“整体衡动观”指导下癌痛取穴规律述评
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摘要
以"整体衡动观"为指导,结合癌痛的病因及针灸治疗机理,癌痛针灸取穴可分为循经取穴、分部取穴、全息对应取穴、按时开穴、辨证取穴和局部取穴6类。对癌痛的取穴规律研究进展进行述评,旨在总结针灸治疗癌痛的取穴规律,探索研究中存在的问题,为今后筛选针灸治疗癌痛的适宜技术、优化腧穴处方和镇痛机制研究提供参考。
According to the guidance of "holistic balance of motion", combined with the etiology of cancer pain and the mechanism of acupuncture and moxibustion, the acupoint for cancer pain could be divided into six types: acupoint selection by circulation, partial acupoint selection, holographic corresponding acupoint selection,puncture opening on time, point selection by pattern identification and local point selection. This paper reviews the research progress of acupoint selection for cancer pain, aiming at summarizing the acupoint selection regularity of acupuncture and moxibustion for cancer pain, exploring the existing problems in the research, and providing reference for screening suitable techniques of acupuncture and moxibustion for cancer pain, optimizing acupoint prescription and analgesic mechanism in the future.
According to the guidance of "holistic balance of motion", combined with the etiology of cancer pain and the mechanism of acupuncture and moxibustion, the acupoint for cancer pain could be divided into six types: acupoint selection by circulation, partial acupoint selection, holographic corresponding acupoint selection,puncture opening on time, point selection by pattern identification and local point selection. This paper reviews the research progress of acupoint selection for cancer pain, aiming at summarizing the acupoint selection regularity of acupuncture and moxibustion for cancer pain, exploring the existing problems in the research, and providing reference for screening suitable techniques of acupuncture and moxibustion for cancer pain, optimizing acupoint prescription and analgesic mechanism in the future.
引文
[1] Williams A C, Craig K D.Updating the definition of pain[J].Pain,2016,157(11):2420-2423.
[2]芦殿荣,芦殿香,柏大鹏,等.益肾骨康膏治疗肾虚血瘀型癌性躯体痛的临床研究[J].辽宁中医杂志,2016,43(7):1402-1407.
[3]王宁军,芦殿荣,杨柳,等.华蟾素缓解癌性疼痛作用机制的研究进展[J].世界中西医结合杂志,2016,11(4):590-592.
[4]刘冬雪,孙绍骞,黄卫东.癌性疼痛控制的影响因素及研究进展[J].中国老年学杂志,2013,33(23):6067-6069.
[5] Boland E G,Mulvey M R,Bennett M I. Classification of neuropathicpain in cancer patients[J].Curr Opin Support Palliat Care,2015,9(2):112-115.
[6]陆琪赟,王凡,章婷婷,等.不同电流强度电针对胫骨癌痛大鼠外周血β-内啡肽含量的影响[J].中华中医药杂志,2015,30(9):3329-3332.
[7]车萍,季旭明,宋小莉,等.独活寄生汤对醋酸致痛模型小鼠PGE-2、cAMP表达影响的实验研究[J].时珍国医国药,2014,25(8):2048-2049.
[8]程海波,周仲瑛,李柳,等.基于癌毒病机理论的中医肿瘤临床辨治体系探讨[J].中医杂志,2015,56(23):1989-1992.
[9]彭杰,王文海,周荣耀,等.针药并用治疗中重度癌性疼痛的临床研究[J].上海针灸杂志,2012,31(4):236-238.
[10]沈雪勇,许能贵.经络腧穴学[M].北京:人民卫生出版社,2012.
[11]庆慧,邱彤.邱保国教授的动态平衡养生观(一)———阴阳平衡整体养生观[J].中医研究,2014,27(10):44-45.
[12]陈亮,唐乐微,杜怀斌,等.调神止痛法理论探析及临床应用[J].中国针灸,2015,35(4):393-396.
[13]向庆东,王文龙,王前江,等.基于数据挖掘分析中医治疗癌痛的取穴规律研究[J].中国全科医学,2018,21(5):611-615.
[14]陈爱文,李亚娟,马文,等.基于中医传承辅助平台的针刺治疗癌痛选穴规律数据挖掘研究[J].上海中医药杂志,2017,51(6):16-20.
[15]陈仲杰.癌痛循经取穴针刺镇痛作用临床观察[D].北京:中国中医科学院,2008.
[16]胡坤琳.穴位埋线背俞穴联合三阶梯止痛法治疗中重度癌痛的临床观察[D].广州:广州中医药大学,2016.
[17]杜婷婷,丁炜.雷火灸刺激华佗夹脊穴改善强直性脊柱炎患者脊柱功能临床研究[J].中医学报,2017,32(11):2263-2265.
[18]陆琪赟,陈颢,崔光卫,等.电针结合吗啡对骨癌痛大鼠痛觉敏化及脊髓星形胶质细胞的活化作用[J].上海中医药杂志,2016,50(5):77-82.
[19]顾亮亮,姚兰红,龚爱琴,等.中医耳穴压籽法在缓解癌痛中的应用价值分析[J].中国全科医学,2017,20(18):2249-2252.
[20]钟敏钰,胡作为,黄琳,等.耳穴贴压联合强阿片类药物治疗中、重度癌痛50例疗效观察[J].中医杂志,2012,53(13):1123-1125.
[21]张心曙,凌昌全,周庆辉.实用腕踝针疗法[M].北京:人民卫生出版社,2002.
[22]董毓敏,杨雅,贾园园,等.腕踝针在社区肿瘤患者癌痛治疗中的作用[J].实用临床护理学电子杂志,2018,3(11):99-100.
[23]张洁文.子午流注开穴贴药控制原发性肝癌癌痛的疗效观察[J].中医外治杂志,2015,24(2):12-14.
[24]巫加,秦琳.杨向东教授穴位埋线治疗大肠癌癌性疼痛经验探析[J].四川中医,2017,35(6):26-28.
[25]韩子敏,刘兴明.中药穴区外敷治疗癌痛44例[J].中日友好医院学报,1998,12(4):31.
[26]郑凯,宋杰,高玉,等.针刺缓解肺癌中重度癌性疼痛临床观察[J].辽宁中医药大学学报,2015,17(1):19-21.
[27]高雪梅.肝癌止痛散外敷治疗中晚期肝癌疼痛50例[J].山东中医药大学学报,1999,23(6):452.
[28]蒋云峰.穴位埋线疗法治疗骨转移性癌痛的临床研究[D].广州:广州中医药大学,2014.
[2]芦殿荣,芦殿香,柏大鹏,等.益肾骨康膏治疗肾虚血瘀型癌性躯体痛的临床研究[J].辽宁中医杂志,2016,43(7):1402-1407.
[3]王宁军,芦殿荣,杨柳,等.华蟾素缓解癌性疼痛作用机制的研究进展[J].世界中西医结合杂志,2016,11(4):590-592.
[4]刘冬雪,孙绍骞,黄卫东.癌性疼痛控制的影响因素及研究进展[J].中国老年学杂志,2013,33(23):6067-6069.
[5] Boland E G,Mulvey M R,Bennett M I. Classification of neuropathicpain in cancer patients[J].Curr Opin Support Palliat Care,2015,9(2):112-115.
[6]陆琪赟,王凡,章婷婷,等.不同电流强度电针对胫骨癌痛大鼠外周血β-内啡肽含量的影响[J].中华中医药杂志,2015,30(9):3329-3332.
[7]车萍,季旭明,宋小莉,等.独活寄生汤对醋酸致痛模型小鼠PGE-2、cAMP表达影响的实验研究[J].时珍国医国药,2014,25(8):2048-2049.
[8]程海波,周仲瑛,李柳,等.基于癌毒病机理论的中医肿瘤临床辨治体系探讨[J].中医杂志,2015,56(23):1989-1992.
[9]彭杰,王文海,周荣耀,等.针药并用治疗中重度癌性疼痛的临床研究[J].上海针灸杂志,2012,31(4):236-238.
[10]沈雪勇,许能贵.经络腧穴学[M].北京:人民卫生出版社,2012.
[11]庆慧,邱彤.邱保国教授的动态平衡养生观(一)———阴阳平衡整体养生观[J].中医研究,2014,27(10):44-45.
[12]陈亮,唐乐微,杜怀斌,等.调神止痛法理论探析及临床应用[J].中国针灸,2015,35(4):393-396.
[13]向庆东,王文龙,王前江,等.基于数据挖掘分析中医治疗癌痛的取穴规律研究[J].中国全科医学,2018,21(5):611-615.
[14]陈爱文,李亚娟,马文,等.基于中医传承辅助平台的针刺治疗癌痛选穴规律数据挖掘研究[J].上海中医药杂志,2017,51(6):16-20.
[15]陈仲杰.癌痛循经取穴针刺镇痛作用临床观察[D].北京:中国中医科学院,2008.
[16]胡坤琳.穴位埋线背俞穴联合三阶梯止痛法治疗中重度癌痛的临床观察[D].广州:广州中医药大学,2016.
[17]杜婷婷,丁炜.雷火灸刺激华佗夹脊穴改善强直性脊柱炎患者脊柱功能临床研究[J].中医学报,2017,32(11):2263-2265.
[18]陆琪赟,陈颢,崔光卫,等.电针结合吗啡对骨癌痛大鼠痛觉敏化及脊髓星形胶质细胞的活化作用[J].上海中医药杂志,2016,50(5):77-82.
[19]顾亮亮,姚兰红,龚爱琴,等.中医耳穴压籽法在缓解癌痛中的应用价值分析[J].中国全科医学,2017,20(18):2249-2252.
[20]钟敏钰,胡作为,黄琳,等.耳穴贴压联合强阿片类药物治疗中、重度癌痛50例疗效观察[J].中医杂志,2012,53(13):1123-1125.
[21]张心曙,凌昌全,周庆辉.实用腕踝针疗法[M].北京:人民卫生出版社,2002.
[22]董毓敏,杨雅,贾园园,等.腕踝针在社区肿瘤患者癌痛治疗中的作用[J].实用临床护理学电子杂志,2018,3(11):99-100.
[23]张洁文.子午流注开穴贴药控制原发性肝癌癌痛的疗效观察[J].中医外治杂志,2015,24(2):12-14.
[24]巫加,秦琳.杨向东教授穴位埋线治疗大肠癌癌性疼痛经验探析[J].四川中医,2017,35(6):26-28.
[25]韩子敏,刘兴明.中药穴区外敷治疗癌痛44例[J].中日友好医院学报,1998,12(4):31.
[26]郑凯,宋杰,高玉,等.针刺缓解肺癌中重度癌性疼痛临床观察[J].辽宁中医药大学学报,2015,17(1):19-21.
[27]高雪梅.肝癌止痛散外敷治疗中晚期肝癌疼痛50例[J].山东中医药大学学报,1999,23(6):452.
[28]蒋云峰.穴位埋线疗法治疗骨转移性癌痛的临床研究[D].广州:广州中医药大学,2014.