陈跃来针灸治疗乳腺癌相关性失眠经验

Chen Yuelai's experience in the treatment of breast cancer-related insomnia with acupuncture and moxibustion

乳腺癌相关性失眠可出现在癌症的各个阶段,发病率逐年增高,严重影响患者的生活质量、后续治疗及生存转归。陈跃来临证中运用针灸治疗乳腺癌相关性失眠时,认为本病以虚证或虚实夹杂之证多见,总以“阴阳失和、脏腑失调”为基本病机,重视“治病求本”,以“调和阴阳、调神理气”为治疗基本原则,针刺取穴时结合经络脏腑理论辨证,配合特色针刺手法以求气至病所,同时辅以睡眠卫生指导,临床中常颇获良效,远期效果满意。

Breast cancer-related insomnia is one of the most common symptoms in breast cancer patients,which can occur in all the stages of cancer.Its incidence is increasing year by year,which seriously affects the quality of life,follow-up treatment and survival outcome of patients,and brings a heavy burden to them,their families as well as the society.What's more,breast cancer-related insomnia has aroused a widespread concern from all walks of life.Professor Chen Yuelai,who attaches great importance to"working out the root cause"when treating it with acupuncture,believes that it is mostly characterized by a deficiency syndrome or a syndrome of intermingled deficiency and excess,and its basic pathogenesis is"yin and yang disharmony and disorder of the internal organs".He takes"harmonizing yin and yang,regulating the spirit and regulating qi"as the fundamental treatment principle.When selecting acupoints,he refers to the theory of syndrome differentiation according to meridians and zang-fu viscera.In addition,he employs characteristic acupuncture manipulations in order to accomplish the arrival of qi at the affected sites.At the same time,he supplements his treatment with sleep hygiene guidance.His treatment method often proves quite effective in clinical practice,and has a satisfactory long-term effect.