September 5th, 2025
This protocol describes the specific process and efficacy of acupoint application in treating fatigue symptoms associated with chronic obstructive pulmonary disease.
This study provides a detailed presentation of the process of using acupoint application therapy to treat COPD and observe the trends, aiming to offer a reference for nonpharmacological treatment approaches. My protocol is to attempt to alleviate the fatigue symptom of COPD patients, a common but often overlooked symptom through traditional Chinese medicine external treatment methods. Acupoint application therapy is non-invasive and directly acts acupoints through skin absorption.
It offers several advantages, including ease of operation and better patient compliance. To begin, escort the patient to a clean and quiet treatment room and instruct them to assume a seated position. Adjust the curtains to ensure privacy, strictly protect the patient's confidentiality and implement warming measures to prevent hypothermia.
Reconfirm the patient's name, age, gender, bed number, and hospitalization identification number. Collect and arrange all necessary items in an organized and complete manner. Verify the validity period of each item and maintain strict separation between sterile and contaminated zones.
Next, apply at least 3 milliliters of fast drying non-rinse skin disinfectant to the palm of the operator's hand. Proceed with the seven step hand washing method. Then wear disposable sterile medical rubber gloves.
Now select the acupoints for acupoint application. Use surface anatomical landmark measurement, bone length proportional measurement, and finger-cun measurement to localize each point. Using tweezers, hold a 75%alcohol cotton ball and disinfect the skin around each acupoint two times.
Move outward in a spiral motion from the center of each acupoint, covering an area of 3-4 centimeters. Retrieve the prepared acupoint patch. Carefully grasp one corner and remove the protective film covering the medicinal ointment surface to expose it.
Stabilize the patient's skin to keep the area tense and stable. Then precisely align the medicated area of the patch with the CV 17, CV 4, BL 13, BL 20, and ST 36 acupoints. Gently place the patch and allow it to adhere fully to the skin, ensuring complete contact at all target sites.
Start from the center of the patch and press outward with fingertips to smooth it down evenly. Ensure the edges adhere securely without any bubbles or wrinkles. The average six-minute walking distance increased significantly in both the treatment group and the control group after treatment, with a greater increase observed in the treatment group.
The mean multi-dimensional fatigue inventory score decreased significantly in both the treatment group and the control group after treatment, with the treatment group showing a greater reduction. The chronic obstructive pulmonary disease assessment test score decreased significantly after treatment in both the treatment group and the control group, with the treatment group exhibiting a greater improvement.
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This study presents a protocol for using acupoint application therapy to alleviate fatigue symptoms in patients with chronic obstructive pulmonary disease (COPD). The method is non-invasive and utilizes traditional Chinese medicine techniques.
Fatigue in chronic obstructive pulmonary disease (COPD) presents a persistent challenge for patient quality of life and functional status, with limited non-pharmacological interventions achieving sustained compliance and efficacy. Acupoint application, a traditional Chinese medicine technique, offers a non-invasive, low-cost adjunct that demonstrates measurable improvements in fatigue and physical performance metrics. Integrating such approaches may expand the therapeutic toolkit for symptom management in chronic disease portfolios.
Acupoint application can be positioned as a complementary intervention within the continuum from early discovery of symptom-modifying strategies to clinical assessment of patient-centered outcomes in chronic disease management.