龚亚斌应用加味磁朱丸治疗肿瘤相关性失眠经验  

Analysis of Gong Yabin's clinical experience in the treatment of cancer-related insomnia with Jiawei Cizhu pill

作　　者：阿格尔 甘姗珊 周海伦 刘睿潮 韩阳 柴妮 龚亚斌[1] AGEER;GAN Shanshan;ZHOU Hailun;LIU Ruichao;HAN Yang;CHAI Ni;GONG Yabin(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《长春中医药大学学报》2024年第4期390-393,共4页Journal of Changchun University of Chinese Medicine

基　　金：上海市卫生健康委员会卫生行业临床研究专项(20204Y0401);国家中医药管理局第五批全国中医临床优秀人才研修项目(RY410.17.06)。

摘　　要：失眠是肿瘤患者常见的伴随症状之一,严重影响着肿瘤患者的身心健康。龚亚斌教授认为,肝郁气滞、心肾不交、阴阳失调是以夜寐易醒、多梦为主要症状的肿瘤相关性失眠的首要病机,临证时注重心、肝、肾三脏的关系,常嘱患者在原选方中药基础上加用加味磁朱丸汤剂送服以交通心肾、疏肝潜阳安神。根据临床症状,合理配伍,辨证加减,临床疗效满意。Insomnia is one of the common accompanying symptoms of cancer patients,which seriously affects the physical and mental health of cancer patients.Professor Gong Yabin believes that the primary pathogenesis of cancer-related insomnia with the main symptoms of nocturnal sleepiness and easy awakening,and dreaminess is liver depression and qi stagnation,disharmony between heart and kidney,and yin and yang disharmony.In clinical practice,Professor Gong attaches great importance to the relationship between the heart,liver and kidney,and the patients are often advised to take Jiawei Cizhu pill decoction on the basis of traditional Chinese medicine of original selected prescription to restore normal coordination between heart and kidney,and disperse stagnated liver qi,and suppress hyperactive yang for tranquillization.Professor Gong advocates that according to the clinical symptoms,doctors should make reasonable drug compatibility,and add or subtract drugs based on syndrome differentiation in order to achieve satisfactory clinical efficacy.

关 键 词：肿瘤相关性失眠 磁朱丸 辨证论治 龚亚斌 

分 类 号：R256.23[医药卫生—中医内科学]