首页|郑红刚教授基于"浊邪害清"理论辨证论治肿瘤相关性失眠经验

郑红刚教授基于"浊邪害清"理论辨证论治肿瘤相关性失眠经验

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肿瘤相关性失眠是肿瘤发生及治疗过程中常见症状之一,严重影响肿瘤患者的生活质量及预后."浊邪害清"理论在肿瘤相关性失眠的发生、发展及其治疗上具有指导意义."浊邪"是指侵袭人体的病理邪气,涵盖湿、痰、瘀、滞等病理因素;"清"与"浊"相对,常表现为清气、清窍等,在人体内发挥着重要的生理功能.郑红刚教授认为肝郁脾虚是肿瘤微环境形成的核心,也是浊邪产生的基础,浊邪渐生则清气虚衰;痰瘀互结则浊邪内蕴,清气不通;浊邪流注则清窍受损.本文通过探讨肿瘤相关性失眠发生、发展过程中的病机变化,揭示了肿瘤相关性失眠以"浊邪害清"为基础的动态病机演变,并将疏肝健脾化浊,化痰祛瘀清浊、扶正补虚祛浊作为肿瘤相关性失眠的基本法则,对指导临床具有重要意义.
Professor Zheng Honggang's experience in treating tumor-related insom-nia by syndrome differentiation based on the theory of"turbid evils in-vading the clear orifice"
Tumor-related insomnia is one of the common symptoms in the course of tumorigenesis and treatment,which seriously affects the quality of life and prognosis of tumor patients.The theory of"turbid evils invading the clear orifice"has guiding significance in the occurrence,development,and treatment of tumor-related insomnia."Turbidity evil"refers to the pathological evil that invades human body,including dampness,phlegm,stasis,stagnation and other pathological factors."Clear"and"turbid"is the opposite,often manifested as clear qi,clear orifice,etc.,in the human body plays an important physiological function.Professor Zheng Honggang believes that liver depression and spleen deficiency is the core of tumor microenvironment formation and the basis of turbidity evil,and the gradual emergence of turbidity evil leads to qingqi deficiency and decline.Phlegm and blood stasis interlocking causes turbidness and internal accumulation,and qingqi impassability.The flow of turbid evil causes damage to clear orifices.By discussing the pathogenesis changes in the occurrence and development of tumor-related insomnia,this paper reveals the dynamic pathogenesis evolution of tumor-related insomnia based on"turbid evils invading the clear orifice",and considers the basic principles of tumor-related insomnia,such as soothing the liver and invigorating the spleen for turbidity-clearing,eliminating phlegm and blood stasis for turbidity-clearing,and reinforcing healthy qi and tonifying deficiency for turbidity-clearing,which is of great significance for clinical guidance.

Tumor-related insomniaTurbid evils invading the clear orificeTumorPathogenesisTreatment

蔡柳、熊宏泰、马苏苏、杜炎远、高劲、于惠博、郑红刚

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中国中医科学院广安门医院,北京 100053

肿瘤相关性失眠 浊邪害清 肿瘤 病机 治则

国家自然科学基金面上项目国家中医药局中医药创新团队及人才支持计划

82174463ZYYCXTD-C-202205

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(8)
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