基于通元针法治疗癌因性疲乏的思路探讨

关键词：癌因性疲乏；通元针法；针灸；临床经验；

中图分类号：R246.9 文献标志码：A 文章编号：1007-3213(2025)04-0927-05

DOI:10.13359/j.cnki.gzxbtcm.2025.04.019

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

LI Wanyao，LIU Junsheng，LI Han，HUANG Yong (Schoolof Traditional Chinese Medicine，Southern Medical University，Guangzhou 510515 Guangdong，China）

Abstract:Cancer-related fatigue（CRF）is acommonly-seen clinical disease，which seriously affects patients' qualityof lifeand recovery of body functions.Five zang-organs are responsible forthe onset and progressof 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 regulating qi -blood and harmonizing yin-yang， therapy focusing on regulating visceras suchas heart，liver，spleen，kidney.Tongyuanacupuncture identification of conception vessel（CV）and governor vessel（GV）being general principles，unblocking GV and nourishing the mind thus harmonizingthe visceras，conducting qi back to its source so as to balanceof yinand yang，and ultimatelyachieve the effcacyof“harmonyof visceras，relative equilibrium of yin-yang，and free of fatigue".Clinical acupoint selectionaddressed importance to theGV，as well as back-shu point.Selection of theCV，keep theabdominal 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 in Tongyuan acupuncture for the treatment of CRF，such experiences being summarized as follows for clinical reference and consideration.

Keywords: cancer-related fatigue； Tongyuan acupuncture;acupuncture； clinical experience； Huang Yong

癌因性疲乏（cancer-relatedfatigue，CRF)系源于癌症疾病本身或其治疗过程，导致的一种包含身体、情感及/或认知层面的持续性、令人不适的疲惫感，此状态与近期体力活动量不直接相关，且无法通过单纯的休息而得到有效缓解[1-2]。（剩余9075字）