Therapeutic mechanism of local acupuncture for secondary lymphedema of limbs based on the theory of  "treating where it hurts"

NIU Shaohui; LI Bei; CHENG Yaqing; WANG Chang; GU Hancheng; CAO Gang; HUANG Qiang; CAO Jianchun

doi:10.3969/j.issn.2095-6606.2023.05.023

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Therapeutic mechanism of local acupuncture for secondary lymphedema of limbs based on the theory of "treating where it hurts"

Renowned TCM Doctors’ Experience | 更新时间：2023-10-12

- Therapeutic mechanism of local acupuncture for secondary lymphedema of limbs based on the theory of "treating where it hurts"
- Modern Chinese Clinical Medicine Vol. 30, Issue 5, Pages: 113-116(2023)
- 作者机构：
  
  1.中国中医科学院西苑医院　北京　100091
  2.北京急救中心
  3.北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.05.023
  CLC： R245; R26
- Received：11 October 2022，
  
  Published：30 September 2023
- 稿件说明：
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NIU Shaohui, LI Bei, CHENG Yaqing, et al. Therapeutic mechanism of local acupuncture for secondary lymphedema of limbs based on the theory of "treating where it hurts"[J]. Modern Chinese Clinical Medicine, 2023, 30(5): 113-116.
DOI：

NIU Shaohui, LI Bei, CHENG Yaqing, et al. Therapeutic mechanism of local acupuncture for secondary lymphedema of limbs based on the theory of "treating where it hurts"[J]. Modern Chinese Clinical Medicine, 2023, 30(5): 113-116. DOI： 10.3969/j.issn.2095-6606.2023.05.023.

摘要

从肢体继发性淋巴水肿的病因病机入手，认为本病病性“标实本虚”。标实者，金刃外邪损害经络，经络不通，血不利则为水；本虚者，水湿瘀血久留，久病伤正致虚。针灸具有疏通经络、祛邪扶正的作用，“以痛为腧”是临床针灸的重要指导理论和取穴原则。局部针刺治疗肢体继发性淋巴水肿符合本病本虚标实的病机，本病病位在局部，痛之所在，邪之所存，邪之所凑，其气必虚，局部针刺治疗本病就近逐之，疏通经络。与中药口服发挥作用的方式不同，局部针刺可以针对病灶、直接作用于病位，发挥更为直接的“疏通经络、驱邪扶正”的作用，达到治疗目的。

Abstract

Based on the etiology and pathogenesis of secondary lymphedema of the extremities

it is believed that the nature of this disease is a combination of " excessas the branch and deficiency as the root" .For those with excess as the branch

injuries caused by metal or external pathogens damage the collateralsand obstruct the circulation of qi and blood

leading to fluidaccumulation when blood circulation is impeded. " Deficiency as the root" refers to the prolonged presence of dampness

stagnated blood

and chronic illness damaging the body′s righteous qi. Acupuncture and moxibustion have the functions of promoting collateralcirculation

expelling pathogenic factors

and supporting the righteous qi. The principle of " treating where it hurts" is an important guiding theory and technique for acupuncture in clinical practice.Localized acupuncture therapy for secondary lymphedema of the extremities corresponds to the pathogenesis of both " excess as the branch" and " deficiency as the root" . The disease primarily manifests locally.Where pain occurs

pathogenic factors reside

and gather. Therefore

the qi in these areas is deficient. Treating secondary lymphedema with local needling therapy focuses on the affected area

unblockingcollaterals. Unlike the mode of action of orally administered herbal medicine

localized needling therapy can directly target the lesion

exerting a more direct effect of " promoting collateralcirculation

expelling pathogenic factors

and supporting righteous qi"

thus achieving the therapeutic goal.

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references

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