Abstract
This study summarizes the Traditional Chinese Medicine (TCM) external treatment and Syndrome differentiation nursing for a patient with pelvic inflammatory disease. The patient's condition progressively evolved from Qi stagnation and blood stasis to liver-kidney yin deficiency, clinically manifested primarily as recurrent lower abdominal pain, anxiety, and insomnia. The key nursing challenge involved adjusting the external treatment regimen according to disease stages while balancing the elimination of blood stasis and heat with nourishing Yin and consolidating the foundation. In the early stage of Qi stagnation and blood stasis, energy moxibustion, full-back warm scraping combined with herbal retention enemas were employed to dredge collaterals, resolve stasis, and clear heat; in the later stage of liver-kidney yin deficiency, back Huolong cupping was adopted alongside oral administration of hepatorenal tonifying herbs, supplemented by emotional guidance, dietary regulation, and health education. After intervention, decreased VAS score for lower abdominal pain, SAS anxiety score and the PSQI sleep score were observed, indicating significant improvements in pain, anxiety, and sleep quality, enabling the patient to independently manage health. These findings demonstrated that staged application of TCM external treatment combined with syndrome differentiation nursing can effectively alleviate symptoms of chronic pelvic inflammatory disease, regulate physical and mental states of the patient, and offer a safe, simple therapeutic approach suitable for clinical widespread adoption. (本文总结中医外治法联合辨证施护干预1例慢性盆腔炎患者的护理经验。本例患者病情由气滞血瘀转为肝肾阴虚, 临床以下腹反复隐痛、焦虑失眠为主要表现。护理重点在于分期调整外治方案, 兼顾祛瘀清热与滋阴固本。前期(气滞血瘀证)采用能量艾灸杯全背温通刮痧联合中药保留灌肠, 以通络泄瘀、清泻瘀热; 后期(肝肾阴虚证)改用背部火龙罐联合滋补肝肾中药内服, 辅以情志疏导、饮食调护与健康教育。干预后患者下腹疼痛明显减轻, 睡眠、情绪及整体状态均显著改善, 可独立进行疾病自我管理。分期运用中医外治联合辨证施护能够有效缓解慢性盆腔炎症状, 调节患者身心状态, 且操作简便, 适合临床推广。)