摘要
薛伯寿教授倡导和合思想,临床辨治失眠重视"调",并强调以调肝为中心,临证善与和法、清法、补法灵活结合而形成调和肝脾助眠、调气清心化痰助眠、调脏补虚安神助眠之法。调和肝脾多选用四逆散、逍遥散、小柴胡汤、小柴胡加龙骨牡蛎汤等方加减或合方应用,调气清心化痰多选黄连温胆汤、左金丸、黄连阿胶鸡子黄汤等方加减或合方应用,调脏补虚安神多选归脾汤、孔圣枕中丹、百合地黄汤等方加减或合方应用;同时善用对药如石菖蒲-郁金、石菖蒲-远志、远志-珍珠母、磁石-珍珠母、炙龟甲-磁石、炒酸枣仁-柏子仁、连翘-浙贝母等调治失眠。
Professor XUE Boshou advocates the idea of harmony.In clinical syndrome differentiation and treatment of insomnia,he emphasizes"regulation",and regulating liver was considered the center.In clinical treatment,the harmonization method,clearing method,and tonifying method can be combined flexibly to form treatment method to regulate the liver and spleen to help sleep,to regulate qi,clear the heart,resolve phlegm to help sleep,and to regulate zang-organs,tonify deficiency,tranquillization to help sleep.Regulating and harmonizing the liver and spleen usually chooses the modification or combination of Sini Powder(四逆散),Xiaoyao Powder(逍遥散),Xiaochaihu Decoction(小柴胡汤),Xiaochaihu and Longgu Muli Decoction(小柴胡加龙骨牡蛎汤).For regulating qi,clearing the heart and resolving the phlegm,it usually selects the modification or combination of Huanglian Wendan Decoction(黄连温胆汤),Zuojin Pills(左金丸),Huanglian Ejiao Jizihuang Decoction(黄连阿胶鸡子黄汤).For regulating the zang-organs,tonifying the deficiency and tranquillization,it usually selects modification or combination of Guipi Decoction(归脾汤),Kongsheng Zhenzhong Pills(孔圣枕中丹),Baihe Dihuang Decoction(百合地黄汤),etc.Meanwhile,drug pairs of Shichangpu(Rhizoma Acori Tatarinowii)and Yujin(Radix Curcumae),Shichangpu(Rhizoma Acori Tatarinowii)and Yuanzhi(Radix Polygalae),Yuanzhi(Radix Polygalae)and Zhenzhumu(Concha Margaritifera),Cishi(Magnetitum)and Zhenzhumu(Concha Margaritifera),Guijia(Carapax et Plastrum Testudinis)and Cishi(Magnetitum),Suanzāoren(Semen Ziziphi Spinosae and Baiziren(Semen Platycladi),Lianqiao(Fructus Forsythiae)and Zhebeimu(Bulbus Fritillariae Thunbergii)are used to regulate and treat insomnia.
作者
马晓北
薛燕星
MA Xiaobei;XUE Yanxing(Graduate School,China Academy of Chinese Medical Sciences,Beijing,100700;Guang'anmen Hospital,China Academy of Chinese Medical Sciences)
出处
《中医杂志》
CSCD
北大核心
2020年第2期107-109,共3页
Journal of Traditional Chinese Medicine
基金
国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24)
薛伯寿国医大师传承工作室建设项目
关键词
失眠
调和法
清调法
调补法
名医经验
薛伯寿
insomnia
regulating method
clearing and regulating method
regulating and tonifying method
experience of famous doctors
XUE Boshou
