胡凯文运用温法治疗肿瘤相关性失眠经验OA
HU Kaiwen's experience in treating cancer-related insomnia by warming method
失眠是肿瘤患者常见并发症之一,严重影响患者的生活质量及临床疗效.胡凯文教授结合多年的临床实践经验,认为肿瘤相关性失眠发生的根本在于脾肾阳虚,聚生痰饮,影响阴阳往来沟通,使阳不入于阴而发病.基于此,胡凯文教授运用"病痰饮者,当以温药和之"的经典理论,将"温"法作为肿瘤相关性失眠的基本治则,通过温补脾肾以治本,根据辨证温化痰饮、消除阻滞以治标,标本兼治,使正复邪去,阴阳调和,神志得安,疗效显著.
Insomnia is one of the common complications in patients with cancer and seriously affects their quality of life and clinical efficacy.Based on years of clinical practice,Professor HU Kaiwen holds that the fundamental cause of cancer-related insomnia lies in spleen-kidney yang deficiency,leading to the accumulation of phlegm-fluid,which disrupts the communication between yin and yang,prevents yang from entering yin,and ultimately results in insomnia.Based on this understanding,Professor HU applies the classical theory that"those suffering from phlegm-fluid retention should be treated with warm drugs",taking"warming"as the fundamental therapeutic principle for cancer-related insomnia.By warming and tonifying the spleen and kidneys to treat the root,and by warming and transforming phlegm-fluid and eliminating obstruction based on syndrome differentiation to treat the manifestations,both root and manifestations are addressed simultaneously.This approach restores the healthy qi,eliminates pathogenic factors,harmonizes yin and yang,and calms the mind,thereby achieving significant therapeutic effects.
于敏;张可睿;胡凯文;徐婕;朱淼;施想;郑好;周天
北京中医药大学第二临床医学院,北京 100029北京中医药大学东方医院肿瘤科,北京 100078北京中医药大学东方医院肿瘤科,北京 100078北京中医药大学第二临床医学院,北京 100029北京中医药大学第二临床医学院,北京 100029北京中医药大学第二临床医学院,北京 100029北京中医药大学第二临床医学院,北京 100029北京中医药大学东方医院肿瘤科,北京 100078
肿瘤肿瘤相关性失眠温阳化饮痰饮名医经验
tumorcancer-related insomniayang-warming and fluid-dispersingphlegm-fluid retentionexperience of famous doctor
《北京中医药》 2026 (2)
227-231,5
国家自然科学基金面上项目(82474344)北京中医药大学基本科研业务费(揭榜挂帅)(2023-JYB-JBZD-006)北京中医药大学教育科学研究课题(XJZ24004)
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