郭蓉娟教授治疗情志病合并失眠症临床经验总结
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摘要
为更好地总结和传承郭蓉娟教授治疗情志病合并失眠症的临床经验及用药特色,结合中医传统经典理论,参考相关流派及各医家的不同观点,总结门诊跟师期间的典型病例和师承学习体悟,凝练其授课资料、会议演讲内容、科研课题研究内容和公开发表的论文和论著,检索其学生发表的对导师临证经验和学术思想总结的论文,较为系统地梳理了郭蓉娟教授对情志病合并失眠症的认识。郭教授提出"睡眠-情绪系统"三阶段病机演变规律,在诊疗过程中从失眠入手,可以减少情志病的漏诊率,获取较为真实可靠的信息,并着重阐述昼夜的临床用药特色,调理阴阳,标本同治,并整理归纳其遣方用药规律,其夜间经验方宁心安神方重用酸枣仁、刺五加,取得了良好的临床疗效。郭蓉娟教授治疗情志病合并失眠症临床经验丰富,其遣方用药的科学内涵值得进一步挖掘。
To summarize and inherit clinical experience and medication characteristics of Professor GUO Rongjuan in the emotion disorder with insomnia,we combined traditional Chinese medicine theory,referenced relevant schools and different views of various doctors,summed up the typical cases and inspiration during the period of discipline training,learned the lecture materials of the instructors,the content of speech and conference,the scientific research project and articles published publicly,and searched the papers published by the tutor's other students about the clinical experiences and academic thoughts,then systematically concluded the her understanding of the evolutionary rules of emotion disorder. She proposes a three-stage evolution of the sleep-emotion system. Intervening from insomnia can reduce the rate of missed diagnosis of emotional disorders,obtain more real and reliable information,and use day-andnight prescription to balance yin and yang and treat both cause and symptoms. Ningxin Anshen Prescription is her special prescription of night using Suanzaoren and Acanthopanax in high dose and have achieved great clinical efficacy. Professor GUO Rongjuan has rich clinical experience in the treatment of emotion disorder with insomnia,of which scientific connotation is worth to research deeply.
To summarize and inherit clinical experience and medication characteristics of Professor GUO Rongjuan in the emotion disorder with insomnia,we combined traditional Chinese medicine theory,referenced relevant schools and different views of various doctors,summed up the typical cases and inspiration during the period of discipline training,learned the lecture materials of the instructors,the content of speech and conference,the scientific research project and articles published publicly,and searched the papers published by the tutor's other students about the clinical experiences and academic thoughts,then systematically concluded the her understanding of the evolutionary rules of emotion disorder. She proposes a three-stage evolution of the sleep-emotion system. Intervening from insomnia can reduce the rate of missed diagnosis of emotional disorders,obtain more real and reliable information,and use day-andnight prescription to balance yin and yang and treat both cause and symptoms. Ningxin Anshen Prescription is her special prescription of night using Suanzaoren and Acanthopanax in high dose and have achieved great clinical efficacy. Professor GUO Rongjuan has rich clinical experience in the treatment of emotion disorder with insomnia,of which scientific connotation is worth to research deeply.
引文
[1]美国精神医学会编著,张道龙等译.精神障碍诊断与统计手册(第五版)[M].北京:北京大学医学出版社,2016.
[2]李雪丽,张斌.睡眠障碍与焦虑抑郁障碍的联系[J].中国临床医生杂志,2018,46(2):131-133.
[3]郭晓.宁心安神方调控失眠大鼠Glu/GABA-Gln代谢环路失衡的机制研究[D].北京:北京中医药大学,2016.
[4]王进忠,钟世杰,杨荣源,等.岑鹤龄温病思想对现代卫气营血辨证理论之完善[J].中国中医基础医学杂志,2017,23(7):1020-1022.
[5]丁元庆.《内经》营卫理论回顾[J].山东中医药大学学报,2017,41(1):3-7.
[6]杨栋,洪霞.结合《黄帝内经》探讨失眠与焦虑的关系[J].北京中医药,2017,36(11):1020-1021.
[7]马佳,樊旭.“营卫和”与《黄帝内经》睡眠理论[J].实用中医内科杂志,2015,29(5):173-174.
[8]刘丽军,郭选贤,张保伟.叶天士《温热论》“逆传心包”之本意厘正[J].中华中医药杂志,2010,25(12):2161-2163.
[9]朱为坤,纪立金,李芹.从营气与营阴探讨“入营犹可透热转气”[J].中华中医药杂志,2018,33(2):453-455.
[10]丁元庆.对营卫实质的认识与思考[J].山东中医药大学学报,2017,41(2):99-101.
[11]齐向华,张洪斌.失眠证患者“昼不精,夜不瞑”状态的相关理论及临床研究[J].山东中医药大学学报,2005,29(21):30-32.
[12]宋·许叔微著,刘景超,李具双校注.普济本事方[M].北京:中国中医药出版社,2007:2.
[13]邹聪,郭蓉娟,袁清洁.基于关联规则和复杂系统熵聚类的郭蓉娟治疗失眠“昼夜两方”用药规律研究[J].中医临床研究,2016,8(13):33-36.
[14]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.
[15]邢佳,贺立娟,王嘉麟,等.泻肝安神法对睡眠剥夺大鼠单胺类神经递质影响的研究[J].天津中医药,2016,33(3):155-159.
[2]李雪丽,张斌.睡眠障碍与焦虑抑郁障碍的联系[J].中国临床医生杂志,2018,46(2):131-133.
[3]郭晓.宁心安神方调控失眠大鼠Glu/GABA-Gln代谢环路失衡的机制研究[D].北京:北京中医药大学,2016.
[4]王进忠,钟世杰,杨荣源,等.岑鹤龄温病思想对现代卫气营血辨证理论之完善[J].中国中医基础医学杂志,2017,23(7):1020-1022.
[5]丁元庆.《内经》营卫理论回顾[J].山东中医药大学学报,2017,41(1):3-7.
[6]杨栋,洪霞.结合《黄帝内经》探讨失眠与焦虑的关系[J].北京中医药,2017,36(11):1020-1021.
[7]马佳,樊旭.“营卫和”与《黄帝内经》睡眠理论[J].实用中医内科杂志,2015,29(5):173-174.
[8]刘丽军,郭选贤,张保伟.叶天士《温热论》“逆传心包”之本意厘正[J].中华中医药杂志,2010,25(12):2161-2163.
[9]朱为坤,纪立金,李芹.从营气与营阴探讨“入营犹可透热转气”[J].中华中医药杂志,2018,33(2):453-455.
[10]丁元庆.对营卫实质的认识与思考[J].山东中医药大学学报,2017,41(2):99-101.
[11]齐向华,张洪斌.失眠证患者“昼不精,夜不瞑”状态的相关理论及临床研究[J].山东中医药大学学报,2005,29(21):30-32.
[12]宋·许叔微著,刘景超,李具双校注.普济本事方[M].北京:中国中医药出版社,2007:2.
[13]邹聪,郭蓉娟,袁清洁.基于关联规则和复杂系统熵聚类的郭蓉娟治疗失眠“昼夜两方”用药规律研究[J].中医临床研究,2016,8(13):33-36.
[14]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.
[15]邢佳,贺立娟,王嘉麟,等.泻肝安神法对睡眠剥夺大鼠单胺类神经递质影响的研究[J].天津中医药,2016,33(3):155-159.