北京市通州区中西医结合医院 脊柱创伤科, 北京, 101100
张腾, E-mail: 562645794@qq.com
收稿:2026-05-04,
修回:2026-09-16,
录用:2026-09-17,
网络首发:2026-09-20,
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张爱, 赵允, 张腾, 等. 从肺脾同调论治颈椎病伴慢性阻塞性肺疾病、气虚便秘的中医护理案例报告[DB/OL].中西医结合临床案例库, 2026.
ZHANG Ai, ZHAO Yun, ZHANG Teng, et al. A Case Report on Traditional Chinese Medicine Nursing Based on the Theory of Simultaneous Regulation of the Lung and Spleen for Cervical Spondylosis Complicated with Chronic Obstructive Pulmonary Disease and Qi-Deficiency Constipation[DB/OL].Clinical Archives of Integrative Medicine, 2026.
张爱, 赵允, 张腾, 等. 从肺脾同调论治颈椎病伴慢性阻塞性肺疾病、气虚便秘的中医护理案例报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605040004.
ZHANG Ai, ZHAO Yun, ZHANG Teng, et al. A Case Report on Traditional Chinese Medicine Nursing Based on the Theory of Simultaneous Regulation of the Lung and Spleen for Cervical Spondylosis Complicated with Chronic Obstructive Pulmonary Disease and Qi-Deficiency Constipation[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605040004.
基于中医“肺与大肠相表里”及“肺主一身之气”理论,对1例颈椎病伴慢性阻塞性肺疾病(COPD)、气虚便秘患者实施肺脾同调的中医综合护理。辨证为项痹病(气滞血瘀证)、便秘(气虚证),护理以调畅气机、益气润肠及温经通络为原则,联合脏腑推拿、中药涂擦及中药水罐干预7 d。经治疗,患者颈肩痛、便秘等症状显著改善,Bristol粪便分型由2型转为4型,PAC-SYM(便秘患者症状自评量表)评分由20分降至4分,NRS(数字疼痛评分法)评分由6分降至2分,胸闷、腹胀减轻。提示该方案可有效改善患者相关症状,具有临床参考价值。
Based on the Traditional Chinese Medicine (TCM) theories of "the lung and the large intestine being interior-exteriorly related" and "the lung governing the qi of the entire body," a comprehensive TCM nursing regimen centered on the simultaneous regulation of the lung and spleen was implemented for a patient with cervical spondylosis complicated by chronic obstructive pulmonary disease (COPD) and Qi-deficiency constipation. The patient was differentiated as having cervical bi disease (qi stagnation and blood stasis pattern) and constipation (qi deficiency pattern). Adhering to the principles of regulating qi movement, tonifying qi to moisten the intestines, and warming the meridians to unblock the collaterals, a seven-day intervention combining visceral massage, Chinese herbal application, and Chinese herbal water cupping therapy was administered. Following treatment, the patient's neck and shoulder pain as well as constipation were significantly ameliorated. The Bristol Stool Form Scale type improved from type 2 to type 4, the Patient Assessment of Constipation Symptoms (PAC-SYM) score decreased from 20 to 4, and the Numerical Rating Scale (NRS) score decreased from 6 to 2. Chest tightness and abdominal distension were also alleviated. These findings suggest that this regimen can effectively improve the relevant clinical symptoms of patients, and holds valuable reference for clinical practice.
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