摘要
[目的]探讨王邦才教授运用调理脾胃法治疗失眠病症的经验。[方法]通过跟随王师门诊,抄录处方、记录相关医案,分析王师对失眠病因病机的认识,从辨证与辨病相结合等方面论述其治疗经验,并举验案以佐证。[结果]王师认为,脾胃引起的不寐有虚实之分,实者饮食不节,肝胃不和,上扰心神;虚者脾运不健,心神失养。王师常通过调理脾胃治疗心神疾病,健脾化痰、养心安神运用最多。王师提倡辨证辨病结合、标本兼顾,总结出调理脾胃治疗失眠四法。临证常以半夏秫米汤合黄连温胆汤及酸枣仁汤,三方合用疗效显著。验案中患者痰热扰心、脾胃失和,治疗后睡眠正常,诸症均消。[结论]王师采用标本兼顾,调理脾胃的方法显著改善了患者失眠症状,提高了失眠患者的生活质量,疗效明显,值得临床推广应用。
[Objective]To explore Professor WANG Bangcai's experience in regulating spleen and stomach for the treatment of insomnia.[Methods]Through transcribing the prescriptions,recording the eases and analyzing the typical ones,Professor WANG's reeoguization of pathogenesis of insomnia and experiences of treating insomnia were summarized.Typical case was presented as evidence.[Results]Professor WANG indicates insomnia caused by spleen and stomach is divided into deficiency and excess.Improper diet,disharmony of liver and stomach,disturbing the mind;or dysfunction of the spleen and heart spirit deprived of nourishment are the pathogenesis of insomnia caused by spleen and stomach.In clinical practice,Professor WANG usually treats insomnia by regulating spleen and stomach,and methods of strengthening spleen and reducing phlegm,nourishing heart and mind are mostly used.Professor WANG advocates the combination of treatment and differentiation of syndromes and syndromes and summarizes four methods of regulating spleen and stomach to treat insomnia.The clinical evidence is that the combination of Banxia Shumi Decoction and Huanglian Wendan Decoction and Suanzaoren Decoction has achieved remarkable clinical results.After treatment the patient in the case achieved good results and the symptoms were all eliminated.[Conclusion]Professor WANG used both the specimen and the method of regulating spleen and stomach to significantly improve the symptoms of insomnia and improve the quality of life of patients with insomnia.The creative effect was obvious and worthy of clinical application.
作者
尤恬子
王邦才
YOU Tianzi;WANG Bangcai(Zhejiang Chinese Medical University,Hangzhou(310053),China;Traditional Chinese Medicine Hospital of Ninghai County;Traditional Chinese Medicine Hospital of Ningbo)
出处
《浙江中医药大学学报》
CAS
2018年第12期1019-1021,共3页
Journal of Zhejiang Chinese Medical University
关键词
失眠
调理脾胃法
黄连温胆汤
半夏秫米汤
酸枣仁汤
医案
王邦才
名医经验
insomnia
regulating spleen and stomach
Huanglian Wendan Decoction
Bancia Shumi Decoction
Suanzaoren Decoction
consilia
WANG Bangcai
famous doctor's experience
