摘要
失眠是睡眠障碍的常见类型,亦是多种疾病的伴随症状。刘红旭教授认为阳不交阴是失眠的核心病机,其病位虽系心,但与肝密切相关,可由于枢机不利,阴阳离合和阴阳偏盛,心神受扰导致,治疗以引阳入阴为基本原则。枢机运转不利因气滞、瘀血而致,故以疏肝解郁、活血化瘀而斡旋枢机,调畅气血;阴阳偏盛又有心肝脏腑之异,火盛阴(血)亏不同,火盛者清心泻肝,阴亏者养血柔肝。并针对病机选用逍遥散、血府逐瘀汤、龙胆泻肝汤、酸枣仁汤等治疗失眠。
Insomnia is a common type of sleep disorder and a concomitant symptom of many diseases.Professor LIU Hongxu believes that yang does not enter the yin is the core pathogenesis of insomnia,although its disease location is heart,but closely related to liver,due to adverse pivotal,yin and yang clutch and yin or yang excess,the mind is disturbed,the basic principle of treatment is to introduce yang into yin.The cardinal's unfavorable operation is caused by qi stagnation and blood stasis,so it mediates the cardinal to regulate qi and blood by dispersing stagnated liver qi for relieving qi stagnation and promoting blood circulation for removing blood stasis.Yin and yang is more abundant and there is a difference between the heart and liver viscera.Fire is abundant in yin(blood)deficiency.Fire is abundant in clearing the heart and reducing the liver,and yin deficiency in nourishing the blood and softening the liver.According to the pathogenesis,Xiaoyao San,Xuefu Zhuyu Decoction,Longdan Xiegan Decoction and Suanzaoren Decoction were used to treat insomnia.
作者
连妍洁
来晓磊
佟彤
刘子豪
刘红旭
LIAN Yanje;LAI Xiaolei;TONG Tong;LIU Zihao;LIU Hongxu(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Capital Medical University,Beijing 100069,China;不详)
出处
《中华中医药杂志》
CSCD
北大核心
2023年第12期5835-5838,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家中医药管理局中医药循证能力建设项目(No.2019XZZX-XXG001)
北京市医院管理局重点医学专业发展计划(No.ZYLX201817)。
关键词
失眠
肝
病机
辨证论治
经验
调畅气机
刘红旭
Insomnia
Liver
Pathogenesis
Treatment based on syndrome differentiation
Experience
Regulating qi activity
LIUHongxu
