刘清泉教授从调和肝脾论治失眠经验探讨
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摘要
失眠是临床常见病种,现代社会中发病率较高,由精神情志因素引发者居多,多患者生活、工作造成极大的困扰。由于长期服用西药不良反应明显,中医中药治疗有一定优势。刘清泉教授由脾寒病机解读失眠的病机,使用柴胡桂枝干姜汤、丹栀逍遥散、血府逐瘀汤及益气聪明汤加减治疗,疗效显著。本文介绍相关医案4则。
Insomnia is a common clinical disease. The incidence rate is high in modern society. It is caused by mental and emotional factors,and many patients suffer greatly from life and work. Due to the obvious side effects of long-term use of western medicine,traditional Chinese medicine treatment has certain advantages. Professor Liu Qingquan explained the pathogenesis of insomnia from the spleen cold pathogenesis,and the treatment was effective with the modification of Chaihu Guizhi Ganjiang Decoction,Danzhi Xiaoyao Powder,Xuefu Zhuyu Decoction and Yiqi Congming Decoction. This paper introduced 4 related medical cases.
Insomnia is a common clinical disease. The incidence rate is high in modern society. It is caused by mental and emotional factors,and many patients suffer greatly from life and work. Due to the obvious side effects of long-term use of western medicine,traditional Chinese medicine treatment has certain advantages. Professor Liu Qingquan explained the pathogenesis of insomnia from the spleen cold pathogenesis,and the treatment was effective with the modification of Chaihu Guizhi Ganjiang Decoction,Danzhi Xiaoyao Powder,Xuefu Zhuyu Decoction and Yiqi Congming Decoction. This paper introduced 4 related medical cases.
引文
[1]中华医学会神经病学分会,中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南(2017版)[J].中华神经科杂志,2018,51(5):324-335.
[2]Sateia M J,Buysse D J,Krystal A D,et al. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults:An American Academy of Sleep Medicine Clinical Practice Guideline[J].Journal of Clinical Sleep Medicine,2017,13(2):675-700.
[3]科技部“十一五”国家科技支撑计划重点课题心理疾患防治研究与示范项目研究课题组.基于个体化的失眠症中医临床实践指南[J].世界睡眠医学杂志,2016,3(2):65-79.
[4]武润梅,王芝平,梁晶晶,等.失眠综述及临证举例[J].光明中医,2017,32(7):939-941.
[5]马碧涛,陈丽丽,金立伦.从《黄帝内经》理论探讨失眠的诊治[J].中医学报,2017,32(7):1209-1210.
[6]黄咨庆.仲景辨治失眠理论及其临床应用研究[D].南京:南京中医药大学,2014.
[7]余芳芳,王鹏,吴彬.金元四大家辨治失眠辑要[J].实用中医内科杂志,2016,30(4):10-12.
[8]张金卫,林汉杰,廖康生.血府逐瘀汤治疗失眠文献再评价[J].现代中医药,2015,35(4):73-75.
[9]邢佳.失眠症中医证候要素及干预研究[D].北京:北京中医药大学,2008.
[10]李艳斐,高峰.徐凌云教授从肝脾肾三脏辨治老年失眠经验[J].河北中医,2014,36(11):1607-1608.
[11]王文萍.廖世煌教授从肝脾心治疗失眠经验[J].内蒙古中医药,2016,35(4):52-53.
[12]赵童,孟毅,张林娜,等.丹栀逍遥散治疗失眠应用心得[J].中国民族民间医药,2018,27(13):60-62.
[13]刘清泉.中医危急重症讲稿[M].北京:中国中医药出版社,2017:120-121.
[14]王文竹,徐志伟,苏俊芳.丹栀逍遥散及其提取物镇静催眠作用研究[J].中国中医药现代远程教育,2011,9(20):85-86.
[15]施明,徐建,许红,等.失眠临床辨证论治探讨[J].上海中医药杂志,2003,37(3):18-20.
[16]黄春华,周雯,杨小波,杨志敏.杨志敏教授从阳虚论治失眠经验介绍[J].新中医,2012,44(3):156-157.
[2]Sateia M J,Buysse D J,Krystal A D,et al. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults:An American Academy of Sleep Medicine Clinical Practice Guideline[J].Journal of Clinical Sleep Medicine,2017,13(2):675-700.
[3]科技部“十一五”国家科技支撑计划重点课题心理疾患防治研究与示范项目研究课题组.基于个体化的失眠症中医临床实践指南[J].世界睡眠医学杂志,2016,3(2):65-79.
[4]武润梅,王芝平,梁晶晶,等.失眠综述及临证举例[J].光明中医,2017,32(7):939-941.
[5]马碧涛,陈丽丽,金立伦.从《黄帝内经》理论探讨失眠的诊治[J].中医学报,2017,32(7):1209-1210.
[6]黄咨庆.仲景辨治失眠理论及其临床应用研究[D].南京:南京中医药大学,2014.
[7]余芳芳,王鹏,吴彬.金元四大家辨治失眠辑要[J].实用中医内科杂志,2016,30(4):10-12.
[8]张金卫,林汉杰,廖康生.血府逐瘀汤治疗失眠文献再评价[J].现代中医药,2015,35(4):73-75.
[9]邢佳.失眠症中医证候要素及干预研究[D].北京:北京中医药大学,2008.
[10]李艳斐,高峰.徐凌云教授从肝脾肾三脏辨治老年失眠经验[J].河北中医,2014,36(11):1607-1608.
[11]王文萍.廖世煌教授从肝脾心治疗失眠经验[J].内蒙古中医药,2016,35(4):52-53.
[12]赵童,孟毅,张林娜,等.丹栀逍遥散治疗失眠应用心得[J].中国民族民间医药,2018,27(13):60-62.
[13]刘清泉.中医危急重症讲稿[M].北京:中国中医药出版社,2017:120-121.
[14]王文竹,徐志伟,苏俊芳.丹栀逍遥散及其提取物镇静催眠作用研究[J].中国中医药现代远程教育,2011,9(20):85-86.
[15]施明,徐建,许红,等.失眠临床辨证论治探讨[J].上海中医药杂志,2003,37(3):18-20.
[16]黄春华,周雯,杨小波,杨志敏.杨志敏教授从阳虚论治失眠经验介绍[J].新中医,2012,44(3):156-157.