根据"诸湿肿满,皆属于脾"理论探讨宫颈癌术后下肢淋巴水肿辨治思路
Diagnosis and Treatment of Lower Limb Lymphedema after Cervical Cancer Surgery According to the Theory of"All Dampness and Swelling Belonging to Spleen"
石智尧 1房致永 2任少键 2刘津婧 1任文俊 1王晞星2
作者信息
- 1. 山西中医药大学,山西 太原 030024
- 2. 山西省中医药研究院,山西 太原 030012
- 折叠
摘要
下肢淋巴水肿(lower limb lymphedema,LLL)是宫颈癌根治术后常见的并发症之一.根据"诸湿肿满,皆属于脾"理论,脾虚失司被认为是下肢淋巴水肿发生的核心病机.本文从脾主升清的生理特性、脾主运化的生理功能、脾主四肢的生理联系三方面认识下肢淋巴水肿的发生,提出以益气健脾、温补脾阳、调理中焦气机为主要治法,并从脾经循行角度配合中药外敷、针灸疗法、推拿按摩等外治与功能锻炼之法,起到改善下肢微循环、促进淋巴液回流的作用.本文为拓展从脾论治宫颈癌术后下肢淋巴水肿的内外合治提供思路,以期指导临床应用.
Abstract
Lower limb lymphedema(LLL)is one of the common complications after radical surgery of cervical cancer.According to the theory of"all dampness and swelling belonging to spleen",it is believed that spleen deficiency and dysregulation is the core pathogenesis of lower limb lymphedema.This article recognized the occurrence of lower limb lymphedema from the physiological characteristics of spleen governing the ascendant of usable substances,the physiological function of spleen controlling transportation and transformation,and the physiological connection of spleen governing limbs.It was proposed that replenishing qi to invigorate spleen,warming and tonifying spleen yang,and regulating the qi activity of middle-energizer were the main treatment.Additionally,external treatments such as external application of traditional Chinese medicine,acupuncture and moxibustion therapy,and acupressure and massage and functional exercise methods from the perspective of spleen meridian circulation were combined so as to improve microcirculation of the lower limbs and promote lymphatic reflux.This article provides ideas for expanding the internal and external treatment of lower limb lymphedema after cervical cancer surgery from the perspective of spleen,with a view to guide the clinical application.
关键词
宫颈癌术后/下肢淋巴水肿/脾虚失司/内治法/外治法/治脾Key words
cervical cancer after surgery/lower limb lymphedema/spleen deficiency and dysregulation/internal treatment/external treatment/treating spleen引用本文复制引用
基金项目
国医大师传承工作室项目(第四届)()
国家中医药传承创新中心的建设项目(202203)
国家中医临床研究基地建设单位项目(第二批)()
山西省中医临床医学研究中心培育项目()
山西省卫生健康委山西省医学科技创新团队项目(2020TD04)
山西省卫生健康委山西省医学重大科技攻关专项(2022XM10)
出版年
2024
国家科技期刊平台
NSTL
万方数据