bian X D , et al . Study on the correlation between anxiety, depression and traditional Chinese medicine constitution in middle-aged and young patients with insomnia [J]. China Med Her , 2026 , 23 ( 3 ): 45 - 50 . (in Chinese)
李燕婷 , 魏翠英 , 杜丽萍 . 匹兹堡睡眠质量指数量表在子宫颈癌患者术前睡眠质量评价中的信效度分析 [J]. 中国卫生标准管理 , 2025 , 16 ( 12 ): 28 - 31 .
Li Y T , Wei C Y , Du L P . Reliability and validity analysis of the Pittsburgh sleep quality index in preoperative sleep quality evaluation of cervical cancer patients [J]. China Heal Standard Manag , 2025 , 16 ( 12 ): 28 - 31 . (in Chinese)
杨凌麟 , 陈宇洁 , 王怡 , 等 . 不同海拔地区不同年龄、性别健康成人睡眠监测指标差异性及临床意义研究 [J]. 中国全科医学 , 2024 , 27 ( 24 ): 2961 - 2968 .
Yang L L , Chen Y J , Wang Y , et al . Variations and clinical significance of sleep monitoring indicators among healthy adults of different ages and genders in various altitudes [J]. Chin Gen Pract , 2024 , 27 ( 24 ): 2961 - 2968 . (in Chinese)
蒲秋霞 , 李红伟 , 宏亚丽 . 国外布里斯托大便分类法的应用现状及其启示 [J]. 护理研究 , 2019 , 33 ( 9 ): 1552 - 1555 .
Pu Q X , Li H W , Hong Y L . Application status quo and enlightenment of the Bristol Stool Form Scale in foreign countries [J]. Chin Nurs Res , 2019 , 33 ( 9 ): 1552 - 1555 . (in Chinese)
路琴 , 季红莉 , 黄慧 , 等 . Bristol大便性状分型量表对拟行肠镜检查老年人肠道准备的指导价值 [J]. 中华老年多器官疾病杂志 , 2021 , 20 ( 9 ): 665 - 668 .
Lu Q , Ji H L , Huang H , et al . Guidance value of Bristol Stool Form Scale for bowel preparation in elderly undergoing colonoscopy [J]. Chin J Mult Organ Dis Elder , 2021 , 20 ( 9 ): 665 - 668 . (in Chinese)
曾双云 , 卿周明 , 周雅裴 , 等 . 脑外伤患者术后废用综合征危险因素及护理对策 [J]. 国际护理学杂志 , 2020 , 39 ( 17 ): 3119 - 3122 .
Zeng S Y , Qing Z M , Zhou Y P , et al . Risk factors and nursing countermeasures of disuse syndrome in patients with traumatic brain injury [J]. Int J Nurs , 2020 , 39 ( 17 ): 3119 - 3122 . (in Chinese)
王会玲 , 马影蕊 , 孔德昭 , 等 . 刮痧在颈肩腰痛患者中应用的最佳证据总结 [J]. 中华现代护理杂志 , 2023 , 29 ( 9 ): 1170 - 1175 .
Wang H L , Ma Y R , Kong D Z , et al . Summary of the best evidence for the application of scraping in patients with neck, shoulder and low back pain [J]. Chin J Mod Nurs , 2023 , 29 ( 9 ): 1170 - 1175 . (in Chinese)
张登本 , 孙理军 . 全注全译黄帝内经-上-素问 [M]. 北京 : 新世界出版社 , 2008 : 25 - 27 .
王居易 . 经络医学概论 [M]. 北京 : 中国中医药出版社 , 2016 : 156 - 162 .
刘健 , 梁亚杰 , 陈莹 , 等 . 中医药治疗多发性硬化的研究热点及其进展 [J]. 中国医院药学杂志 , 2024 , 44 ( 20 ): 2414 - 2421 .
Liu J , Liang Y J , Chen Y , et al . Research hotspots and advances of traditional Chinese medicine for treating multiple sclerosis [J]. Chin J Hosp Pharm , 2024 , 44 ( 20 ): 2414 - 2421 . (in Chinese)
中华医学会神经病学分会神经免疫学组 . 多发性硬化诊断与治疗中国指南(2023版) [J]. 中华神经科杂志 , 2024 , 57 ( 1 ): 10 - 23 .
The Neuroimmunology Group of the Neurology Branch of the Chinese Medical Association . Chinese guidelines for diagnosis and treatment of multiple sclerosis (2023 edition) [J]. Chin J Neurol , 2024 , 57 ( 1 ): 10 - 23 . (in Chinese)
高玉洁 , 王佳怡 , 葛浩天 , 等 . 刮痧改善腰椎间盘突出疼痛症状的系统评价及GRADE证据质量评价 [J]. 世界科学技术-中医药现代化 , 2024 , 26 ( 2 ): 419 - 428 .
Gao Y J , Wang J Y , Ge H T , et al . Systematic evaluation of scraping therapy for pain symptoms in lumbar disc herniation and GRADE evidence quality evidence [J]. World Sci Technol Mod Tradit Chin Med , 2024 , 26 ( 2 ): 419 - 428 . (in Chinese)
程静娴 , 张建楠 , 张婷 , 等 . 铜砭刮痧联合情志干预对带状疱疹后神经痛患者疼痛程度的影响 [J]. 河北中医 , 2025 , 47 ( 3 ): 484 - 487, 491 .
Cheng J X , Zhang J N , Zhang T , et al . Effect of copper needle scraping combined with emotional intervention on the pain level of patients with postherpetic neuralgia [J]. Hebei J Tradit Chin Med , 2025 , 47 ( 3 ): 484 - 487, 491 . (in Chinese)
雷婷 , 施茵 , 李燕婷 , 等 . 刮痧放痧联合电针治疗枕大神经痛: 随机对照试验 [J]. 中国针灸 , 2024 , 44 ( 8 ): 889 - 893 .
Lei T , Shi Y , Li Y T , et al . Guasha-Fangsha therapy combined with electroacupuncture in treatment of greater occipital neuralgia: a randomized controlled trial [J]. Chin Acupunct Moxibustion , 2024 , 44 ( 8 ): 889 - 893 . (in Chinese)
詹敏 , 李安安 , 时琳 , 等 . 脊髓损伤病人神经病理性疼痛护理的研究进展 [J]. 护理研究 , 2024 , 38 ( 19 ): 3513 - 3517 .
Zhan M , Li A A , Shi L , et al . Progress in nursing research on neuropathic pain in patients with spinal cord injury [J]. Chin Nurs Res , 2024 , 38 ( 19 ): 3513 - 3517 . (in Chinese)
王鳕 , 唐建清 , 赵晔 . 李氏铜砭刮痧在奥沙利铂所致周围神经病变中的运用 [J]. 中医药导报 , 2021 , 27 ( 12 ): 188 - 190 .
Wang X , Tang J Q , Zhao Y . Application of Li’s copper scraping in peripheral neuropathy caused by oxaliplatin [J]. Guid J Tradit Chin Med Pharm , 2021 , 27 ( 12 ): 188 - 190 . (in Chinese)
纪栓菊 , 祝永福 , 苗姝悦 , 等 . 虎符铜砭刮痧治疗肿瘤相关性失眠的效果观察 [J]. 现代临床护理 , 2024 , 23 ( 4 ): 41 - 46 .
Ji S J , Zhu Y F , Miao S Y , et al . Effectiveness of Guasha therapy with Hufu Tongbian in treating tumor-related insomnia [J]. Mod Clin Nurs , 2024 , 23 ( 4 ): 41 - 46 . (in Chinese)
李洪辉 , 岳鹏 , 向琪 , 等 . 铜砭刮痧治疗风寒痹阻型神经根型颈椎病的临床观察 [J]. 湖南中医药大学学报 , 2022 , 42 ( 12 ): 2088 - 2092 .
Li H H , Yue P , Xiang Q , et al . Clinical observation on copper-Bian Guasha therapy for cervical spondylotic radiculopathy of wind-cold impediment type [J]. J Hunan Univ Chin Med , 2022 , 42 ( 12 ): 2088 - 2092 . (in Chinese)
李晶晶 , 盛国法 , 耿玉洁 , 等 . 中药熏洗联合虎符铜砭刮痧对糖尿病周围神经病变疼痛及失眠的影响 [J]. 深圳中西医结合杂志 , 2023 , 33 ( 7 ): 29 - 32 .
Li J J , Sheng G F , Geng Y J , et al . Effect of fumigation and washing with traditional Chinese medicine combined with scraping with Hufu Tongluo on pain and insomnia of diabetic peripheral neuropathy [J]. Shenzhen J Integr Tradit Chin West Med , 2023 , 33 ( 7 ): 29 - 32 . (in Chinese)
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