摘要
不寐是临床常见中医内科杂病,其中心肾不交型最为多见。采用滋肾水、泻心火,交通心肾的治法多有效,但在临床上发现部分辨证属此证的患者按上述治法效果不佳。陈士铎从肝胆论治心肾不交型不寐的辨证思路精当、严谨,应用于临床收到佳效。本文对传统心肾不交型不寐的病因病机及论治的认识进行总结,详细论述陈氏对本病证治的独特辨证思路,并附上笔者跟师所遇病案一则以资印证。
Insomnia is a common internal disease in traditional Chinese medicine. Insomnia caused by the none-intersecting of heart and kidney is the most common type. Usually treatment by restoring normal coordination between heart and kidney is effective, but there are still patients couldn' t recovery. The dialectical treatment strategy, which was raised by Chen Shiduo, of restoring normal co- ordination between heart and kidney by treating liver or gallbladder disease, is ingenious. The above dialectical therapy was applied to the clinical practice and achieved a good effects. This Paper summarizes the etiology, pathogenesis and treatment of Insomnia caused by the none-intersecting of heart and kidney and expounds the unique dialectical treatment strategy of Chen Shiduo. In addition, a case is reported to illustrate this treatment strate-.
作者
薛亚静
田青
杨歆科
Xue Yajing;Tian Qing;Yang Xinke(Beijing University of Traditional Chinese Medicine, Beijing, 100029, China;3^rd Affiliated Hospital of Beijing University of Traditional Chinese Medicine, Beijing, 100029, China)
出处
《成都中医药大学学报》
2018年第2期83-85,共3页
Journal of Chengdu University of Traditional Chinese Medicine
基金
北京中医药大学自主选题资助项目(2015-JYB-JSMS140)
首都临床特色应用研究(Z141107002514136)
关键词
心肾不交
不寐
陈士铎
从肝胆论治
None-intersecting of heart and kidney
Insomnia
Chen Shiduo
Treatment from liver or gallbladder