Staged Prevention and Treatment for Low Anterior Resection Syndrome Using Acupuncture
10.13288/j.11-2166/r.2026.11.005
- VernacularTitle:低位前切综合征的针灸分期防治策略
- Author:
Ruotong CAO
1
;
Mengqi WANG
1
;
Xue CAO
1
;
Yuning QIN
1
;
Jia LIU
1
Author Information
1. Institute of Basic Research in Clinical Medicine，China Academy of Chinese Medical Sciences，Beijing，100700
- Publication Type:Journal Article
- Keywords:
low anterior resection syndrome;
acupuncture and moxibustion therapy;
staged prevention and treatment;
bowel control disorder
- From:
Journal of Traditional Chinese Medicine
2026;67(11):1157-1161
- CountryChina
- Language:Chinese
-
Abstract:
Low anterior resection syndrome （LARS） is a common complication of sphincter-preserving rectal cancer surgery， and its manifestations change dynamically at different stages. By analyzing and summarizing the clinical symptoms and pathomechanism evolution of LARS across different stages， this paper proposes a staged prevention and treatment strategy using acupuncture. During perioperative stage， the main principle is activating the transport function of the body， supplemented by regulating the mind， with the use of dredging the bowels as needed. During the stoma reversal stage， treatment focuses primarily on fortifying the spleen， with draining dampness as a supplementary method， to help consolidate the intestines. During the radiotherapy or chemotherapy stage， the main focus is reinfor-cing healthy qi， with reducing toxin as an adjunct， to achieve the effect of activating the transport of the pivot. During the survival management stage， treatment primarily focuses on tonifying the kidneys and secondarily on fortifying the spleen， with regulating the corporeal soul as the therapeutic emphasis. Acupoints are selected and combined in accordance with the treatment principles at each stage， and different stimulation methods such as electroacupuncture and moxibustion are applied. An analysis of the mechanisms underlying acupuncture for LARS is also provided， offering a theoretical basis and practical approach for the prevention and treatment of LARS with acupuncture.
