灸法补泻在前列腺癌分期辨治中应用的思考  

Thinking on the application of reinforcing and reducing techniques of moxibustion in the staged differentiation and treatment of prostate cancer

作　　者：徐新宇 彭煜[1] 翟靖 朱文静[1] 刘彦飞 刘治 李博洋 盛东亚 XU Xinyu;PENG Yu;ZHAI Jing;ZHU Wenjing;LIU Yanfei;LIU Zhi;LI Boyang;SHENG Dongya(Department of Urology,Yueyang Integrated Hospital of Chinese and Western Medicine Affiliated to Shanghai University of TCM,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院泌尿外科,上海200437

出　　处：《中国针灸》2024年第8期955-960,共6页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金资助项目:82174451;上海中医药大学附属岳阳中西医结合医院中医专科建设项目:YW(2023-2024)-01-04。

摘　　要：灸法的补泻作用由灸法类型、操作方法及腧穴特性等因素共同决定。依据前列腺癌发生发展过程中的邪正盛衰变化,可将其分为癌毒初结期、正虚毒蕴期、阳虚寒滞期三期。癌毒初结期脏腑失调,湿热瘀毒蕴积,艾灸治疗以泻为主、兼顾扶正,可采用麦粒灸、化脓灸、隔蒜灸等,艾灸壮数宜多、灸量宜大,强刺激腧穴以达到灸泻目的;正虚毒蕴期,气机渐弱,癌毒耗损阴分,重视攻补兼施,可采用温和灸、化脓灸等,壮数宜减、灸量适中,温和刺激腧穴以平调虚实;阳虚寒滞期,脾肾阳虚,寒湿阻塞经络,以补为主、兼顾祛邪,可采用隔附子饼灸、隔盐灸、麦粒灸等,艾灸壮数宜少、灸量宜小,治疗频次可适度增加,对腧穴产生和缓、持续的刺激,进而激发机体正气,促进气血化生。The effect of reinforcing and reducing techniques of moxibustion depends on types of moxibustion,operation methods and characteristics of acupoints.According to the ups and downs of pathogenic factors and healthy qi during the occurrence and development of prostate cancer,three stages are divided,namely,the stage of initial accumulation of cancer toxicity,the stage of the deficiency of healthy qi and toxin retention,and the stage of yang deficiency and cold stagnation.In the stage of initial accumulation of cancer toxicity,zangfu function is impaired and the dampness,heat and stasis toxin are accumulated in the body;due to which,the reducing technique of moxibustion should be dominant and the healthy qi be supported in combination.In treatment,the wheat-grain sized cone moxibustion,suppurative moxibustion and garlic-isolated moxibustion are applicable.The reducing purpose of moxibustion is obtained by delivering an appropriate increased number of moxa cones,large dosage and strong stimulation at acupoints.In the stage of the deficiency of healthy qi and toxin retention,qi movement is weakened and cancer toxin consumes yin;the reinforcing healthy qi and removing pathogenic factors should be operated simultaneously.In treatment,mild moxibustion and suppurative moxibustion can be used.The reduced number of moxa cones,moderate dosage of moxibustion and mild stimulation at acupoints should be considered to gently adjust the conditions of deficiency and excess.In the stage of yang deficiency and cold stagnation,spleen and kidney yang is deficient,and the meridians are blocked by cold and damp pathogens.In treatment,the reinforcing technique of moxibustion should be used specially and eliminating pathogenic factors be combined.Monkshood cake-insulated moxibustion,salt-insulated moxibustion and wheat-grain sized cone moxibustion can be adopted.The less number of moxa cones,small dosage and appropriately increased frequency of treatment should be considered to produce the gentle and sustained stimulation at acupoints so a

关 键 词：前列腺癌 灸法 补泻 麦粒灸 癌毒 分期辨治 

分 类 号：R246.5[医药卫生—针灸推拿学]