Discussion on TCM exercise therapies for cancer patients based on the theory that "external skills are suitable for health preservation"

WANG Yue; ZHANG Ganlin; ZHANG Boran; CHEN Xing; PAN Yuancan; WANG Xiaomin

doi:10.3969/j.issn.2095-6606.2023.05.015

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Discussion on TCM exercise therapies for cancer patients based on the theory that "external skills are suitable for health preservation"

Theoretical Exploration | 更新时间：2023-10-12

- Discussion on TCM exercise therapies for cancer patients based on the theory that "external skills are suitable for health preservation"
- Modern Chinese Clinical Medicine Vol. 30, Issue 5, Pages: 76-79(2023)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.首都医科大学附属北京中医医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.05.015
  CLC： R273
- Published：30 September 2023，
  
  Received：10 October 2022，
- 稿件说明：
移动端阅览
WANG Yue, ZHANG Ganlin, ZHANG Boran, et al. Discussion on TCM exercise therapies for cancer patients based on the theory that "external skills are suitable for health preservation". [J]. Modern Chinese Clinical Medicine 30(5):76-79(2023)
DOI：

WANG Yue, ZHANG Ganlin, ZHANG Boran, et al. Discussion on TCM exercise therapies for cancer patients based on the theory that "external skills are suitable for health preservation". [J]. Modern Chinese Clinical Medicine 30(5):76-79(2023) DOI： 10.3969/j.issn.2095-6606.2023.05.015.

摘要

肿瘤患者经过手术、放化疗等高强度治疗后常会出现体质虚弱，身体机能下降的表现，多采取药物、静养或者被动锻炼的方式进行康复。中医认为“动静有道养天年”，其针对肿瘤患者康复过程同样不可一味地采取静养。中医养生康复专著《寿世传真》中第一章即强调“修养宜行外功”，同时提倡“重意不重力”，重视身心同调、顺应自然。多以运动量相对适中的有氧运动以及体能要求较低的锻炼为主，恰好适用于肿瘤患者的康复治疗。其最具代表性的太极拳、八段锦、五禽戏等中医运动疗法已被证明可有效改善肿瘤患者的疲乏症状、提高心肺功能、减少负性情绪的产生、提升生活质量，临床中值得被进一步重视与推广。

Abstract

Tumor patients often experience physical weakness and decreased physiological function after high-intensity treatment such as surgery

radiotherapy

and chemotherapy. Therefore

they often take medications

rest

or passive exercise for rehabilitation. Traditional Chinese medicine (TCM) believes that "well-guided movement and rests are beneficial to prolonging life-span"

and it is equally important not to blindly adopt the rest-cure method in the recovery process of tumor patients. In the first chapter

Shoushi Chuanzhen

(

Passing Down Truths about Prolonging Life

)

a TCM classic on health preservation and recovery

it is emphasized that "external skills are suitable for health preservation"

and that "the mind should be valued rather than strength"

emphasizing the harmony of body and mind

and conformity to nature. These primarily involve moderate aerobic exercises and exercise with low physical fitness requirements

thus suitable for cancer patients in the recovery period. The most representative TCM exercise therapies

such as Tai chi

Baduanjin and Wuqinxi

have been proven to effectively relieve fatigue in tumor patients

improve the cardiopulmonary function

reduce negative emotions

and improve the quality of life. It is worth further attention and promotion in clinical practice.

关键词

寿世传真导引中医运动疗法肿瘤

Keywords

Shoushi Chuanzhendaoyinexercise therapy of Traditional Chinese Medicinetumor

references

CHOI I J, KOOK M C, KIM Y I, et al. Helicobacter pylori therapy for the prevention of metachronous gastric cancer[J]. N Engl J Med, 2018, 378(12): 1085-1095.

LI WHC, HO KY, LAM KKW，et al. Adventure-based training to promote physical activity and reduce fatigue among childhood cancer survivors：a randomized controlled trial[J]. Int J Nurs Stud, 2018, 83: 65-74.

BRAAM KATJA I. Effects of a combined physical and psychosocial training for children with cancer: a randomized controlled trial.[J]. BMC Cancer, 2018, 18(1) : 1289.

孟晴，陈伟，张明，等.有氧联合抗阻运动对2型糖尿病患者的效果[J].中国康复理论与实践, 2018, 24(12): 1465-1470.

DIELI-CONWRIGHT CHRISTINA M. Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial.[J]. Breast Cancer Res, 2018, 20(1) : 124.

刘迎春.太极拳对肺癌患者呼吸功能的影响[J].中国伤残医学, 2014, 22(6): 211.

游勇飞，王盼盼，胡迎宾，等.血清细胞因子水平与晚期非小细胞肺癌诊疗的关系[J].当代医学, 2020, 26(34): 90-94.

胡丛岗，汤国军，王建军，等.原发性肝癌患者肿瘤转移与T细胞亚群及其细胞因子的相关性分析[J].重庆医学, 2017, 46(16): 2215-2217.

KHOSRAVI N, STONER L, FARAJIVAFA V, et al.. Exercise training, circulating cytokine levels and immune function in cancer survivors: A meta-analysis[J]. Brain Behav Immun, 2019, 10(81): 92-104.

JANELSINS M C, DACIS P G, WIDEMAN L, et al. Effects of Tai Chi Chuan on Insulin and Cytokine Levels in a Randomized Controlled Pilot Study on Breast Cancer Survivors[J]. C Lin Breast Cancer, 2011, 11(3): 161-170.

郑贞，罗杨，鄢显明，等.不同训练时间太极拳运动康复方案对肠道菌群功能的影响[J].中国病原生物学杂志, 2020, 15(9): 1071-1074.

张玲莉，吴伟，余竹生.太极拳运动对骨量骨密度及骨转换标志物影响[J].中国组织工程研究, 2015, 19(51): 8317-8321.

LUO XC, LIU J, FU J, et al. Effect of Tai Chi Chuan in breast cancer patients: a systematic review and meta-analysis[J]. Front Oncol, 2020, 23(10): 607.

陈国明，王丽，毕鸿雁.中国传统功法八段锦的临床康复研究进展[J].按摩与康复医学, 2022, 13(10): 57-60.

余裕昌，万信，郑晓丽.健身气功八段锦的中医基础理论分析[J].中医外治杂志, 2021, 30(3): 94-95.

王晶波，蒋杰，张茜.中医导引术在传统肺康复中的应用[J].中医药导报, 2021, 27(12): 123-125, 157.

WEI X, YUAN R, YANG J, et al. Effects of Baduanjin exercise on cognitive function and cancer-related symptoms in women with breast cancer receiving chemotherapy: a randomized controlled trial[J].Support Care Cancer, 2022, 30(7): 6079-6096.

KLEIN P. Qigong in cancer care: theory, evidence-base, and practice[J]. Medicines (Basel), 2017, 4(1): 2.

LU Y, QU HQ, CHEN FY, et al. Effect of baduanjin Qigong Exercise on cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy: a randomized controlled trial[J]. Oncol Res Treat, 2019, 42(9): 431-439.

KUO C C，WANG C C，CHANG W L, et al. Clinical effects of baduanjin Qigong exercise on cancer patients: a systematic review and meta-analysis on randomized controlled trials[J]. Evid Based Complement Alternat Med, 2021: 6651238.

陈毓雯，管慧芸.五禽戏之鸟戏对肺癌病人中医症状、运动耐量及生活质量的影响[J].护理研究, 2019, 33(23): 4029-4032.

杜永红，卞玉花，金黑鹰，等.五禽戏之鹤戏在结直肠肿瘤快速康复手术前期应用研究[J].内蒙古中医药, 2013, 32(31): 4-5.

杜永红，章喜玲，金黑鹰，等.改良五禽戏之鹤戏在结直肠肿瘤快速康复围手术期相关指标研究[J].解放军预防医学杂志, 2016, 34(S2): 90-91.

朱秀英，李永平，孙小月，等.五禽戏联合推拿对原发性痛经患者中医证候及血清TNF－α、CD4～+、OT、β－EP表达的影响[J].新中医, 2021, 53(2): 201-205.

侯庆梅，杨丽华，郑娟.猿戏对消化道肿瘤化疗患者抑郁情绪及知觉压力的影响[J].护理学报, 2019, 26(9): 64-68.

YANG L H, DUAN P B, HOU Q M, et al. Qigong Exercise for Patients with Gastrointestinal Cancer Undergoing Chemotherapy and at High Risk for Depression: A Randomized Clinical Trial[J]. J Altern Complement Med, 2021, 27(9): 750-759.

薛晓燕，路潜.肿瘤相关性肌减少症评估与干预的研究进展[J].中华护理杂志, 2015, 50(7): 869-873.

MISHRA S I, SCHERER R W, SNYDER C, et al. Exercise interventions on health‐related quality of life for people with cancer during active treatment[J]. Clin Otolaryngol, 2012, 37(5): 390-392.

ROLAND N J, ROGERS S N. Exercise interventions on health-related quality of life for people with cancer during active treatment.[J]. Cochrane Database Syst Rev, 2012, 37(5): 393-394.

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