基于“筋柔骨正”理论运用中医适宜技术治疗腰椎间盘突出症1例护理体会  

Nursing of a patient with lumbar disc herniation treated with appropriate Traditional Chinese Medicine techniques based on the theory of strengthening bones and softening tendons

作　　者：马晓玉 丁芬芳[1] MA Xiaoyu;DING Fenfang(Department of Orthopedics and Traumatology,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,300381)

机构地区：[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骨伤科,天津300381

出　　处：《中西医结合护理》2025年第3期65-69,共5页Chinese Journal of Integrative Nursing

摘　　要：本文总结以“筋柔骨正”为理论基础实施中医适宜技术治疗1例腰椎间盘突出症(LDH)患者的护理体会。基于“筋柔骨正”理论,通过中医辨证,在患者饮食、情志及功能锻炼方面进行针对性指导,同时联合耳穴贴压、火龙罐综合灸、循经通痹灸等中医适宜技术,有效缓解患者疼痛症状,改善腰部功能,减轻焦虑,实现“筋柔软而不强硬、骨正而不曲”的理想治疗效果。This paper summarizes the nursing experience of treating a patient with lumbar disc herniation using appropriate Traditional Chinese Medicine(TCM)techniques based on the theory of strengthening bones and softening tendons.Based on the theory and TCM syndrome differentiation,auricular acupoint pressing,integrated moxibustion with Huolong cupping therapy,and meridian-dredging and arthralgia-relieving moxibustion were implemented to relieve the low back pain and improve the recovery of lumbar function.Additionally,targeted nursing interventions including syndrome-differentiated dietary,functional exercises,daily life support,and emotional care were carried out to reduce patient’s anxiety and optimize the overall effectiveness of TCM treatment.

关 键 词：腰椎间盘突出症 辨证分型 中医适宜技术 疼痛 功能锻炼 耳穴贴压 

分 类 号：R473[医药卫生—护理学]