摘要
总结邵铭熙教授治疗乳腺癌关节疼痛经验。邵铭熙教授认为乳腺癌关节疼痛以肝脾肾三脏失调为本,风寒湿三邪外袭为标。强调辨证论治,将其分为肝郁气滞、痰瘀痹阻、气血亏虚、风寒湿痹4型。针灸治疗以合谷、太冲、外关为主穴,辨证配穴;强调针灸与推拿并用,补泻适度;重视少阳经,常配伍手少阳三焦经之外关、中渚,足少阳胆经之阳陵泉、足临泣;另强调局部与远端取穴相结合,多种中医疗法并进,增益其效。
Professor SHAO Ming-xi’s experience in treatment of arthralgia in breast cancer is summarized.Professor SHAO believes that the dysfunction of liver,spleen and kidney is the primary and the invasion of the exogenous wind,cold and damp is the secondary in arthralgia in breast cancer.Emphasized on syndrome/pattern differentiation,this disorder is identified as 4 patterns,i.e.liver qi stagnation,blockage by phlegm and stasis,qi and blood deficiency and obstruction by wind,cold and damp.Acupuncture-moxibustion is applied to Hegu(LI 4),Taichong(LR 3)and Waiguan(TE 5).The supplementary acupoints are selected on the base of syndrome/pattern differentiation.Tuina is combined with acupuncture-moxibustion and the reinforcing and reducing techniques are used appropriately.Shaoyang meridian is specially considered,due to which,Waiguan(TE 5)and Zhongzhu(TE 3)of triple energizer meridian of hand-shaoyang and Yanglingquan(GB 34)and Zulinqi(GB 41)of gallbladder meridian of foot-shaoyang are combined.Additionally,it stresses the combination of the local and distal acupoints and the coordination of various therapies of TCM to achieve the better effect.
作者
刘晓蒙
王国鑫
薛明新
LIU Xiao-meng;WANG Guo-xin;XUE Ming-xin(First Clinical Medical School of Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu Province,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2021年第5期541-544,共4页
Chinese Acupuncture & Moxibustion
关键词
乳腺癌
关节疼痛
针灸
推拿
名医经验
邵铭熙
breast cancer
arthralgia
acupuncture-moxibustion
tuina
famous doctor’s experience
SHAO Ming-xi
作者简介
刘晓蒙,南京中医药大学硕士研究生,E-mail:1543140557@qq.com;通信作者:薛明新,教授、主任中医师。E-mail:058013117@njucm.edu.cn。