黄泳基于通元针法治疗癌因性疲乏的思路探讨  

Exploration on Huang Yong's Academic Thoughts Based on Tongyuan Acupuncture in the Treatment of Cancer-Related Fatigue

作　　者：李婉瑶 刘俊升 李瀚 黄泳[1] LI Wanyao;LIU Junsheng;LI Han;HUANG Yong(School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515 Guangdong,China)

机构地区：[1]南方医科大学中医药学院,广东广州510515

出　　处：《广州中医药大学学报》2025年第4期927-931,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省自然科学基金面上资助项目(编号:2022A1515011658,2023A1515012235);深圳市“医疗卫生三名工程”资助项目(编号:SZZYSM202108013)。

摘　　要：癌因性疲乏是临床常见疾病,严重影响患者的生活质量及机体功能恢复。该病应责之于五脏,基本病机为脏腑功能虚损、气血阴阳失调,治疗上应以调整气血阴阳为要,以调理心肝脾肾等脏腑为核心。通元针法以任督为总纲,通督养神以调和脏腑,引气归元以平衡阴阳,终达“脏腑调和,阴平阳秘,疲乏自除”之功效。临床选穴上重督脉、兼背俞;取任脉、守腹募,突出阴阳调和的主旨,并配以四肢特定穴以调理脏腑气血、针对寒热虚实。黄泳教授应用通元针法治疗癌因性疲乏,积累了一定的临证经验。该文对其临证经验进行了梳理以供临床借鉴和思考。Cancer-related fatigue(CRF)is a commonly-seen clinical disease,which seriously affects patients'quality of life and recovery of body functions.Fivezang-organs are responsible for the onset and progress of CRF,and the basic pathogenesis is deficiency of visceral functions as well as disharmony of qi-blood and yin-yang.Treatment should be mainly concentrated on regulatingqi-blood and harmonizing yin-yang,therapy focusing on regulating visceras such as heart,liver,spleen,kidney.Tongyuan acupuncture identification of conception vessel(CV)and governor vessel(GV)being general principles,unblocking GV and nourishing the mind thus harmonizing the visceras,conductingqi back to its source so as to balance of yin and yang,and ultimately achieve the efficacy of“harmony of visceras,relative equilibrium of yin-yang,and free of fatigue”.Clinical acupoint selection addressed importance to the GV,as well as back-shu point.Selection of the CV,keep the abdominal front-mu point,highlighting the main theme of yin-yang harmonization,along with acupuncture on the specific acupoints of extremities to regulate the qi-blood of visceras,to balance the cold-heat and deficiency-excess.Professor Huang Yong has accumulated certain clinical experiences inTongyuan acupuncture for the treatment of CRF,such experiences being summarized as follows for clinical reference and consideration.

关 键 词：癌因性疲乏 通元针法 针灸 临床经验 黄泳 

分 类 号：R246.9[医药卫生—针灸推拿学]