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Mayang Wulandari
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Studi Kasus Penerapan Akupunktur pada Lansia Dengan Sembelit di Griya Akupunktur Buana Purwokerto Suniarto, Budi; Mahadini, Chantika; Wulandari, Mayang; Kurniawan, Leny Candra
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25173

Abstract

ABSTRAK Sembelit merupakan salah satu keluhan yang sering dialami oleh lansia dan cenderung bersifat kronis. Penurunan fungsi fisiologis saluran cerna, pola makan, aktivitas fisik, serta penggunaan obat-obatan jangka panjang menjadi faktor yang berkontribusi terhadap terjadinya sembelit. Penelitian ini bertujuan untuk menggambarkan penerapan terapi akupunktur pada lansia dengan keluhan sembelit di Griya Akupunktur Buana Purwokerto. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan desain studi kasus pada satu orang lansia perempuan berusia 78 tahun. Terapi akupunktur diberikan selama dua bulan dengan frekuensi dua kali seminggu, total sebanyak 16 kali. Data dikumpulkan melalui pemeriksaan akupunktur meliputi pengamatan, wawancara, pendengaran, penciuman, dan perabaan, serta dievaluasi secara berkala. Hasil penelitian menunjukkan adanya perbaikan pada frekuensi buang air besar, penurunan kesulitan mengejan, dan berkurangnya rasa tidak tuntas setelah defekasi serta berkurangnya rasa tidak nyaman di bagian abdomen. Kesimpulan dari studi kasus ini menunjukkan bahwa terapi akupunktur dapat menjadi alternatif terapi nonfarmakologis yang bermanfaat dalam membantu mengurangi keluhan sembelit pada lansia. Kata Kunci: Akupuntur, Lansia, Sembelit.  ABSTRACT Constipation is a common complaint among older adults and tends to be chronic. A decline in gastrointestinal physiological function, dietary patterns, physical activity, and long-term medication use are contributing factors to constipation in the elderly. This study aimed to describe the application of acupuncture care in an elderly patient with constipation at Griya Akupunktur Buana Purwokerto. This research employed a qualitative approach using a case study design involving a 78-year-old female elderly patient. Acupuncture therapy was administered for two months with a frequency of twice a week, totaling 16 sessions. Data were collected through acupuncture examinations, including observation, interview, hearing, smelling, and palpation, and were evaluated periodically. The results showed improvements in bowel movement frequency, reduced straining during defecation, decreased sensation of incomplete evacuation, and reduced abdominal discomfort. In conclusion, this case study indicates that acupuncture therapy may serve as a beneficial non-pharmacological alternative in helping to alleviate constipation complaints in elderly patients. Keywords: Acupuncture, Elderly, Constipation.
Asuhan Akupunktur pada kasus dengan Fluor Albus di Griya Sehat "de_maemun" Kabupaten Cirebon Maemunah, Ade Siti; Wulandari, Mayang; Kurniawan, Leny Candra; Mahadini, Chantika; Roebidin, Rachmat
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25116

Abstract

ABSTRACT Fluor albus (pathological leukorrhea) remains a prevalent gynecological complaint in Indonesia, with conventional antimicrobial therapy often limited by side effects and drug resistance. This single-case study evaluated the clinical efficacy of acupuncture in managing fluor albus due to Spleen Qi Deficiency with Dampness Accumulation pattern according to Traditional Chinese Medicine (TCM) principles. A 43-year-old female participant presenting with excessive white-yellowish sticky vaginal discharge, fatigue, abdominal distension postprandially, unformed stools, and cold-heavy sensation in extremities received six acupuncture sessions twice weekly at Griya Sehat "de_maemun", Cirebon. The intervention protocol included tonification techniques at SP-6 (Sanyinjiao), SP-4 (Gongsun), ST-36 (Zusanli), CV-6 (Qihai), GB-26 (Daimai), and BL-20 (Pishu), combined with reduction techniques at SP-9 (Yinlingquan) and CV-9 (Shuifen), supplemented by moxibustion at ST-36 and CV-6. Progressive clinical improvement was observed: by session 3, discharge volume significantly decreased; by session 5, pathological discharge ceased completely with clean undergarments; by session 6, all primary and secondary symptoms resolved entirely. Objective signs normalized progressively—tongue transformed from swollen with thick yellow greasy coating to pink with thin white coating, and pulse shifted from deep-weak-slow-slippery to normal rhythm. The participant also reported restored digestive function (formed stools, no postprandial bloating), elimination of cold sensation in extremities, improved sleep quality, and enhanced energy levels. Acupuncture effectively resolved fluor albus through dual mechanisms of Spleen Qi tonification and Dampness elimination, aligning with the TCM therapeutic principle "Jian Pi Chu Shi" (strengthening Spleen to resolve Dampness). This case demonstrates acupuncture's potential as a safe, non-pharmacological complementary therapy for gynecological disorders with metabolic-gastrointestinal etiology. Keywords: Fluor Albus, Acupuncture, Spleen Qi Deficiency, Dampness.  ABSTRAK Fluor albus merupakan keluhan ginekologi prevalensi di Indonesia dengan angka kejadian 27,60–90% pada wanita usia subur. Terapi konvensional berbasis anti mikroba sering menimbulkan efek samping dan resistensi obat, sehingga diperlukan alternatif terapi holistik berbasis Pengobatan Tradisional Tiongkok (TCM). Penelitian studi kasus ini bertujuan mengevaluasi manfaat asuhan akupunktur pada fluor albus dengan pola sindrom Defisiensi Qi Limpa disertai akumulasi Kelembapan. Partisipan adalah seorang wanita berusia 43 tahun dengan keluhan keputihan patologis berlebihan (sekret putih kekuningan, lengket, berbau), disertai kelelahan, kembung pasca-makan, feses tidak berbentuk, serta lidah gemuk dengan selaput kuning tebal berminyak dan nadi tenggelam-lemah-lambat-licin. Intervensi dilakukan sebanyak enam sesi akupunktur dua kali per pekan di Griya Sehat "de_maemun", Cirebonmenggunakan protokol titik SP-6, SP-4, ST-36, CV-6, GB-26, BL-20 (metode tonifikasi) dan SP-9, CV-9 (metode reduksi), dilengkapi moksibusi pada titik ST-36 dan CV-6. Evaluasi progresif menunjukkan regresi klinis bertahap: pada sesi ke-3 volume sekret berkurang signifikan; sesi ke-5 sekret patologis tidak lagi ditemukan pada pakaian dalam; sesi ke-6 seluruh gejala utama dan tambahan teratasi sempurna dengan normalisasi lidah (merah muda, selaput putih tipis) dan nadi (tidak tenggelam/lemah). Akupunktur efektif mengatasi fluor albus melalui mekanisme tonifikasi Qi Limpa dan eliminasi Kelembapan, sejalan dengan prinsip terapeutik TCM "Jian Pi Chu Shi" (memperkuat Limpa menghilangkan Kelembapan). Pendekatan diferensiasi sindrom berbasis etiologi metabolik-gastrointestinal terbukti memberikan respons klinis bermakna tanpa efek samping farmakologis. Kata Kunci: Asuhan Akupunktur, Fluor Albus, Keputihan Patologis, Defisiensi Qi Limpa.
Co-Authors Amal Amal Prihatono Ardani, Tri Budyawan, Lalu Candra , Leny Chantika Mahadini Dewi, Helena Laksmi Dion Kunto Adi Patria Feby Efendi Fujiyati Habeib, Rinaldi Ikhwan Abdullah Indrawati Setyono Junet Karyaman, Amin Khiong, Tjhia Khie Leny Candra Leny Candra Kurniawan Leny Candra Kurniawan Maemunah Maemunah Mahadini , Chantika Mahadinia, Chantika Maulana Arif Murtadho Mulyani, Kahar Novriyanti, Tika Prihatonoa, Amal Purwadhi Purwadhi Rian Andriani, Rian Riki Ristanto Roebidin, Rachmat Rusdiatin, Ivana Eko Sumartini, Lilis Cucu Suniarto, Budi Sutiyoso, Seneng Wahyudi, Deddy Eko Widiatmoko, Roso Putranto Yani Restiani Widjaja, Yani Restiani Zulli Nuralita