郭振武从肝血虚论治不寐
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摘要
郭振武教授认为不寐病位在肝,起病多与情志有关,肝失疏泄,肝血亏虚,均可致五脏生克太过,魂不归脏而致夜寐不安;肝体阴而用阳,忌刚宜柔,且主藏血,人卧血归于肝,肝血不足则内生虚热或阴虚阳亢而致不寐;郭师强调治从肝血虚论治,补益肝血为主,兼顾他脏,补益肝血、除烦安神,平肝潜阳、养血安神;疏肝和胃等,同时嘱患者注意保持良好情绪,适量运动;平日顺应黄帝内经养生理念,起居有常,饮食有节,配合方药以达到最好的治疗效果。附不寐之肝血不足、血虚内扰,肝阳上亢,肝胃不和验案3则。
Professor GUO Zhenwu believes insomnia is located in liver, caused by emotions. Liver dysfunction and deficiency can lead the excess of organs restriction. So the liver will be lack of spirit, and causes Insomnia. Professor Guo emphasizes the insomnia treatment should be focused on liver blood deficiency, which includes Tonifying Liver blood as the core, other treatment to complement, Calming liver and suppressing Yang, Dispersing liver and harmonizing stomach, releasing emotions, Nourishing heart and blood for tranquilization, etc. Meanwhile, patient also needs to keep a good mood, take moderate exercises, learn the idea from "Huangdi Neijing", have a balanced diet and a regular living schedule, and which will help the treatment. Appendix includes three insomnia cases: Liver blood deficiency, Blood asthenia and Yin-Yang imbalance, liver Yang hyperactive and liver-stomach disharmony.
Professor GUO Zhenwu believes insomnia is located in liver, caused by emotions. Liver dysfunction and deficiency can lead the excess of organs restriction. So the liver will be lack of spirit, and causes Insomnia. Professor Guo emphasizes the insomnia treatment should be focused on liver blood deficiency, which includes Tonifying Liver blood as the core, other treatment to complement, Calming liver and suppressing Yang, Dispersing liver and harmonizing stomach, releasing emotions, Nourishing heart and blood for tranquilization, etc. Meanwhile, patient also needs to keep a good mood, take moderate exercises, learn the idea from "Huangdi Neijing", have a balanced diet and a regular living schedule, and which will help the treatment. Appendix includes three insomnia cases: Liver blood deficiency, Blood asthenia and Yin-Yang imbalance, liver Yang hyperactive and liver-stomach disharmony.
引文
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[2]南京中医药大学.黄帝内经素问译释[M].4版.上海:上海科学技术出版社,2009.
[3]滑寿,徐大春,叶霖.难经三家注[M].北京:中国中医药出版社,2013:128.
[4]南京中医药大学.黄帝内经灵枢译释[M].3版.上海:上海科学技术出版社,2013.
[5]马培之,李文荣,邵同珍,等.马氏医论·知医必辨·医易一理·和缓遗风合集[M].太原:山西科学技术出版社,2013.
[6]唐宗海.血证论[M].北京:人民卫生出版社,2005:183.
[7]李德新.中医基础理论[M].北京:人民卫生出版社,2001.
[8]李淼,白正勇.经方辨治更年期失眠探析[J].实用中医内科杂志,2011,25(3):17-18.
[9]何亚勋.症因脉治注释[M].长沙:湖南科学技术出社,1997:200.
[10]叶天士.临症指南医案[M].北京:人民卫生出版社,2006:26.
[11]陈士铎.辨证录[M].北京:中国医药科技出版社,2011:133.
[12]黄洋,郭振武.郭振武教授辨证分型分期治疗小儿咳嗽[J].实用中医内科杂志.2011,25(12):14-15.