| 引用本文:张亦璐1，金燊懿1，焦丽静1，许玲1，周家程2.许玲教授治疗肿瘤患者寒热错杂失眠案例举隅[J].世界中医药,2019,(12):. |
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| 许玲教授治疗肿瘤患者寒热错杂失眠案例举隅 |
| Professor Xu Ling's Medical Cases in the Differentiation and Treatment of Cold-Heat Complicated Insomnia in Cancer Patients |
| 投稿时间：2019-01-29 |
| DOI：10.3969/j.issn.1673-7202.2019.12.049 |
| 中文关键词: 寒热错杂失眠 肿瘤 临床经验 燮理阴阳 以“和”为法 顺应自然 |
| English Keywords:Cold-heat complicated syndrome insomnia Cancer Clinical experience Balance yin and yang Take “harmony” as treatment Conform to the nature Xu Ling |
| 基金项目:上海市科学技术委员会科研计划项目（16401970700）；上海市卫生和计划生育委员会中医药科技创新项目（ZYKC201601020）；促进市级医院临床技能培育项目与临床创新能力三年行动计划项目（16CR1036B）；上海中医药大学“高峰造尖行动计划”项目（2018-2020）；上海市中医优势病重培育项目（zybz-2017009） |
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| 中文摘要: |
| 介绍许玲教授辨治肿瘤患者寒热错杂失眠的临床经验。寒热错杂失眠主要由于阴阳二气不交致脾胃不和、水火不济、坎离不交，情志不遂致五志化火，加之放化疗、靶向治疗等不良反应的影响而引发；治疗燮理阴阳，以“和”为法，寒热药物并用以沟通内外。临证需重视调整作息，顺应自然，阴阳自和则“阴平阳秘，精神乃治”。 |
| English Summary: |
| This paper introduced Professor Xu Ling's clinical experience in the differentiation and treatment of cold-heat complicated insomnia in cancer patients.Such insomnia is mainly induced by the consequences of the imbalance of yin and yang, including the incoordination between the spleen and the stomach, the disharmony between water and fire, the imbalance between heart-yang and kidney-yin as well as five minds transforming into fire.Moreover, the toxic and side effects caused by the chemotherapy as well as the targeted therapy could have impacts on the cold-heat complicated insomnia.Based on the central idea of “harmony”, the treatment for such insomnia is to balance yin and yang, together with using cold combined with hot medicines, for realizing the communications between external and internal sides.In clinic, it should pay attention to adjusting the work time and the rest time, conforming to the nature, achieving the balance through the self-harmony of yin and yang, and thus be in the healthy and vigorous state. |
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