| 引用本文: |
陈君仪, 胡玉星, 张子淑, 孟繁颖, 田雪飞.基于“灸背俞，针阿是”探讨骨转移癌痛治疗[J].湖南中医药大学学报,2025,45(6):1071-1075[点击复制] |
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| 基于“灸背俞，针阿是”探讨骨转移癌痛治疗 |
| 陈君仪,胡玉星,张子淑,孟繁颖,田雪飞 |
| (湖南中医药大学中西医结合学院, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 骨转移癌痛是癌症转移到骨骼后引起的疼痛，是晚期癌症患者常见的并发症。基于“灸背俞，针阿是”治疗理念，结合“荣亏瘀伤”癌痛病机理论，阐述背俞穴与阿是穴在骨转移癌痛治疗中的作用，提出治疗骨转移癌痛的配穴体系，即“灸背俞”以益肾荣骨调脏腑、“刺阿是”以理气活血止疼痛。在辨证配穴方面，以护胃温阳祛邪为纲，旨在顾护胃气以调和气血缓疼痛，建中填精以养血温阳补肝肾，泻实通瘀以祛邪排毒蠲痹痛，佐以解郁安神，多方合力，共奏止痛之效。 |
| 关键词: 癌痛 骨转移 背俞穴 阿是穴 穴位注射 阳气 血瘀 |
| DOI：10.3969/j.issn.1674-070X.2025.06.012 |
| 投稿时间：2024-07-02 |
| 基金项目:湖南省中医药管理局科研计划重点项目（A2023002）。 |
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| Treatment of osseous metastasis cancer pain based on the principle of "moxibustion on Back-Shu points, injecting on Ashi points" |
| CHEN Junyi, HU Yuxing, ZHANG Zishu, MENG Fanying, TIAN Xuefei |
| (School of Integrated Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Osseous metastatic cancer pain, resulting from cancer spread to the bones, is a common complication in advanced cancer patients. Based on the therapeutic principle of "moxibustion on Back-Shu points, injecting on Ashi points," and the pathogenesis of cancer pain characterized by "nutritive qi deficiency and blood stasis" (Rong-Kui-Yu-Shang), this study discusses the role of Back-Shu and Ashi points in the treatment of osseous metastatic cancer pain. A treatment approach involving the combination of these points is proposed: "moxibustion on Back-Shu points" to tonify the kidney, nourish the bones, and regulate the zang-fu, and "injecting on Ashi points" to regulate qi-blood circulation and alleviate pain. In terms of pattern identification and point selection, the focus is on safeguarding the stomach, warming yang, and expelling pathogenic factors, and protecting the stomach qi to harmonize qi-blood and alleviate pain, fortifying the middle jiao and replenishing essence to nourish blood, warm yang, and tonify the liver and kidney, purging excess and unblocking stasis to expel pathogens, remove toxins, and alleviate bi-pattern pain, with additional Methods to soothe the liver, calm the mind, and promote pain relief through multiple synergistic collaboration. |
| Key words: cancer pain osseous metastasis Back-Shu points Ashi points point injection yang qi blood stasis |
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