王琦教授应用“交合安魂汤”治疗失眠
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摘要
王琦教授在治疗疾病时倡导"主病主方",特别强调,中医临床既要辨西医之病,也要辨中医之病,还要辨症状论治。辨西医之病时要融中医之论、扬中医之长、辨中医之证以及特异治疗。主病主方"四级"制方思路,既体现辨病与辨证、辨体有机结合,又不失目标指归明确、执简驭繁,为中医临床诊疗模式注入了新的内涵。失眠具有高发病率和高共患病性的特点,这一公共健康问题已经成为国际社会关注的焦点。王琦教授在失眠症的治疗方面,结合失眠的病机:阴阳失调、阳不交阴,应用"交合安魂汤"为失眠的主方,疗效卓著,其中半夏与夏枯草为一对药,百合和苏叶为一对药,主要作用是交会阴阳,使营卫运行恢复常度,从而维持机体睡眠与觉醒的规律。
Professor Wang Qi advocated"main prescription for primary diseases"in the treatment.He particularly emphasized that the clinical physicians of TCM should not only identify the disease with Western medicine,but also with TCM or determine the treating principle based on symptom differentiation.When analyzing the disease with clear diagnosis of Western medicine,the theory and the advantages of TCM should be integrated and the treatment should be provided particularly in terms of the TCM pattern identification.The idea of"four-level"prescription of the"main prescription for primary diseases"embodies the organic combination of differentiation of disease,differentiation of TCM pattern and physical constitution so as to achieve the target treatment.It is a new connotation in the model of clinical diagnosis and treatment of TCM.Insomnia has the characteristics of high morbidity and high comorbidity.This public health issue has become the focus in the international community.In association with the pathogenesis of insomnia,i.e.imbalance of yin and yang,disharmony of yin and yang,professor WANG Qi uses jiaohe anhun decoction as the main prescription.The significant effect has been achieved.In the formula,pinellia ternata and prunella vulgaris are a pair of herbs,lilium brownii and herbal perilliae are a pair,acting on the interconnection of yin and yang to recovery the normal function of the nutrient and defensive systems and maintain the regular sleeping-awakening cycle.
Professor Wang Qi advocated"main prescription for primary diseases"in the treatment.He particularly emphasized that the clinical physicians of TCM should not only identify the disease with Western medicine,but also with TCM or determine the treating principle based on symptom differentiation.When analyzing the disease with clear diagnosis of Western medicine,the theory and the advantages of TCM should be integrated and the treatment should be provided particularly in terms of the TCM pattern identification.The idea of"four-level"prescription of the"main prescription for primary diseases"embodies the organic combination of differentiation of disease,differentiation of TCM pattern and physical constitution so as to achieve the target treatment.It is a new connotation in the model of clinical diagnosis and treatment of TCM.Insomnia has the characteristics of high morbidity and high comorbidity.This public health issue has become the focus in the international community.In association with the pathogenesis of insomnia,i.e.imbalance of yin and yang,disharmony of yin and yang,professor WANG Qi uses jiaohe anhun decoction as the main prescription.The significant effect has been achieved.In the formula,pinellia ternata and prunella vulgaris are a pair of herbs,lilium brownii and herbal perilliae are a pair,acting on the interconnection of yin and yang to recovery the normal function of the nutrient and defensive systems and maintain the regular sleeping-awakening cycle.
引文
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[6]熊曼琪,彭万年.苦参可治喘咳、不寐[J].中医杂志,1995,36(11):645-646.
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[10]白甫,史亚军,张培茵.苦参应用新举[J].现代中医药,2007,27(6):42-43.
[11]马永剑.丁象宸从《内经》理论应用苦参治疗不寐经验初探[J].中国中医药现代远程教育,2018,16(11):64-65.
[12]邱中彦.青黛善治口腔溃疡[J].中医杂志,2005,46(12):895-896.
[13]吴岗.五黛散治疗口腔溃疡[J].陕西中医,1985,6(9):419-420.
[14]刘淼.口腔溃疡验方[J].河北中医,1989,11(8):46-47.
[15]张彩琴.茵陈治疗口疮23例临床观察[J].黑龙江中医药,1992,21(12):30-33.
[16]闵庆霞,孔繁玲.茵陈蒿治疗口腔溃疡[J].中国民间疗法,2006,14(3):56-57.
[17]杨秀荣.茵陈为主治疗口疮51例[J].河北中医,1994,16(1):1-3.
[2]赵克娜,张锦文,吴增强,等.失眠症状与青少年学校表现的相关性研究[J].中国儿童保健杂志,2018,26(2):141-144,157.
[3]陈贵海.失眠的分类和临床特征[J].中国社区医师,2010,12(7):5.
[4]高和.《国际睡眠障碍分类》(第3版)慢性失眠障碍的诊断标准[S].世界睡眠医学杂志,2018,5(5):555-557.
[5]李玲孺,倪诚,张妍,等.更新失眠治疗的思路与方法[J].中医药通报,2013,12(6):4-9.
[6]熊曼琪,彭万年.苦参可治喘咳、不寐[J].中医杂志,1995,36(11):645-646.
[7]郑敏.重用苦参治不寐[J].中医杂志,1995,36(11):645-646.
[8]王万袒.苦参治疗顽固性不寐[J].中医杂志,1995,36(11):646-647.
[9]陈涛,孙晓东.苦参治疗不寐体会[J].中国中医药现代远程教育,2011,9(17):93-94.
[10]白甫,史亚军,张培茵.苦参应用新举[J].现代中医药,2007,27(6):42-43.
[11]马永剑.丁象宸从《内经》理论应用苦参治疗不寐经验初探[J].中国中医药现代远程教育,2018,16(11):64-65.
[12]邱中彦.青黛善治口腔溃疡[J].中医杂志,2005,46(12):895-896.
[13]吴岗.五黛散治疗口腔溃疡[J].陕西中医,1985,6(9):419-420.
[14]刘淼.口腔溃疡验方[J].河北中医,1989,11(8):46-47.
[15]张彩琴.茵陈治疗口疮23例临床观察[J].黑龙江中医药,1992,21(12):30-33.
[16]闵庆霞,孔繁玲.茵陈蒿治疗口腔溃疡[J].中国民间疗法,2006,14(3):56-57.
[17]杨秀荣.茵陈为主治疗口疮51例[J].河北中医,1994,16(1):1-3.
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