贾玫教授从痰论治肿瘤相关性失眠经验  

Professor Jia Mei's Experience in Treating Cancer-Related Insomnia from Phlegm

作　　者：崔鑫玮 黄雯霞 付韵霏 王一珺 贾玫[1] CUI Xin-wei;HUANG Wen-xia;FU Yun-fei;WANG Yi-jun;JIA Mei(Department of Hematology and Oncology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700)

机构地区：[1]北京中医药大学东直门医院血液肿瘤科,北京100700

出　　处：《世界中西医结合杂志》2024年第7期1326-1329,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：北京市科技计划项目(Z191100008319006)。

摘　　要：肿瘤相关性失眠(Cancer related insomnia,CRI)是肿瘤诊治过程中出现的睡眠障碍,发病率明显高于正常人群,约52.6%~67.4%,严重影响患者生活质量。贾玫教授长期从事抗肿瘤及其相关并发症的治疗,从痰论治CRI取得了良好的临床效果,认为“痰阻气血水三道”为其基本病因,“痰阻气滞伤肝”“痰阻血瘀伤心”“痰阻水泛伤肾”为其核心病机。以疏肝、养心、温肾并重为治则,使气机、血脉、水道并调,痰浊得化,睡眠自安,为临床诊治CRI提供新思路。Cancer-related insomnia(CRI)is a sleep disorder that occurs in the diagnosis and treatment process of cancer.The incidence of CRI in cancer patients is significantly higher than that in the normal population,ranging from 52.6%to 67.4%,and this disorder seriously affects the quality of life of the patients.Engaging in the treatment of cancer and its related complications for a long time,Professor Jia Mei has accumulated rich experience in the treatment of CRI from phlegm.Professor Jia believes the root cause of CRI lies in phlegm obstructing the flow and movement of blood,qi,and water.The main pathogeneses include phlegm obstructing qi movement and damaging liver,phlegm inducing blood stasis and damaging heart,and phlegm obstructing water and damaging kidney.Accordingly,the treatment should follow the principles of soothing the liver,tonifying the heart,and warming the kidney,which will regulate the qi movement,blood vessels,and water passage.After the phlegm is resolved and turbidity cleared,the sleep disorder can be alleviated.Professor Jia′s experience provides a new idea for the clinical diagnosis and treatment of CRI.

关 键 词：贾玫 肿瘤相关性失眠 痰浊 名医经验 

分 类 号：R256.23[医药卫生—中医内科学]