“三阴交、风池、风府”为角穴论治经间期失眠
|
摘要
[目的]总结导师莫晓枫副主任医师治疗女性经间期失眠的临证经验。[方法]通过查阅典籍及相关文献,跟师临证并整理相关的病例资料,从理法方面总结导师治疗女性经间期失眠的诊疗思路和临床经验,并举一验案予以佐证。[结果]莫师认为经间期失眠的根本病机在于阴阳失交,结合女性经间期重阴转阳的生理特性,以"重阴不足、转阳太过、阳长不及"三型论治。治疗上提出以"三阴交、风池、风府"为角穴滋阴潜阳,引阳入阴,使阴阳交合,从而改善睡眠。所举案例,充分展示了上述辨证思路和治疗经验。[结论]导师对女性经间期失眠的治疗依据经间期的生理特性,以阴阳大论总观指导临床,角穴配伍,独具匠心,收效甚显,以飨同道,以期推广。
[Objective] To summarize the clinical experience of MO Xiaofeng, the tutor and deputy chief physician, when treating female intermenstrual insomnia.[Methods] By referring to ancient classics and relevant literature, consulting clinical experts during internship and sorting out relevant medical cases, the author summarized the academic ideas and clinical experience of the tutor in treating female intermenstrual insomnia from the perspective of theories and methods. [Results] Professor MO believes that the fundamental pathogenesis of intermenstrual insomnia lies in the disharmony of Yin and Yang. Combined with the physiological characteristic that the heavy Yin is transforming into Yang during intermenstrual period, these cases can be divided into three types: "Deficient heavy Yin, over conversion of Yang and hypotrophy of Yang." Treat with SP6, GB20 and DU16 as corner points to harmonize Yin and Yang, making Yin and Yang intersect to produce normal sleep thereby.[Conclusion] The therapy of female intermenstrual insomnia by the tutor is based on the physiological characteristics of the intermenstrual period and the overall view of Yin and Yang, which applies triple points,wishing to help and guide clinical practice for peers with ingenuity and significant effect.
[Objective] To summarize the clinical experience of MO Xiaofeng, the tutor and deputy chief physician, when treating female intermenstrual insomnia.[Methods] By referring to ancient classics and relevant literature, consulting clinical experts during internship and sorting out relevant medical cases, the author summarized the academic ideas and clinical experience of the tutor in treating female intermenstrual insomnia from the perspective of theories and methods. [Results] Professor MO believes that the fundamental pathogenesis of intermenstrual insomnia lies in the disharmony of Yin and Yang. Combined with the physiological characteristic that the heavy Yin is transforming into Yang during intermenstrual period, these cases can be divided into three types: "Deficient heavy Yin, over conversion of Yang and hypotrophy of Yang." Treat with SP6, GB20 and DU16 as corner points to harmonize Yin and Yang, making Yin and Yang intersect to produce normal sleep thereby.[Conclusion] The therapy of female intermenstrual insomnia by the tutor is based on the physiological characteristics of the intermenstrual period and the overall view of Yin and Yang, which applies triple points,wishing to help and guide clinical practice for peers with ingenuity and significant effect.
引文
[1]罗颂平,谈勇.中医妇科学[M].北京:人民卫生出版社,2015:74.
[2]林佩琴.类证治裁[M].北京:人民卫生出版社,1988:216.
[3]夏桂成.月经周期与调周法(续4)[J].南京中医药大学学报,1999,15(1):13.
[4]夏桂成,王国辰.实用中医妇科学[M].北京:中国中医药出版社,2009:71.
[5]王焘.外台秘要[M].北京:人民卫生出版社,1955:91
[6]张介宾.景岳全书[M].赵立勋,主校.北京:人民卫生出版社,1991:403.
[7]夏桂成.月经周期与调周法(续5)[J].南京中医药大学学报,1999,15(2):13-16.
[8]皇甫谧.针灸甲乙经[M].北京:人民卫生出版社,1962:255.
[9]陆小连,莫晓枫.风池、额三针为主辨证论治不寐症经验体会[J].中国针灸,2016,36(3):259-260.
[10]解越,王居易.王居易教授应用经络诊察法治疗失眠症经验体会[J].上海针灸杂志,2015,34(1):3-4.
[11]孙成涛,刘畅,武嘉兴.贾海忠教授风府穴临床新用[J].中国社区医师,2016,32(22):161.
[12]宋春生,陈志威,赵家有.“三足鼎立”角药临床研究概述[J].北京中医药,2017,36(3):282-284.治经间期失眠
[2]林佩琴.类证治裁[M].北京:人民卫生出版社,1988:216.
[3]夏桂成.月经周期与调周法(续4)[J].南京中医药大学学报,1999,15(1):13.
[4]夏桂成,王国辰.实用中医妇科学[M].北京:中国中医药出版社,2009:71.
[5]王焘.外台秘要[M].北京:人民卫生出版社,1955:91
[6]张介宾.景岳全书[M].赵立勋,主校.北京:人民卫生出版社,1991:403.
[7]夏桂成.月经周期与调周法(续5)[J].南京中医药大学学报,1999,15(2):13-16.
[8]皇甫谧.针灸甲乙经[M].北京:人民卫生出版社,1962:255.
[9]陆小连,莫晓枫.风池、额三针为主辨证论治不寐症经验体会[J].中国针灸,2016,36(3):259-260.
[10]解越,王居易.王居易教授应用经络诊察法治疗失眠症经验体会[J].上海针灸杂志,2015,34(1):3-4.
[11]孙成涛,刘畅,武嘉兴.贾海忠教授风府穴临床新用[J].中国社区医师,2016,32(22):161.
[12]宋春生,陈志威,赵家有.“三足鼎立”角药临床研究概述[J].北京中医药,2017,36(3):282-284.治经间期失眠