Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the <italic style="font-style: italic">Qi</italic> and Fire

LUO Cheng; YE Yuanhang; KE Jia; YANG Yi; HE Cong

doi:10.13288/j.11-2166/r.2026.10.003

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Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the Qi and Fire

更新时间：2026-05-19

- Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the Qi and Fire
- Journal of Traditional Chinese Medicine Vol. 67, Issue 10, Pages: 1044-1048(2026)
- 作者机构：
  
  1.成都中医药大学，四川省成都市金牛区十二桥路37号，610032
  2.成都中医药大学附属医院
  3.中国中医药联合研究生院
  4.彭州市第三人民医院
  5.湖北省中医院
  6.湖北中医药大学附属医院
  7.湖北省中医药研究院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.10.003
  CLC：
- Received：12 August 2025，
  
  Revised：2025-12-24，
  
  Accepted：07 November 2025，
  
  Published：17 May 2026
- 稿件说明：
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罗成,叶远航,柯佳等.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.

LUO Cheng,YE Yuanhang,KE Jia,et al.Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the Qi and Fire[J].Journal of Traditional Chinese Medicine,2026,67(10):1044-1048.
罗成,叶远航,柯佳等.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. DOI： 10.13288/j.11-2166/r.2026.10.003.

LUO Cheng,YE Yuanhang,KE Jia,et al.Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the Qi and Fire[J].Journal of Traditional Chinese Medicine,2026,67(10):1044-1048. DOI： 10.13288/j.11-2166/r.2026.10.003.

摘要

总结凃晋文教授运用“壮火食气”理论从气、火分期辨治癌因性失眠的临证经验。认为癌因性失眠的病机演变过程可划分为三个阶段：初始期气机怫郁、壮火萌动、君火不宁，乃气盛而火不盛阶段，方选三花解郁安神汤以行气达郁、清宣壮火、宁心安神；进展期壮火燔灼、气化衰惫、毒火扰神，乃气火壅盛阶段，方选黄连解毒安神汤以清散壮火、泻火解毒、清心安神；终末期壮火潜藏、食气伤正、心神失养，乃气火皆衰阶段，方选二仁养心安神汤以益气滋阴、交通心肾、养心安神。

Abstract

This paper summarizes professor TU Jinwen's clinical experience in treating cancer-related insomnia （CRI） based on different

and fire. It is believed that the pathogenesis of CRI can be divided into three stages. At the initial stage，

movement is constrained， while the strong fire begins to stir， and the sovereign fire is unsettled， when

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

and vent constraint， clear and diffuse strong fire， calm the heart and spirit. At the progressive stage， strong fire becomes intense and burning， and

transformation weakens， with toxin fire harassing the spirit. This is the stage where both

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

damages healthy

， with failure of nourishment of heart spirit， when both

and fire deplet

e. Correspondingly，

Erren Yangxin Anshen Decoction

（二仁养心安神汤） is used to boost

and nourish

yin

， restore interaction between the heart and the kidney， nourish the heart and calm spirit.

关键词

Keywords

references

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Related Institution

School of Traditional Chinese Medicine， Hubei University of Chinese Medicine

Hubei Provincial Hospital of Traditional Chinese Medicine

The Second Clinical Medical College，Henan University of Chinese Medicine

Henan Provincial Hospital of Traditional Chinese Medicine/The Second Affiliated Hospital of Henan University of Chinese Medicine

Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University

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Clinical Experience of Professor TU Jinwen in Staged Differentiating and Treating Cancer-Related Insomnia Based on the Qi and Fire

DOI：10.13288/j.11-2166/r.2026.10.003

摘要

Abstract

关键词

Keywords

references