中医学报2025，Vol.40Issue(5)：955-959,5.DOI:10.16368/j.issn.1674-8999.2025.05.153
基于络病理论探讨针推治疗宫颈癌术后下肢淋巴水肿
Treatment of Lower Limb Lymphedema After Cervical Cancer Surgery with Acupuncture and Tuina Based on Theory of Collateral Disease
摘要
Abstract
The etiology and mechanism of lower limb lymphedema(LLL)of lower limbs after cervical cancer are discussed based on the theory of collateral disease,and the cause and mechanism is that the collaterals are injured by blades.The etiology and pathogenesis of LLL is the injury of collaterals by blades,and due to the deficiency and stagnation or Qi stagnation of collaterals,resulting in Qi disor-ders and dysfunction of Qi transformation,which can not promote the blood transportation and lead to stasis and stagnation of collaterals,and the"stagnated blood injucing Water stagnation"and then lead to edema.Therefore,LLL belongs to syndrome of deficiency in root and excess in symptom,and its main pathogenesis is characterized by"deficiency,stasis and Water".According to the principle of"treating on where the meridian passes means the corresponding Zang and Fu being treated",we selected the Foot Three Yin meridian and Foot Three Yang meridian and adjust the collateral through meridians.We treat the disease from the perspective of"Qi,blood and Water".Through the Tuina techniques of pointing,plucking and rubbing long distance with hand or fingers,we warmed the meridian and harmonized the Qi and blood,and supplemented with the drainage of needles to eliminate blood stasis and promote the flow of Water,thus reducing the edema state of the affected limbs and achieving the effect of both symptomatic and radical treatment.关键词
宫颈癌术后下肢淋巴水肿/络病理论/推拿/针刺引流Key words
postoperative lymphoedema of lower limbs after cervical cancer surgery/theory of collateral disease/Tuina/Water drainage with acupuncture分类
中医学引用本文复制引用
王鑫锴,周艳丽,李想,李胜男,王季平,赵慧琳,申一星,牛骏崴..基于络病理论探讨针推治疗宫颈癌术后下肢淋巴水肿[J].中医学报,2025,40(5):955-959,5.基金项目
国家自然科学基金面上项目(82474655) （82474655）
河南省中医药科学研究专项课题项目(2024ZY2087) （2024ZY2087）
