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从"一气周流"论治肿瘤相关性失眠OA

Treating Cancer-Related Insomnia from the Perspective of"Circulation of Unified Qi"

中文摘要英文摘要

肿瘤相关性失眠作为肿瘤患者常见的并发症,严重影响患者的生活质量.肿瘤相关性失眠的病机核心为中焦运化失常、气机升降紊乱,致使脾胃的枢纽功能出现障碍,进而引发肝郁、心肾不交、营卫不和等多脏腑功能失调,最终影响心神,导致失眠.基于"一气周流"理论,在治疗方面,应以调理脾胃、恢复中焦枢机功能为核心,同时配合疏肝解郁、调和心肾、宣肺降浊、调和营卫等方法,对气机升降与脏腑功能进行整体调节,使气血周流有序、阴阳相交,进而达到安神助眠、改善睡眠质量的目的.

Cancer-related insomnia(CRI)as a common complication among cancer patients severely impairs their quality of life.The core pathogenesis of CRI lies in the dysfunction of the middle energizer in transportation and transformation,leading to disrupted ascend-ing and descending movements of qi,which influences the pivotal function of the spleen and stomach,subsequently causing liver depres-sion,disharmony between the heart and kidney,and imbalance between nutrient and defense qi,etc.ultimately affecting the mind and re-sulting in insomnia.Based on the theory of"circulation of unified qi,"the treatment should focus on regulating the spleen and stomach,and restoring the pivotal function of the middle energizer.At the same time,soothing the liver to relieve depression,harmonizing the heart and kidney,diffusing the lung to descend turbidity,and regulating nutrient and defensive qi,and other methods can also be com-plem ented for holistic regulation of qi movement and visceral functions,then the orderly circulation of qi and blood as well as the inter-action of yin and yang can be restored,thereby achieving the goal of calming the mind,promoting sleep,and improving sleep quality.

白明远;王华伟

辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847||辽宁中医药大学附属医院,辽宁 沈阳 110032

医药卫生

肿瘤相关性失眠"一气周流"黄元御《四圣心源》

cancer-related insomniacirculation of unified qiHuang YuanyuFour Sages'Origin of Medicine

《河南中医》 2026 (2)

208-213,6

第七批全国名老中医药专家项目{国中医药人教函[2022]76}

10.16367/j.issn.1003-5028.2026.02.0034

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