基于“瘤络瘀阻”病机探讨瘤周围刺对肿瘤的生物力学效应  

Discussion on the biomechanical effect of the treatment of tumor by peripheral puncture based on the pathogenesis of‘tumor collateral stasis'

作　　者：李文娜 周慧迪 万宇翔 王惠[1,2] 何梦阳 于明安[3] 黄金昶 LI Wenna;ZHOU Huidi;WAN Yuxiang;WANG Hui;HE Mengyang;YU Ming'an;HUANG Jinchang(Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China;Institute of Acupuncture and Moxibustion in Cancer Care,Beijing University of Chinese Medicine,Beijing 100029,China;China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学针灸肿瘤研究所,北京100029 [3]中日友好医院,北京100029

出　　处：《中华中医药杂志》2023年第11期5192-5196,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金青年科学基金项目(No.82074545);国家自然科学基金面上项目(No.82074545)。

摘　　要：肿瘤属于“癥瘕”范畴,后者归为“络病”。癌病的核心病机为“瘤络瘀阻”,其与细胞外基质的刚度增加密切相关,日久瘤络癥瘕根深固结,则表现为肿块日益固定坚硬。针刺治疗方法直接作用于病变部位,可以产生多种机械力刺激作用。文章基于瘤络微型癥瘕形成的病机,从生物力学角度分析瘤周围刺的机械力刺激,可能通过作用于结缔组织而发挥一系列生物学效应,并通过实验研究发现瘤周围刺可以降低乳腺癌肿瘤组织的硬度。围绕“亢害承制”的瘤络瘀阻,采用瘤周围刺的治法,可能通过调节基质刚度使得局部“络道亢变”缓解,促进络脉气血处于相对平衡状态,继而抑制瘤络微型癥瘕的形成,从根本上降低肿块硬度,最终达到抑制肿瘤生长的作用。Tumors belong in the category of‘lump’,which is classified as‘collateral disease’.The core pathogenesis of cancer is‘tumor collateral stasis',which is associated with increased stiffness of the extracellular matrix.Over time,the lump appears as an increasingly rigid and fixed lump.Acupuncture treatment directly acts on the lesion site and can produce a variety of mechanical force stimulation effects.Based on the etiology of lump formation,this paper studies the biomechanical aspects of mechanical stimulation of the surrounding spines,which could exert a series of biological effects by acting on connective tissue.Experimental studies show that the surrounding spines could reduce the hardness of breast cancer tumor tissue.Based on the treatment of tumor collateral stasis‘in the form of hyperactivity',the treatment with thorns around the tumor could alleviate the ‘localized hyperactivity of collateral'and tract by adjusting the stiffness of the matrix,promoting the relative balance of blood and qi in the complex,thus inhibiting the formation of lump micro-tumor,fundamentally reducing the hardness of the lump,and ultimately inhibiting tumor growth.

关 键 词：瘤络瘀阻 生物力学 围刺 肿瘤 癥瘕 

分 类 号：R273[医药卫生—中西医结合]