温针灸在肿瘤疾病中的应用及进展

Application and Progress of Warm Acup-Moxibustion in Tumor Diseases

摘要: 背景：温针灸是中医学的一种有效治疗方法，将穴位、针刺和艾灸的作用融合，临床常用于肿瘤、肿瘤术后、肿瘤化疗后毒副作用等。目的：探讨温针灸在肿瘤疾病中镇痛、术后康复、缓解化疗后毒副作用的效应及其影响因素。方法：以“温针、温针灸、肿瘤、癌、抗癌药、放疗、化疗”为关键词及“Warm needle acupuncture, Tumor, Cancer, Anti-cancer drugs, radiotherapy and chemotherapy”为关键词检索2016年1月至2025年10月中国知网、维普网、万方、PubMed、Embase和Web of Science数据库相关文献，根据纳排标准，对纳入的75篇论文进行归纳分析。结果与结论：在常规治疗基础上联合温针灸、温针灸 + 中药等治疗，有效缓解了癌痛、癌因性疲乏，促进了术后康复，改善了化疗后骨髓抑制、胃肠功能、周围神经病变、膀胱功能障碍等，可进一步临床应用和推广。

Abstract: Background: warm acup-moxibustion, an effective therapeutic method in traditional Chinese medicine that integrates the effects of acupoint stimulation, acupuncture and moxibustion, is clinically commonly used for tumors, post-tumor surgery, and toxic and side effects after tumor chemotherapy. Objective: To explore the effects and influencing factors of warm acup-moxibustion in relieving pain, promoting postoperative rehabilitation and alleviating toxic and side effects after chemotherapy in tumor diseases. Methods: Databases including CNKI, VIP, Wanfang, PubMed, Embase and Web of Science were searched for relevant literatures from January 2016 to October 2025 with the Chinese keywords of “warm needle, warm acup-moxibustion, tumor, cancer, anti-cancer drug, radiotherapy, chemotherapy” and English keywords of “warm needle, warm acup-moxibustion, tumor, cancer, anti-cancer drugs, radiotherapy and chemotherapy”. According to the inclusion and exclusion criteria, 75 included papers were summarized and analyzed. Results and Conclusion: On the basis of conventional treatment, combined therapy with warm acup-moxibustion alone or warm acup-moxibustion plus traditional Chinese medicine effectively relieved cancer pain and cancer-related fatigue, promoted postoperative rehabilitation, and improved myelosuppression, gastrointestinal dysfunction, peripheral neuropathy, bladder dysfunction and other complications caused by chemotherapy. This therapeutic approach is worthy of further clinical application and popularization.