黄金昶以电针八髎穴为主治疗直肠癌低位前切除综合征经验撷要  

Summary of Professor HUANG Jinchang's experience of electroacupuncture at Baliao acupoints for low anterior resection syndrome of rectal cancer

作　　者：杨璐 杨鸣 万宇翔[1,2] 阙慈娴 黄金昶[1,2] YANG Lu;YANG Ming;WAN Yuxiang;QUE Cixian;HUANG Jinchang(Department of Acupuncture and Minimally Invasive Oncology,Third Affiliated Hospital of Beijing University of CM,Beijing 100029,China;Institute of Acupuncture for 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针灸微创肿瘤科,北京100029 [2]北京中医药大学针灸肿瘤研究所,北京100029

出　　处：《中国针灸》2024年第11期1289-1293,共5页Chinese Acupuncture & Moxibustion

基　　金：首都卫生发展科研专项:首发2022-4-7036。

摘　　要：介绍黄金昶教授治疗直肠癌低位前切除综合征(LARS)的经验。黄金昶教授基于直肠癌术后控便治疗的临床经验,提出LARS的主要病机为脾肾阳虚兼湿浊内阻,治宜健脾温肾化浊,特取八髎穴,化浊通阳,畅达脏腑气机,调节魄门启闭。强调治疗以电针深刺八髎穴为主,并针对兼症灵活配穴,辅以艾灸、刺络拔罐,以恢复规律排便及提高直肠癌保肛术后患者的生活质量。This paper introduces Professor HUANG Jinchang's experience in treating low anterior resection syndrome(LARS)of rectal cancer.Based on the clinical experience in treating fecal incontinence after rectal cancer surgery,Professor HUANG Jinchang proposes that the primary pathogenesis of LARS is spleen-kidney yang deficiency with internal obstruction of damp turbidity.The treatment approach should focus on strengthening the spleen,warming the kidney,and eliminating turbidity.The Baliao acupoints are specifically selected to eliminate turbidity,promote yang,facilitate the qi flow of the viscera,and regulate the opening and closing of the anus.Emphasis is placed on deep needling at the Baliao acupoints,with flexible acupoint selection based on accompanying symptoms.Additionally,moxibustion and bloodletting cupping are used to restore regular bowel movements and improve the quality of life for patients who have undergone anus-preserving surgery for rectal cancer.

关 键 词：直肠癌 低位前切除综合征 电针 八髎穴 健脾温肾 名医经验 黄金昶 

分 类 号：R246.5[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]