天津中医药大学第一附属医院 中医国家临床医学研究中心 脑血管病科, 天津, 300381
收稿:2026-05-06,
修回:2026-06-25,
录用:2026-06-26,
网络首发:2026-08-26,
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谢馨, 李中慧. 基于黄帝内针理论火龙罐联合体表针法治疗1例中风后偏瘫侧肢体肿胀的护理体会[DB/OL].中西医结合临床案例库, 2026.
XIE Xin, LI Zhonghui. Nursing Experience in Treating Post-Stroke Hemiplegic Limb Swelling Using Fire Dragon Cupping Combined with Superficial Acupuncture Based on Yellow Emperor's Inner Classic Theory[DB/OL].Clinical Archives of Integrative Medicine, 2026.
谢馨, 李中慧. 基于黄帝内针理论火龙罐联合体表针法治疗1例中风后偏瘫侧肢体肿胀的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605060001.
XIE Xin, LI Zhonghui. Nursing Experience in Treating Post-Stroke Hemiplegic Limb Swelling Using Fire Dragon Cupping Combined with Superficial Acupuncture Based on Yellow Emperor's Inner Classic Theory[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605060001.
本文总结1例脑卒中后偏瘫侧肢体肿胀患者,在常规康复护理基础上,以黄帝内经理论为指导,应用火龙罐联合体表针法实施中医特色干预的护理体会。患者为脑卒中后偏瘫侧肢体重度肿胀,伴活动受限及疼痛,在常规抬高患肢、功能锻炼等康复护理方案基础上,经辨证后予火龙罐联合体表针法干预,1次/d,6次/周,连续干预10 d。干预后,患者偏瘫侧肿胀肢体关节周径较前明显缩小,肢体肿胀量表评分由3分降至1分,肢体疼痛症状消失,未发生不良事件。本病例提示,基于黄帝内经理论的火龙罐联合体表针法,可有效改善脑卒中后偏瘫侧肢体肿胀,缓解疼痛,提升患者舒适度与康复依从性,为同类患者的中医特色护理提供可借鉴的实践经验。
This paper summarizes the nursing experience of implementing Traditional Chinese Medicine (TCM)-specific interventions using fire dragon cupping combined with superficial acupuncture, guided by the theory of the Yellow Emperor's Inner Classic, in a patient with hemiplegic limb swelling following stroke, based on conventional rehabilitation nursing. The patient presented with severe swelling of the hemiplegic limb, accompanied by restricted movement and pain after stroke. On the basis of conventional rehabilitation nursing measures such as limb elevation and functional exercises, pattern differentiation-guided fire dragon cupping combined with superficial acupuncture was administered, six times per week for ten consecutive days, once daily. After the intervention, the joint circumference of the swollen hemiplegic limb was significantly reduced compared with that before treatment; the limb swelling scale score decreased from 3 to 1; limb pain was completely relieved; and no adverse events occurred. This case suggests that fire dragon cupping combined with superficial acupuncture, grounded in the theory of the Yellow Emperor's Inner Classic, can effectively ameliorate hemiplegic limb swelling after stroke, relieve pain, and enhance patient comfort and rehabilitation adherence, providing a referable practical experience for TCM-specific nursing care of patients with similar conditions.
《中国脑卒中防治报告》编写组 . 《中国脑卒中防治报告2019》概要 [J]. 中国脑血管病杂志 , 2020 , 17 ( 5 ): 272 - 281 .
China Stroke Prevention and Control Report Editorial Group . Brief report on stroke prevention and treatment in China, 2019 [J]. Chin J Cerebrovascular Dis , 2020 , 17 ( 5 ): 272 - 281 . (in Chinese)
陶梦君 , 王培培 , 叶明全 . 1990—2019年中国和印度脑卒中发病率的年龄时期队列分析 [J]. 包头医学院学报 , 2025 , 41 ( 9 ): 1 - 6, 49 .
Tao M J , Wang P P , Ye M Q . Age-period-cohort analysis of stroke incidence in China and India, 1990-2019 [J]. J Baotou Med Coll , 2025 , 41 ( 9 ): 1 - 6, 49 . (in Chinese)
王卜玉 , 柏强 . 中医治疗中风后肩手综合征的临床研究进展 [J]. 中外医学研究 , 2024 , 22 ( 9 ): 181 - 184 .
Wang B Y , Bai Q . Progress of clinical research on traditional Chinese medicine in the treatment of post-apoplexy shoulder-hand syndrome [J]. Chin Foreign Med Res , 2024 , 22 ( 9 ): 181 - 184 . (in Chinese)
米红艳 , 尹玉珊 , 黄淡銮 . 双柏散外敷在预防急性脑卒中患者偏瘫肢体肿胀中的应用效果 [J]. 国际护理学杂志 , 2020 , 39 ( 21 ): 3923 - 3924 .
Mi H Y , Yin Y S , Huang D L . Effect of Shuangbai Powder External Application in Preventing Swelling of the Paretic Limb in Acute Stroke Patients [J]. Int J Nurs , 2020 , 39 ( 21 ): 3923 - 3924 . (in Chinese)
孔凡娥 , 王楠 , 郑遵成 . 脑卒中后肩手综合征的康复研究进展 [J]. 中国医学创新 , 2020 , 17 ( 34 ): 164 - 168 .
Kong F E , Wang N , Zheng Z C . Advance in rehabilitation of shoulder-hand syndrome after stroke [J]. Med Innov China , 2020 , 17 ( 34 ): 164 - 168 . (in Chinese)
Gharibo C G , Day M , Aydin S , et al . In response to comment on “diagnostic guidance for chronic complex regional pain syndrome type I and type II from the American society of interventional physicians (ASIPP) ”[J]. Pain Physician , 2026 , 29 ( 3 ): E261 - E264 .
Martel M , Laumonerie P , Pecourneau V , et al . Type 1 complex regional pain syndrome after subacromial shoulder surgery: incidence and risk factor analysis [J]. Indian J Orthop , 2020 , 54 ( Suppl 1 ): 210 - 215 .
Limerick G , Christo D K , Tram J , et al . Complex regional pain syndrome: evidence-based advances in concepts and treatments [J]. Curr Pain Headache Rep , 2023 , 27 ( 9 ): 269 - 298 .
侯东哲 , 张颖 , 巫嘉陵 , 等 . 中文版Barthel指数的信度与效度研究 [J]. 临床荟萃 , 2012 , 27 ( 3 ): 219 - 221 .
Hou D Z , Zhang Y , Wu J L , et al . Study on reliability and validity of Chinese version of Barthel Index [J]. Clin Focus , 2012 , 27 ( 3 ): 219 - 221 . (in Chinese)
Kondrup J , Rasmussen H H , Hamberg O , et al . Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials [J]. Clin Nutr , 2003 , 22 ( 3 ): 321 - 336 .
蒋琪霞 , 刘云 . 成人压疮预测和预防实践指南 [M]. 南京 : 东南大学出版社 , 2009 : 13 - 59 .
许云妥 , 陈凌群 . 失效模式、效应与危害性分析在预防非计划性拔管中的应用 [J]. 护理实践与研究 , 2018 , 15 ( 2 ): 130 - 131 .
Xu Y T , Chen L Q . Application of failure mode, effect and hazard analysis in preventing unplanned extubation [J]. Nurs Pract Res , 2018 , 15 ( 2 ): 130 - 131 . (in Chinese)
孙秋华 , 刘建军 . 中医护理学基础 [M]. 2版 . 北京 : 人民卫生出版社 , 2022 .
何永强 . 头针结合靳氏肩三针治疗中风后肩手综合征1期的临床疗效及BOLD-fMRI机制探讨 [D]. 沈阳 : 辽宁中医药大学 , 2022 .
纪叶 . 进阶式回旋灸结合靳氏肩三针治疗脑卒中后肩手综合征Ⅰ期的疗效观察 [D]. 合肥 : 安徽中医药大学 , 2025 .
申定坤 , 钟星怡 , 刘畅 , 等 . 浅析 “黄帝内针” 的临床应用 [J]. 中医药临床杂志 , 2025 , 37 ( 3 ): 475 - 479 .
Shen D K , Zhong X Y , Liu C , et al . A brief analysis of the clinical application of “huangdi internal acupuncture” [J]. Clin J Tradit Chin Med , 2025 , 37 ( 3 ): 475 - 479 . (in Chinese)
刘力红 . 黄帝内针讲义 [M]. 北京 : 中国中医药出版社 , 2019 : 19 - 24 .
雷玉娇 , 杨士杰 , 秦自行 . 火龙罐联合醒脑开窍针刺治疗急性缺血性脑卒中并发肩手综合征的临床观察 [J]. 江西中医药 , 2025 , 56 ( 10 ): 60 - 63 .
Lei Y J , Yang S J , Qin Z X . Clinical observation on fire dragon cupping combined with Xingnao Kaiqiao acupuncture in treating shoulder-hand syndrome after acute ischemic stroke [J]. Jiangxi J Tradit Chin Med , 2025 , 56 ( 10 ): 60 - 63 . (in Chinese)
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