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试析不寐的基本证型及其方药 被引量:3

Analysis of the Basic Syndromes and Prescription of Insomnia
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摘要 不寐之病,病位在心(神明之心),与脾、肾、肝、肺也密切相关。病因方面,内有七情、痰瘀与体虚,外有火邪之侵袭。病机不外虚实两端,气血精津不足致心神失养,气滞、血瘀、痰火等邪致心神不宁。单一证型有八:痰火扰心、火郁灼心、滞气郁心、瘀阻心络、心虚胆怯、心脾两虚、心肾阴虚和心肾阳虚。至于治疗,补虚泻实、调整阴阳。 Insomnia lesion site locates in the heart;it is also closely related to spleen, kidney, liver and lung. The cause of disease include internal seven relations, phlegm, blood stasis and physical deficiency or external fire pathogen invasion. Its pathogenesis is extremes of either deficiency or excess. Malnutrition of heart spirit caused by deficiency of the blood, Qi, essence and body fluid. The unsteadiness of the heart condition caused by Qi stagnation, blood stasis, phlegmdampness,fire and other pathogen. Insomnia syndromes can be classified into eight categories: phlegm-fire disturbing heart, fire depression disturbs heart, stagnation of Qi in the heart, stagnant blockade of heart vessel, timidity due to deficiency of heart Qi, deficiency of both heart and spleen, yin deficiency of heart and kidney, yang deficiency of heart and kidney. Treatments of insomnia include reinforcing deficiency and reducing excess thus coordinating yin and yang.
出处 《中医药临床杂志》 2017年第11期1820-1822,共3页 Clinical Journal of Traditional Chinese Medicine
关键词 不寐 证型 方药 病因病机 Insomnia Type of syndrpme Prescription Etiology and pathology
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