摘要
现今社会,失眠的发病率正逐年递增,已成为临床上的常见病、多发病,严重危害了人们的身心健康,因此如何有效地防治失眠备受医学界关注。中医药治疗失眠,从整体观念出发,辨证分型,个体化治疗,用药安全,疗效稳定,相较西药颇受患者推崇。文章结合中医理论,从胆为少阳之枢、胆主决断、喜静谧、十一脏取决于胆、胆与三焦的关系等理论出发,突出胆腑在睡眠中的关键作用。参考历代相关文献记载,将胆病不寐分为胆寒证、胆火证、胆郁痰扰证、胆虚证4个证型进行辨证。并结合现代药理实验研究,将黄连温胆汤作用于失眠的相关机制进行归纳,认为其多与抑制失眠患者的炎症介质血清水平、方药成分中含有类黄酮化合物两方面关系密切。其方药多被现代医家所应用,临床疗效突出,颇受推崇。故作者认为从胆腑论治失眠不失为一种佳法,使“阴平阳秘,精神乃治”,以期更好地指导临床实践。
In today's society,the incidence of insomnia is increasing year by year,has become a common diseaseand and frequently occurring disease,seriously endangering people's physical and mental health,so the effective prevention and treatment of insomnia has attracted the attention of the medical community.The treatment of insomnia with traditional Chinese medicine,starting from the overall concept,syndrome differentiation,individualized treatment,drug safety,stable efficacy,relatively Western medicine is highly respected by patients.The paper will combine the theory of traditional Chinese medicine,and highlight the key role of gallbladder in sleep from the theory of the pivot of Shaoyang,the gallbladder controls the power of decision,dare to be quiet,eleven viscera depends on the gallbladder,relationship between gallbladder and tri-Jiao.According to the relevant literature records in the past dynasties,the gallbladder disease is divided into four syndrome types,namely,gallbladder cold syndrome,gallbladder fire syndrome,stagnation of the gallbladder-Qi and disturbance of phlegm syndrome,and gallbladder deficiency syndrome.Combined with modern pharmacological experimental research,the mechanism of Huanglian Wendan Decoction(黄连温胆汤)on insomnia was summarized,indicating that the serum level of inflammatory mediators in insomnia patients and the flavonoid compounds in prescription ingredients were closely related.Its prescriptions are mostly used by modern doctors,with outstanding clinical efficacy and are highly respected.Therefore,the author thinks that the treatment of insomnia from the gallbladder can yet be regarded as a good method,so that“Yin and Yang in equilibrium,life activities being normally maintained”,in order to better guide the clinical practice.
作者
杨若荻
刘军彤
周莹
石岩
杨宇峰
YANG Ruodi;LIU Juntong;ZHOU Ying;SHI Yan;YANG Yufeng(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)
出处
《辽宁中医药大学学报》
CAS
2024年第3期151-155,共5页
Journal of Liaoning University of Traditional Chinese Medicine
基金
辽宁省应用基础研究计划项目(20230319)。
关键词
从胆论治
失眠
黄连温胆汤
研究概况
treating from the gallbladder
insomnia
Huanglian Wendan Decoction(黄连温胆汤)
research overview
