摘要
本文基于络病理论,以肿瘤局部为研究对象,以肿瘤血管为结构基础,以肿瘤微环境为生物学基础,提出肿瘤核心病机“瘤络瘀阻”理论。“瘤络瘀阻”既是对肿瘤病机的概括,也是肿瘤的病理产物。随着人口老龄化加剧,老年恶性肿瘤已经成为全世界共同面对的难题。老年恶性肿瘤患者具有年老体弱、器官生理功能衰退、合并症多等特点,大多难以耐受西医学标准治疗,需根据患者具体情况制定个体化诊疗方案。近年来,中医药在老年恶性肿瘤的治疗中已有诸多探索和实践,并取得了较好的疗效。癌旁围刺方法具有舒经活络、温通阳气、固卫局部、活血化瘀等作用。本团队在“瘤络瘀阻”理论的指导下,将癌旁围刺应用于癌性疼痛、直肠癌低位前切除综合征、抑瘤和防复发、器官保留等方面,取得了很好的效果,为临床治疗肿瘤,尤其对老年恶性肿瘤患者的治疗提供了新的思路。
Based on"collateral disease,"this paper proposes the theory of"tumor collateral stasis"as the core pathogenesis of tumors,taking tumor localization as the research object,tumor blood vessels as the structural basis,and tumor microenvironment as the biological basis."Tumor collateral stasis"is a generalization of tumor pathogenesis and a pathological product of the tumor.With the aging of the population,malignant tumors in older individuals have become a common problem worldwide.Older patients with malignant tumors are often frail,with declined organ physiological function and several comorbidities.Most of them find it difficult to tolerate the standard treatment of western medicine and require individualized diagnosis and treatment plans.Recently,traditional Chinese medicine has been explored and practiced in the treatment of older patients with malignant tumors and has achieved good therapeutic effects.Peri-tumoral acupuncture can dredge meridians,activate collaterals,warm and promote yang qi,strengthen local defenses,and promote blood circulation to resolve stasis.Under the guidance of the"tumor collateral stasis"theory,we applied peri-tumoral acupuncture to treat cancer pain,low anterior resection syndrome in rectal cancer,tumor suppression,recurrence prevention,and organ preservation,achieving excellent results.This study provides novel insights for clinical tumor treatment,especially in the treatment of older patients with malignant tumors.
作者
陈悦
黄金昶
CHEN Yue;HUANG Jinchang(Department of Acupuncture and Minimally Invasive Oncology,Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China;Institute of Acupuncture and Moxibustion in Cancer Care,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《北京中医药大学学报》
北大核心
2025年第9期1197-1202,共6页
Journal of Beijing University of Traditional Chinese Medicine
基金
北京中医药大学揭榜挂帅项目(No.2022-JYB-JBZR-042)
北京中医药大学新教师启动基金项目(No.2023-JYB-XJSJJ-053)。
关键词
瘤络瘀阻
肿瘤微环境
癌旁围刺
肿瘤治疗
临床应用
tumor collateral stasis
tumor microenvironment
peri-tumoral acupuncture
tumor treatment
clinical application
