凃晋文从气、火分期辨治癌因性失眠经验OA

This paper summarizes professor TU Jinwen's clinical experience in treating cancer-related insomnia(CRI)based on different qi and fire.It is believed that the pathogenesis of CRI can be divided into three stages.At the initial stage,qi movement is constrained,while the strong fire begins to stir,and the sovereign fire is unsettled,when qi is abundant,but the fire is not excessive.For this,Sanhua Jieyu Anshen Decoction(三花解郁安神汤)is suggested,which can move qi and vent constraint,clear and diffuse strong fire,calm the heart and spirit.At the progressive stage,strong fire becomes intense and burning,and qi transformation weakens,with toxin fire harassing the spirit.This is the stage where both qi and fire are excessive,for which Huanglian Jiedu Anshen Decoction(黄连解毒安神汤)can be used to clear and dissipate strong fire,drain fire and resolve toxin,clear heart and calm spirit.At the terminal stage,strong fire subsides,and consumption of qi damages healthy qi,with failure of nourishment of heart spirit,when both qi and fire deplete.Correspondingly,Erren Yangxin Anshen Decoction(二仁养心安神汤)is used to boost qi and nourish yin,restore interaction between the heart and the kidney,nourish the heart and calm spirit.