This study investigates the clinical approach and practical experience of treating gout based on the Traditional Chinese Medicine (TCM) theory of "integrating movement and stillness", with the aim of providing a reference for the standardized TCM treatment of gout. The study systematically reviews the theoretical origins of "movement–stillness integration" in TCM, analyzes the core pathogenesis at different stages of gout, and, drawing on Professor Jiyong Huang's clinical experience—derived from the teachings of the nationally renowned senior TCM expert Yongsheng Fan—expounds in detail the principles of medication, herbal compatibility, and clinical application of this theory across the various stages of gout. Representative clinical cases are included for validation. The theory of "integrating movement and stillness" is grounded in the holistic concept of TCM and syndrome differentiation based on deficiency and excess. "Moving" medicinals primarily function to attack pathogenic factors, promote circulation, and disperse obstruction, forming the core strategy for eliminating pathogens; "still" medicinals emphasize astringing, consolidating, and tonifying actions, thereby protecting vital qi and maintaining physiological balance. The fundamental pathogenesis of gout is characterized by "root deficiency with branch excess" and a mixture of deficiency and excess. In the stage of hyperuricemia, spleen and kidney deficiency with internal accumulation of damp turbidity predominates, and treatment follows the principle of "stillness as primary, movement as adjunct", focusing on strengthening the spleen and transforming turbidity. In the acute stage, damp-heat obstruction and stagnation in the channels and collaterals are dominant, and treatment emphasizes "movement as primary, stillness as adjunct", aiming to clear heat and unblock the channels. In the chronic stage, phlegm, blood stasis, and turbid toxins congeal alongside liver and kidney deficiency, and treatment adopts a balanced approach of "equal emphasis on movement and stillness", with the dual goals of eliminating turbidity and supporting the body's vital qi. Clinical application of this theoretical framework through appropriate herbal combinations can effectively alleviate symptoms in gout patients, reduce serum uric acid levels, and decrease the frequency of acute attacks, while avoiding the limitations associated with treatments that rely solely on pathogen elimination or solely on tonification. The study concludes that the theory of "integrating movement and stillness" aligns closely with the dynamic evolution of gout pathogenesis. Its therapeutic principles—"using movement to eliminate pathogens and unblock channels, and stillness to protect vital qi and consolidate the root"—offer clear clinical guidance across all stages of gout. Furthermore, integrating this approach with Western medicine interventions can enhance overall therapeutic efficacy and delay disease progression.

This study explored the experiences of nurses caring for elderly patients with chronic diseases in China and evaluated a nursing intervention model to address their physical, psychological, and social needs. Using a quantitative approach, data were collected via questionnaires from nurses in experimental and control groups. Results showed that the experimental group—trained through the Small Private Online Course (SPOC) teaching mode—outperformed the control group in teaching quality, learning motivation, resource efficiency, and course interaction. Significant differences in teaching perception were observed across student subgroups, suggesting the need for tailored SPOC strategies. The study recommends strengthening emotional support for caregivers, adopting patient-centered care, improving care continuity, enhancing nursing education, and promoting interdisciplinary collaboration to improve both patient outcomes and nurse satisfaction.