王中男辨证与辨病结合治疗失眠
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摘要
王中男教授认为,疾病的治疗关键在于找到正确的"法",而不是"以症套方",必须根据正确的"法"灵活运用方药,方能达到事半功倍之效。他认为,凡大医治病,必当安神定志,无欲无求;善治阴者必阳中求阴,临证当辨别阴阳,调补重阴阳互根;谨遵医旨,治病求本,摒弃表象求同病异治、异病同治之治。如同为失眠病,强调应先辨其阴阳表里、寒热虚实,之后再进行不同方法治疗,可选择归脾汤、交泰汤、龙胆泻肝汤等,只要抓准主证,脉证相合便可放胆应用。
Professor Wang Zhongnan holds that the key of treating disease lie in finding the correct ‘law',rather than‘applying prescription mechanically when treating disease'. We must base on correct"law"and use prescriptions and medicines flexibly in order to achieve a multiplier effect. He considers that all the respected doctors must be with quiet spirit,stable mind and hoping for nothing when treating patients. Doctors who are expert in treating the deficiency of yin certainly seek yin from yang. In clinical practice,yin and yang should be recognized and the interdependence between yin and yang should be emphasized when tuning up. The patient s should follow the doctor's advice,and the doctors should cure illness completely and abandon treating the same disease with different methods or treating different disease with the same method. For example,when treating insomnia,Professor Wang emphasized that yin and yang,exterior and interior,chills and fever,as well as deficiency and excess should be recognized first,and then,we can choose different methods for treatment,such as Spleen-restoring decoction,Jiaotai decoction,Longdan Xiegan decoction and so on. He thinks that as long as recognizing the primary symptom,we can use it boldly and with confidence,and the effects can be seen soon.
Professor Wang Zhongnan holds that the key of treating disease lie in finding the correct ‘law',rather than‘applying prescription mechanically when treating disease'. We must base on correct"law"and use prescriptions and medicines flexibly in order to achieve a multiplier effect. He considers that all the respected doctors must be with quiet spirit,stable mind and hoping for nothing when treating patients. Doctors who are expert in treating the deficiency of yin certainly seek yin from yang. In clinical practice,yin and yang should be recognized and the interdependence between yin and yang should be emphasized when tuning up. The patient s should follow the doctor's advice,and the doctors should cure illness completely and abandon treating the same disease with different methods or treating different disease with the same method. For example,when treating insomnia,Professor Wang emphasized that yin and yang,exterior and interior,chills and fever,as well as deficiency and excess should be recognized first,and then,we can choose different methods for treatment,such as Spleen-restoring decoction,Jiaotai decoction,Longdan Xiegan decoction and so on. He thinks that as long as recognizing the primary symptom,we can use it boldly and with confidence,and the effects can be seen soon.
引文
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[4]孟祥月,牛飞,史宇航,等.归脾汤加减配合脑功能治疗仪治疗心脾两虚型不寐32例[J].吉林中医药,2013,33(11):1133-1134.
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[8]叶立红,王翀奎,杨莉,等.软肝化坚颗粒对肝纤维化模型C57小鼠肝组织α-SMA、TGFβ1表达和Ⅰ期胶原水平的影响[J].临床肝胆病杂志,2012,28(9):685-688.
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[2]李赛,张国霞.中医“神”与养生关系初探[J].湖南中医杂志,2013,29(6):97-103.
[3]张铁峰,平静,孟令军.试论《内经》之“病为本,工为标”[J].山西中医学院学报,2007,8(2):5-6.
[4]孟祥月,牛飞,史宇航,等.归脾汤加减配合脑功能治疗仪治疗心脾两虚型不寐32例[J].吉林中医药,2013,33(11):1133-1134.
[5]赵新芳,陈阳.浅析“阴在内,阳之守也,阳在外,阴之使也”[J].内蒙古中医药,2013(8):125.
[6]张介宾.景岳全书[M].上海:上海科学技术出版社,1984.
[7]何丽娟,初杰,宋囡,等.从左归丸与右归丸探究张景岳之阴阳观[J].中医杂志,2014,55(1):83-85.
[8]叶立红,王翀奎,杨莉,等.软肝化坚颗粒对肝纤维化模型C57小鼠肝组织α-SMA、TGFβ1表达和Ⅰ期胶原水平的影响[J].临床肝胆病杂志,2012,28(9):685-688.
[9]哈虹.“同病异治”与“异病同治”浅议[J].国医论坛,2012,27(5):44-45.