The Experience Of Professor Wang Yan-hui On Treating Cancer-related Insomnia

Purpose:Through the collection and analysis of clinical cases,the clinical experience of Professor Wang Yan-hui in the treatment of cancer-related insomnia was summarized and discussed,then to improve the quality of life of patients,prolong the survival period,and provide solid theoretical guidance for the treatment cancer-related insomnia.Method:In this study,a retrospective investigation was conducted to collect 94 cases of cancer-related insomnia treated by Professor Wan Yan-hui from May 2014 to October 2019 in the Xiamen-affiliated Zhongshan Hospital and the Outpatient Department of traditional Chinese medicine of Xiamen Yanlaifu Hospital.Thesis contains three parts.The first part discusses the Chinese and western medical concepts,etiology,pathogenesis,clinical manifestations and treatment of cancer-related insomnia through the study of a large number of the latest domestic and foreign literature.The second part used Excel to establish the database of clinical diagnosis and treatment information of Professor Wang Yan-hui,and analyzed the data of 94 cases of cancer-related insomnia with statistical methods.The third part,on the basis of the analysis of literature and case statistics,illustrates the principles and key points of Professor Wang Yan-hui’s treatment of cancer-related insomnia.Result:Among the 94 case studies,the patients aged between 51 and 60 were the most.The primary tumor type is lung cancer.At the same time,the patients had different degrees of insomnia symptoms,among which difficulty in falling asleep and early awakening were the main causes.The frequency of left-hand pulse manifestation was mostly stringy pulse,followed by thready pulse,floating pulse.The frequency of right-hand pulse manifestation was mainly stringy pulse,followed by thready pulse and feeble pulse.The frequency of tongue color was mostly purple tongue,and the frequency of fur character was mostly greasy fur.The frequency of syndrome was syndrome of phlegm-heat attacking internally,followed by syndrome of deficiency of both heart and spleen and syndrome of liver qi depression transforming into fire.Application of high-frequency medicines(application of frequency>15)from high to low frequency of Rhizoma Pinelliae,Poria,Radix Glycyrrhizae,Cortex Albiziae,Radix Achyranthis Bidentatae,Radix Codonopsis,Pericarpium Citri Reticulatae,Os Draconis,Semen Ziziphi Spinosae,Rhizoma Atractylodis Macrocephaiae,Radix Paeoniae Alba,Concha Ostreae,Radix Scutellariae,Concha Margaritifera,Rhizoma Zingiberis,Fructus Aurantii,Lapis Chloriti,Toosendan Fructus,Radix Salviae Miltiorrhizae,Fructus Crataegi,Rhizoma Curcumae,Magnetitum,Rhizoma Sparganii,Fructus Jujubae,Ramulus Cinnamomi,Caulis Polygoni Multiflori,Rhizoma Arisaematis,Cortex Magnoliae Officinalis,Fructus Meliae Toosendan,Bulbus Fritillaria and Rhizoma Zingiberis Recens,etc.The most frequently used medicines were channeling to the Taiyin Spleen Channel of Foot,followed by Jueyin Liver Channel of Foot,Taiyin Lung Channel of Hand,Shaoyin Heart Channal of Hand and Yangming Stomach Channel of Foot.There were 19 pairs of application of high-frequency couplet medicines(application of frequency>15)and the application times of Rhizoma Pinelliae-Poria and Rhizoma PinelliaePericarpium Citri Reticulatae were the first and second respectively.Conclusion:Professor Wang Yan-hui pay much attention to clinical diagnosis and treatment of patients with sleep.He thinks healthy sleep rhythm and the high quality of sleep can make the body has problems as far as possible into balance,according to the patient’s systemic symptom,with the tongue manifestation and pulse manifestation for judgment basis,grasp the state of the patient’s body,take yin and yang in equilibriums as thought,make the function of nerve-endocrine-immune system as far as possible back to the best.