基于“修养宜行外功”探讨肿瘤患者的中医运动疗法  

Discussion on TCM exercise therapies for cancer patients based on the theory that"external skills are suitable for health preservation"

作　　者：王玥[1,2] 张甘霖[2] 张博然[1] 陈星[2] 潘元灿 王笑民 WANG Yue;ZHANG Ganlin;ZHANG Boran;CHEN Xing;PAN Yuancan;WANG Xiaomin(Beijing University of Chinese Medicine,Beijing 100029;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院

出　　处：《现代中医临床》2023年第5期76-79,共4页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金资助项目(No.82174454)。

摘　　要：肿瘤患者经过手术、放化疗等高强度治疗后常会出现体质虚弱,身体机能下降的表现,多采取药物、静养或者被动锻炼的方式进行康复。中医认为“动静有道养天年”,其针对肿瘤患者康复过程同样不可一味地采取静养。中医养生康复专著《寿世传真》中第一章即强调“修养宜行外功”,同时提倡“重意不重力”,重视身心同调、顺应自然。多以运动量相对适中的有氧运动以及体能要求较低的锻炼为主,恰好适用于肿瘤患者的康复治疗。其最具代表性的太极拳、八段锦、五禽戏等中医运动疗法已被证明可有效改善肿瘤患者的疲乏症状、提高心肺功能、减少负性情绪的产生、提升生活质量,临床中值得被进一步重视与推广。Tumor patients often experience physical weakness and decreased physiological function after high-intensity treatment such as surgery,radiotherapy,and chemotherapy.Therefore,they often take medications,rest,or passive exercise for rehabilitation.Traditional Chinese medicine(TCM)believes that"well-guided movement and rests are beneficial to prolonging life-span",and it is equally important not to blindly adopt the rest-cure method in the recovery process of tumor patients.In the first chapter Shoushi Chuanzhen(Passing Down Truths about Prolonging Life),a TCM classic on health preservation and recovery,it is emphasized that"external skills are suitable for health preservation",and that"the mind should be valued rather than strength",emphasizing the harmony of body and mind,and conformity to nature.These primarily involve moderate aerobic exercises and exercise with low physical fitness requirements,thus suitable for cancer patients in the recovery period.The most representative TCM exercise therapies,such as Tai chi,Baduanjin and Wuqinxi,have been proven to effectively relieve fatigue in tumor patients,improve the cardiopulmonary function,reduce negative emotions,and improve the quality of life.It is worth further attention and promotion in clinical practice.

关 键 词：寿世传真 导引 中医运动疗法 肿瘤 

分 类 号：R273[医药卫生—中西医结合]