中医杂志2026，Vol.67Issue(10)：1044-1048,5.DOI:10.13288/j.11-2166/r.2026.10.003
凃晋文从气、火分期辨治癌因性失眠经验
Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the Qi and Fire
摘要
Abstract
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.关键词
癌因性失眠/壮火食气/名医经验/凃晋文Key words
cancer-related insomnia/strong fire consuming qi/experience of famous doctors/TU Jinwen引用本文复制引用
罗成,叶远航,柯佳,杨毅,何聪,凃晋文..凃晋文从气、火分期辨治癌因性失眠经验[J].中医杂志,2026,67(10):1044-1048,5.基金项目
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) （国中医药办人教函[2022]245号）
湖北省科技重大专项(2023BCA005) （2023BCA005）
湖北时珍实验室首席科学家科研项目(HSL2024SX0002) （HSL2024SX0002）
湖北省自然科学基金(联合基金)资助项目(2023AFD173) （联合基金）
湖北省"公共卫生青年拔尖人才培养计划"项目(鄂卫通[2021]74号) （鄂卫通[2021]74号）
成都市卫生健康委员会-成都中医药大学委校院联合创新基金(WXLH202403266) （WXLH202403266）
