Abstract
This paper summarized the nursing management for a patient with early-stage herpes zoster treated with Tongbian Gua Sha combined with bloodletting therapy. Based on TCM syndrome differentiation, a patient with early-stage herpes zoster (characterized by liver channel stagnation-heat with underlying spleen deficiency and dampness accumulation) was treated with a combination of Tongbian Gua Sha and Bloodletting Therapy. Targeted nursing interventions were carried out during treatment, including pain management, skin care, emotional regulation, and dietary/lifestyle guidance. After treatment, the patient's pain score decreased, the existing rashes subsided without new ones appearing, and no complications occurred. Based on the precise syndrome differentiation, the application of Tongbian Gua Sha combined with pricking bloodletting can invigorate Yang Qi and clear heat-toxins, thereby rapidly relieving pain, promoting the resolution of rashes, and potentially reducing the risk of postherpetic neuralgia. The nursing practice showed unique advantages of appropriate TCM technologies and provided an objective and feasible practical approach for clinical diagnosis and treatment. (本文总结1例早期带状疱疹患者采用铜砭刮痧联合刺络放血、配合疱疹局部重点刮拭的治疗方案及系统性中医护理临床实践经验。基于四诊合参、精准辨证, 对性制定铜砭刮痧联合刺络放血治疗方案, 辅以疼痛护理、皮肤护理、情志护理、饮食及生活护理等多维度措施协同干预, 有效缓解患者疼痛, 促进疱疹消退且无新发。提示在精准辨证前提下, 铜砭刮痧联合刺络放血可清泄热毒、疏通经络, 快速镇痛并促进皮损修复, 有助于降低后遗神经痛发生风险, 为早期带状疱疹的中医特色护理提供了可借鉴的实践经验。)