摘要
失眠的主要病机为阴阳失调、阴阳不交,因而治疗失眠的总的原则为交会阴阳。少阳位于阳之末,阴之始,中医认为少阳为阴阳之枢,邪气的出入进退,或由表入里,或由阳入阴,皆与少阳有关。临床上通过调整少阳,使机体枢转正常,阴阳和调。通过调整少阳之枢来治疗失眠是治病的关键。柴胡加龙骨牡蛎汤出自《伤寒论》,是由小柴胡汤、大柴胡汤、柴胡桂枝汤、桂枝甘草龙骨牡蛎汤综合加减而成,旨在和解少阳、通阳泄热,而兼宁心安神,其病机关键是少阳枢机不利。该方对上、中、下三焦之余邪积热,肝郁、气滞、痰结等所引起的惊悸、怔忡、不寐等病证均可以加减治之。王琦教授熟谙经典,临证理法谨严,善用经方,治验甚多,根据失眠的病因病机,常用该方治疗失眠,疗效显著。
The main pathogenesis of insomnia is yin and yang disorders,or yin and yang are not in harmony,so the general principle of treating insomnia is interacting yin and yang .Shaoyang is located at the end of the yang ,the beginning of the yin .The entry and exit of evil spirits,either from the superficies to interior or from the yang to yin ,is related to Shaoyang.It is believed that Shaoyang is the pivot of yin and yang in Traditional Chinese medicine.Clinically,Shaoyang is pivoted normally,the balance of yin and yang are adjusted.Therefore the key to cure insomnia is adjusting the pivot of Shaoyang.Chaihu Longgu Muli decoction from Treaties on Febrile and Miscellaneous Disease is made up of Xiaochaihu decoction,dachaihu decoction,Chaihu Guizhi decoction and Guizhi Gancao Longgu Muli decoction.It aims to reconcile Shaoyang,release heat,and calm down the nerves.The key pathogenesis is dysfunction of Shaoyang,resulting in liver depression, qi stagnation,phlegm stagnation,the accumulation of evil heat in the upper-Jiao,middle-Jiao and lower-Jiao.Professor Wang Qi is familiar with the classics and strictly in clinical diagnosis.He prefers to the use of the classic formulas and accumulates a rich of experiences.According to the etiology and pathogenesis of insomnia,this decoction is commonly used and the remarkable effects are achieved.Hence,it deserves to be widely used.
作者
赵永烈
王济
王琦
ZHAO Yong-lie;WANG Ji;WANG Qi(Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine,Beijing100029;Research Center of Traditional Chinese Medicine Physical Fitness and Reproductive Medicine,Beijing University of Traditional Chinese Medicine,Beijing100029)
出处
《世界中西医结合杂志》
2019年第4期493-495,共3页
World Journal of Integrated Traditional and Western Medicine
基金
国家自然科学基金面上项目(81373591
81873256)
关键词
失眠
柴胡加龙骨牡蛎汤
王琦
Insomnia
Chaihu Longgu Muli Decoction
Wang Qi
