Yang Lu, Yang Ming, Wan Yuxiang, Que Cixian, Huang Jinchang
Department of Acupuncture and Minimally Invasive Oncology, Third Affiliated Hospital of Beijing University of CM, Beijing 100029, China.
Department of Acupuncture and Minimally Invasive Oncology, Third Affiliated Hospital of Beijing University of CM, Beijing 100029, China; Institute of Acupuncture for Oncology, Beijing University of CM, Beijing 100029.
Zhongguo Zhen Jiu. 2024 Nov 12;44(11):1289-93. doi: 10.13703/j.0255-2930.20231212-k0001.
This paper introduces Professor 's experience in treating low anterior resection syndrome (LARS) of rectal cancer. Based on the clinical experience in treating fecal incontinence after rectal cancer surgery, Professor proposes that the primary pathogenesis of LARS is spleen-kidney deficiency with internal obstruction of damp turbidity. The treatment approach should focus on strengthening the spleen, warming the kidney, and eliminating turbidity. The Baliao acupoints are specifically selected to eliminate turbidity, promote , facilitate the flow of the viscera, and regulate the opening and closing of the anus. Emphasis is placed on deep needling at the Baliao acupoints, with flexible acupoint selection based on accompanying symptoms. Additionally, moxibustion and bloodletting cupping are used to restore regular bowel movements and improve the quality of life for patients who have undergone anus-preserving surgery for rectal cancer.
本文介绍了教授治疗直肠癌低位前切除综合征（LARS）的经验。基于直肠癌术后大便失禁的临床治疗经验，教授提出LARS的主要病机为脾肾亏虚，湿浊内阻。治疗应着重健脾、温肾、祛浊。特别选取八髎穴以祛浊、促进 、通畅脏腑气机、调节肛门开合。强调八髎穴深刺，并根据伴随症状灵活选穴。此外，采用艾灸和放血拔罐的方法，以恢复直肠癌保肛手术患者的正常排便，提高其生活质量。
