蒋健从郁论治不寐的临床经验及学术思想
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摘要
通过验案介绍蒋健教授治疗郁证性不寐的临床经验和学术观点。蒋健教授认为郁证与不寐有着难分难解的关系。郁证性不寐的证候表现异彩纷呈,临证时应通过发病原因、情志类表现、体质禀赋和人格特质、精神障碍类疾病认识、四诊要点及诊断性治疗进行鉴别。虽然其治疗的总原则是解郁安神,但仍需要将辨证与辨病相结合。
This paper introduces professor JIANG Jian's clinical experience and academic views on the treatment of insomnia due to depression. Professor JIANG thinks that depression has a close relationship with insomnia. The manifestation of insomnia due to depression is multifarious,which should be identified through the etiology,emotional expression,physical endowment and personality traits,mental disorders,four diagnostic points and diagnostic treatment. Although the general principle of its treatment is to relieve depression,it is necessary to combine syndrome differentiation with disease differentiation.
This paper introduces professor JIANG Jian's clinical experience and academic views on the treatment of insomnia due to depression. Professor JIANG thinks that depression has a close relationship with insomnia. The manifestation of insomnia due to depression is multifarious,which should be identified through the etiology,emotional expression,physical endowment and personality traits,mental disorders,four diagnostic points and diagnostic treatment. Although the general principle of its treatment is to relieve depression,it is necessary to combine syndrome differentiation with disease differentiation.
引文
[1]蒋健.郁证发微(十二)——郁证不寐论[J].上海中医药杂志,2016,50(7):5-8,14.
[2]蒋健.郁证发微(四)——隐性郁证论[J].上海中医药杂志,2015(11):4-7.
[3]蒋健.从郁论治怪症的临床体会[J].上海中医药杂志,2010(12):27-30.
[4]蒋健.郁证发微(二)——郁证诊断论[J].上海中医药杂志,2015(9):3-6.
[5]蒋健.郁证发微(一)——郁证形态论[J].上海中医药杂志,2015(8):4-7.
[6]蒋健.郁证发微(三)——郁证治疗论[J].上海中医药杂志,2015,49(10):04-07.
[7]黄韬,唐文超,安圣海,等. 170例失眠症患者病机特点分析[J].江西中医药,2009,40(8):49-50.
[8]杜辉,李桂侠,吕学玉,等.失眠的心理生理发病机制探讨[J].世界中医药,2013,8(5):507-509.
[9] Buysse D J,Angst J,Gamma A,et al. Prevalence,course,and comorbidity of insomnia and depression in young adults[J]. Sleep,2008,31(4):473-480.
[10]江东,郭维,孙琪,等.逍遥散抗抑郁作用机制研究进展[J].辽宁中医杂志,2018,45(1):214-217.
[11]张喆,赵静洁,王永志,等.柴胡疏肝散药理作用及机制研究进展[J].中国中医药信息杂志,2017,24(9):128-131.
[12]王晓蕾.甘麦大枣汤抗焦虑作用及机制研究[D].哈尔滨:黑龙江中医药大学,2010.
[13]张泽金,王均宁.归脾汤治疗失眠的机制[J].山东中医药大学学报,2009,33(1):24-25.
[14]黄莉莉,耿一玄,杜纳纳.柴胡加龙骨牡蛎汤改善围绝经期睡眠质量的机制[J].中国药物依赖性杂志,2017,26(5):345-348,355.
[2]蒋健.郁证发微(四)——隐性郁证论[J].上海中医药杂志,2015(11):4-7.
[3]蒋健.从郁论治怪症的临床体会[J].上海中医药杂志,2010(12):27-30.
[4]蒋健.郁证发微(二)——郁证诊断论[J].上海中医药杂志,2015(9):3-6.
[5]蒋健.郁证发微(一)——郁证形态论[J].上海中医药杂志,2015(8):4-7.
[6]蒋健.郁证发微(三)——郁证治疗论[J].上海中医药杂志,2015,49(10):04-07.
[7]黄韬,唐文超,安圣海,等. 170例失眠症患者病机特点分析[J].江西中医药,2009,40(8):49-50.
[8]杜辉,李桂侠,吕学玉,等.失眠的心理生理发病机制探讨[J].世界中医药,2013,8(5):507-509.
[9] Buysse D J,Angst J,Gamma A,et al. Prevalence,course,and comorbidity of insomnia and depression in young adults[J]. Sleep,2008,31(4):473-480.
[10]江东,郭维,孙琪,等.逍遥散抗抑郁作用机制研究进展[J].辽宁中医杂志,2018,45(1):214-217.
[11]张喆,赵静洁,王永志,等.柴胡疏肝散药理作用及机制研究进展[J].中国中医药信息杂志,2017,24(9):128-131.
[12]王晓蕾.甘麦大枣汤抗焦虑作用及机制研究[D].哈尔滨:黑龙江中医药大学,2010.
[13]张泽金,王均宁.归脾汤治疗失眠的机制[J].山东中医药大学学报,2009,33(1):24-25.
[14]黄莉莉,耿一玄,杜纳纳.柴胡加龙骨牡蛎汤改善围绝经期睡眠质量的机制[J].中国药物依赖性杂志,2017,26(5):345-348,355.