癌因性疲乏是临床常见疾病，严重影响患者的生活质量及机体功能恢复。该病应责之于五脏，基本病机为脏腑功能 虚损、气血阴阳失调，治疗上应以调整气血阴阳为要，以调理心肝脾肾等脏腑为核心。通元针法以任督为总纲，通督养神 以调和脏腑，引气归元以平衡阴阳，终达“脏腑调和，阴平阳秘，疲乏自除”之功效。临床选穴上重督脉、兼背俞；取任 脉、守腹募，突出阴阳调和的主旨，并配以四肢特定穴以调理脏腑气血、针对寒热虚实。黄泳教授应用通元针法治疗癌因 性疲乏，积累了一定的临证经验。该文对其临证经验进行了梳理以供临床借鉴和思考。

Cancer-related fatigue（CRF）is a commonly-seen clinical disease，which seriously affects patients􀆳 quality of life and recovery of body functions. Five zang-organs are responsible for the onset and progress of CRF， and the basic pathogenesis is deficiency of visceral functions as well as disharmony of qi-blood and yin-yang. Treatment should be mainly concentrated on regulating qi-blood and harmonizing yin-yang，therapy focusing on regulating visceras such as heart， liver， spleen， kidney. Tongyuan acupuncture identification of conception vessel（CV）and governor vessel（GV）being general principles，unblocking GV and nourishing the mind thus harmonizing the visceras，conducting qi back to its source so as to balance of yin and yang，and ultimately achieve the efficacy of “harmony of visceras，relative equilibrium of yin-yang，and free of fatigue”. Clinical acupoint selection addressed importance to the GV，as well as back-shu point. Selection of the CV，keep the abdominal front-mu point，highlighting the main theme of yin-yang harmonization，along with acupuncture on the specific acupoints of extremities to regulate the qi-blood of visceras， to balance the cold-heat and deficiency-excess. Professor Huang Yong has accumulated certain clinical experiences in Tongyuan acupuncture for the treatment of CRF，such experiences being summarized as follows for clinical reference and consideration.

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广东省自然科学基金面上资助项目（编号：2022A1515011658，2023A1515012235）；深圳市“医疗卫生三名工程”资助项目 （编号：SZZYSM202108013）