摘要
原发性肝癌术后失眠是常见的癌症并发症状,根据中医基础理论可知,原发性肝癌患者术后失眠的基本病机总属阴阳失和,具体可概括为肝血瘀滞,心神失养。肝癌术后,肝气郁结,血行不畅,痰浊、瘀毒阻滞,心脉瘀阻以致心神失养而失眠。基于此可确立疏肝化瘀、解毒安神的中医治则,临床治疗应重视攻邪与扶正相结合,做到调和阴阳,既可疏肝化瘀又能调和气血,并兼顾肿瘤治疗,辨证论治,随症加减,从而延长原发性肝癌患者术后生存期并提高其睡眠质量。
Insomnia after primary liver cancer is a common cancer complication.According to the basic theories of traditional Chinese medicine,it is known that the basic pathogenesis of insomnia after primary liver cancer is always dysfunction of yin and yang,which can be summarized as liver blood stasis and loss of mind and energy.After liver cancer surgery,liver qi stagnation,poor blood flow,turbid phlegm,blood stasis and toxin block,heart stasis,resulting in loss of energy and insomnia.Based on this,the TCM treatment principles for soothing the liver and removing blood stasis,detoxification and soothing the nerves can be established.Clinical treatment should focus on the combination of attacking the pathogenic qi and strengthening the healthy qi,so as to reconcile Yin and Yang.Syndrome differentiation and treatment,with the addition and subtraction of the symptoms,thereby prolonging the survival period of patients with primary liver cancer and improving their sleep quality.
作者
王铁军
蔡乐琪
周丽婷
曹勇
张娜
陈思雨
黄韦翰
黄芳
王亚玲
Wang Tiejun;Cai Leqi;Zhou Liting;Cao Yong;Zhang Na;Chen Siyu;Huang Weihan;Huang Fang;Wang Yaling(Traditional Chinese Medicine School of Jinan University,Guangzhou 510632,China;Huangpu Street Community Health Service Center,Huangpu District,Guangzhou510000,China)
出处
《亚太传统医药》
2022年第1期127-130,共4页
Asia-Pacific Traditional Medicine
基金
广州市中医药和中西医结合科技项目(20202A010020)。
关键词
原发性肝癌
肝癌术后
失眠
疏肝
化瘀
解毒
安神
Primary Liver Cancer
Operation of Primary Liver Cancer
Insomnia
Soothing the Liver
Removing Blood Stasis
Detoxification
Tranquilizing the Nerves
