Objective To observe the clinical efficacy of Thunder-fire moxibustion combined with traditional Chinese and western medical treatments and nursing interventions for peripheral facial paralysis.Methods Fifty inpatients and outpatients diagnosed with peripheral facial paralysis at Shanxi University of Chinese Medicine Acupuncture Hospital from January 2017 to October 2018 were selected as the research subjects and randomly divided into a control group and a treatment group,with 25 cases in each group.The control group received conventional treatment and nursing for facial paralysis,while the treatment group received Thunder-fire moxibustion combined with effective nursing interventions on the basis of the treatment and nursing in the control group.The treatment and nursing were conducted for 5 consecutive days as one course,with a total of 2 courses:①Thunder-fire moxibustion:ignite the Thunder-fire moxibustion,keeping the moxa stick 2-3 cm away from the affected skin,and apply both transverse and longitudinal moxibustion methods.Press the skin at the moxibustion site with your finger every 10 times the moxa stick is shaken,and then use the circular method,selecting the acupoints Dicang,Jiache,Quanliao,and Yangbai,with a distance of 1.5 cm from the acupoints,moxibustion for each point for 8-10 minutes;②Acupuncture:select the affected side acupoints Yangbai,Quanliao,Taiyang,Dicang,Jiache,Jingming,Yingxiang,Sizhukong,Yuyao,and Touwei,and the contralateral Hegu and bilateral Zusanli.Retain the needle for 30 minutes after obtaining Qi,once daily;③Traditional Chinese medicine steaming:use the hospital's self-prescribed formula(composed of Cinnamomum cassia,Poria cocos,Carthamus tinctorius,Carica papaya,Angelica sinensis,Paeonia lactiflora,Spatholobus suberectus,and Saposhnikovia divaricata,each 15 g),decoct and pour the juice into the medicine addition area.The steaming temperature is 40-45℃,with the steaming nozzle 25-30 cm away from the affected side of the face,steaming for 20 minutes,once daily;④ Medication treatment:in the early stage,antiviral drugs such as acyclovir were given,and traditional Chinese medicine was mainly used to eliminate wind and phlegm,and to dredge meridians;⑤ Nursing intervention:during thunder-fire moxibustion,the flame should not touch the skin to prevent burns;combined acupoint pressing with massage techniques;paid attention to observation and inquire about the patient's feelings during moxibustion;after moxibustion,informed the patient that the blood vessels in the head and face were in a state of dilation,and that it was normal for the facial skin to turn red and itchy.Instructed patients to rest,exercised appropriately,avoided wind and cold,refrain from raw,cold,greasy foods,and avoid tobacco,alcohol,and spices,and taught them self-training exercises.The differences in efficacy scores,clinical efficacy,patient compliance rates,and satisfaction between the two groups were compared,and any adverse reactions were observed.Results After 2 courses of treatment and nursing,the clinical efficacy scores of both groups were significantly lower than those after 1 course of treatment and nursing,and the degree of reduction in the treatment group was more significant than that in the control group(1.12±0.88 vs.1.79±0.76,P<0.05).The total effective rate in the treatment group was higher than that in the control group[100.0%(25/25)vs.96.0%(24/25)],but the difference was not statistically significant(P>0.05),and the compliance rate was significantly higher than that in the control group[100.0%(25/25)vs.20.0%(5/25),P<0.05],with a satisfaction rate of 100.0%for both groups.No serious adverse events occurred in either group.Conclusions Thunder-fire moxibustion has sufficient medicinal strength,strong efficacy,and significant permeation effects,with simple operation.Combined with traditional Chinese and western medical treatments and nursing interventions,it shows satisfactory efficacy in the treatment of peripheral facial paralysis,with a short course of treatment,high patient compliance,satisfaction,and no adverse reactions.

Objective:To explore the application effect of integrated Chinese and Western medicine nursing based on the individual and family self-management theory (IFSMT) in patients with urinary incontinence after stroke, and provide reference for clinical nurses to effectively rehabilitate these patients.Methods:This was a quasi-experimental study. A total of 136 patients with urinary incontinence after stroke who were hospitalized in the Department of Encephalopathy of Shanxi Acupuncture and Moxibology Hospital from February 2022 to May 2023 were selected as the study objects by convenience sampling method. The subjects were divided into the control group and the experimental group with 68 cases in each group by random number table method. The control group received routine rehabilitation nursing, and the experimental group received integrated Chinese and western medicine nursing based on IFSMT on the basis of routine rehabilitation nursing. Urinary status, activities of daily living and quality of life of 2 groups were compared.Results:Ultimately, there were 68 cases were admitted in each group. In the control group, male 45 cases, female 23 cases, aged (62.35 ± 4.94) years old. In the experimental group, male 49 cases, female 19 cases, aged (61.94 ± 5.02) years old. There was no statistical significance in urinary status, activities of daily living and quality of life scores between the 2 groups before the intervention (all P>0.05). After the intervention, the average daily urination frequency of experimental group was (7.94 ± 1.08) times, which was lower than that of control group (9.88 ± 1.09) times; the average daily frequency of incontinence in the experimental group was (3.63 ± 1.65) times, lower than (5.03 ± 3.35)times in the control group; the average daily urine volume of experimental group was (107.34 ± 4.15) ml, higher than (89.62 ± 19.71) ml of control group, and the differences were statistically significant ( t=10.46,3.09, -7.23, all P<0.05). The scores of activities of daily living in the experimental group was (60.44 ± 3.65) points, which were higher than (46.24 ± 3.29) points in the control group; the Incontinence Quality of Life Questionnaire score of experimental group was (80.38 ± 4.65) points, which was higher than (64.62 ± 5.62) points of control group; Insomnia Severity Index-Short Form score of the experimental group was (10.94 ± 5.17) points, which was lower than (12.85 ± 4.30) points of the control group, and the differences were statistically significant ( t=23.85, -17.86, 2.34, all P<0.05). Conclusions:Integrated Chinese and western medicine nursing intervention based on IFSMT has a positive effect on patients with urinary incontinence after stroke, and can significantly improve patients' urination and daily living activities, thus improving patients' quality of life.

Post traumatic depression (PTD) is a serious complication after traumatic brain injury, with high incidence rate; PTD seriously affects the rehabilitation, outcome and quality of life of patients. Due to unclear pathogenesis of PTD, effective treatments have not yet been found in clinical practice. Repetitive transcranial magnetic stimulation (rTMS), as a new non-invasive neuroregulatory technique, has been used in major depression disorder (MDD). Few clinical evidence on PTD treated by rTMS is noted and optimal rTMS treatment regimen has not yet been defined.This article reviews the clinical studies of rTMS in PTD in recent years, with a view to provide references for clinical application.