王晞星从情志论治脑瘤经验

Professor WANG Xixing's Experience in Differentiating the Treatment of Brain Tumor from Emotions and Minds

总结王晞星教授从情志论治脑瘤的经验。认为情志异常是影响脑瘤发生发展的关键因素,情志内伤导致五脏功能失常,蕴生痰、瘀、湿、毒等邪气聚于脑而发为脑瘤。治疗主张复调五脏之气,兼祛痰瘀湿毒,将脑瘤分为心脾两虚、肝郁脾虚、心肾不交、肝肾阴虚四种证型进行辨证论治,分别拟定归脾养神汤以健脾养心,归芍顺志汤以疏肝健脾,连桂通神汤以交通心肾,滋水清木化神汤以滋肾清肝。同时强调需关注患者情绪变化,适时予以心理疏导,以情胜病。

To summarise Professor WANG Xixing's experience in treating brain tumour from emotions and minds.Professor WANG regarded abnormal emotions and minds as the key to the treatment of brain tumor.Emotions and minds internal damage lead to malfunction of the five zang organs,resulting in phlegm,stasis,dampness,toxicity and other pathogenic qi gathering in the brain and developing into brain tumour.The treatment advocated regulating qi of the five zang organs and dispelling phlegm,blood stasis,dampness and toxins at the same time.The brain tumour is classified into four syndromes:heart-spleen deficiency,liver depression and spleen deficiency,failure of the heart and kidney to interact,and liver-kidney yin deficiency,with Guipi Yangshen Decoction(归脾养神汤)to fortify the spleen and nourish the heart,Guishao Shunzhi Decoction(归芍顺志汤)to soothe the liver and fortify the spleen,Liangui Tongshen Decoction(连桂通神汤)to restore interaction between the heart and the kidney,and Zishui Qingmu Huashen Decoction(滋水清木化神汤)to nourish the kidney and clear liver.At the same time,it was emphasised that the patient's emotional changes should be paid attention to,and psychological guidance should be given at the right time,so as to overcome the disease with emotions and mind.