王晞星从情志论治脑瘤经验  

Professor WANG Xixing's Experience in Differentiating the Treatment of Brain Tumor from Emotions and Minds

作　　者：王馨悦 韩鸳鹍 张兰枝 李宜放[3] 杨晞 WANG Xinyue;HAN Yuankun;ZHANG Lanzhi;LI Yifang;YANG Xi(Shanxi Provincial Institute of Traditional Chinese Medicine,Taiyuan,030012;Shanghai University of Traditional Chinese Medicine;Shanxi Traditional Chinese Medical Hospital)

机构地区：[1]山西省中医药研究院,山西省太原市030012 [2]上海中医药大学 [3]山西省中医院

出　　处：《中医杂志》2024年第21期2184-2188,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第四届国医大师传承工作室建设项目(国中医药办人教函[2022]245号);山西省中医药管理局科研课题计划(2023ZYYC007)。

摘　　要：总结王晞星教授从情志论治脑瘤的经验。认为情志异常是影响脑瘤发生发展的关键因素,情志内伤导致五脏功能失常,蕴生痰、瘀、湿、毒等邪气聚于脑而发为脑瘤。治疗主张复调五脏之气,兼祛痰瘀湿毒,将脑瘤分为心脾两虚、肝郁脾虚、心肾不交、肝肾阴虚四种证型进行辨证论治,分别拟定归脾养神汤以健脾养心,归芍顺志汤以疏肝健脾,连桂通神汤以交通心肾,滋水清木化神汤以滋肾清肝。同时强调需关注患者情绪变化,适时予以心理疏导,以情胜病。To summarise Professor WANG Xixing's experience in treating brain tumour from emotions and minds.Professor WANG regarded abnormal emotions and minds as the key to the treatment of brain tumor.Emotions and minds internal damage lead to malfunction of the five zang organs,resulting in phlegm,stasis,dampness,toxicity and other pathogenic qi gathering in the brain and developing into brain tumour.The treatment advocated regulating qi of the five zang organs and dispelling phlegm,blood stasis,dampness and toxins at the same time.The brain tumour is classified into four syndromes:heart-spleen deficiency,liver depression and spleen deficiency,failure of the heart and kidney to interact,and liver-kidney yin deficiency,with Guipi Yangshen Decoction(归脾养神汤)to fortify the spleen and nourish the heart,Guishao Shunzhi Decoction(归芍顺志汤)to soothe the liver and fortify the spleen,Liangui Tongshen Decoction(连桂通神汤)to restore interaction between the heart and the kidney,and Zishui Qingmu Huashen Decoction(滋水清木化神汤)to nourish the kidney and clear liver.At the same time,it was emphasised that the patient's emotional changes should be paid attention to,and psychological guidance should be given at the right time,so as to overcome the disease with emotions and mind.

关 键 词：脑瘤 情志 五脏 五志 名医经验 王晞星 

分 类 号：R249[医药卫生—中医临床基础] R273[医药卫生—中医学]