基于筋膜理论探讨癌痛针灸治疗的思路与方法  

Exploration of the thinking and methods in treatment of cancer pain with acupuncture and moxibustion on the base of thefascia theory

作　　者：李丽玲 姜欣 万宇翔 齐雪维[1] 黄金昶 LI Li-ling;JIANG Xin;WAN Yu-xiang;QI Xue-wei;HUANG Jin-chang(Third Affiliated Hospital of Beijing University of CM,Beijing 100029,China;Oncology Department of Acupuncture and Minimally Invasive Treatment,Third Affiliated Hospital of Beijing University of CM,Beijing 100029;Institute of Acupuncture and Oncology,Beijing University of CM,Beijing 100029)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学第三附属医院针灸微创肿瘤科,北京100029 [3]北京中医药大学针灸肿瘤研究所,北京100029

出　　处：《中国针灸》2023年第8期894-898,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金面上项目:82074545;北京中医药大学重点攻关课题项目:2020-JYB-ZDGG-143-1。

摘　　要：经筋及筋膜网络在协调机体平衡方面存在功能上的共通性,而肿瘤的发生进展可能通过直接和间接的影响破坏筋膜网络及经筋的整体协调性,由此产生的癌痛可能是二者失衡所致。黄金昶教授在癌痛的治疗中,立足于筋膜网络的整体平衡学说,同时结合经筋理论对疼痛的认识,强调“解结”在癌痛治疗中的重要性,因此提出以筋膜反应点为靶点,围绕“以平为期”的治疗原则,综合采用浮针、毫刃针、火针、艾灸等多种针灸疗法治疗。There is a commonality between jingjin(muscle region of meridian)and the fascial network for coordinating the balance in the body.The occurrence and the progression of tumor may disrupt the overall coordination between the fascial network and jingjin directly or indirectly,thereby,the impairment of this coordination may result in cancer pain.Rooted on the theory of overall balance of the fascial network,and combined with understanding of pain in jingjin theory,professor HUANG Jin-chang emphasizes the importance of"relaxing the knot"in treatment of cancer pain.It is recommended to select the fascia reaction point as the target point,in accordance with the principle of balance adjustment and apply various acupuncture and moxibustion therapies,such as Fu's subcutaneous needling,small-needle scalpel therapy,fire needling,and moxibustion.

关 键 词：癌痛 筋膜网络 经筋 肌筋膜链 针灸疗法 

分 类 号：R245[医药卫生—针灸推拿学]