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王暴魁教授辨治失眠临证经验浅析

Analysis of Professor WANG Baokui′s Clinical Experience in Treating Insomnia
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摘要 王暴魁教授认为失眠的直接病机为心神不安,与脏腑营卫气血亏虚,五脏无以藏神,卫气无以入营密不可分。年老久病体虚之人还可责之阳虚阴格。而脏腑虚衰、情志不遂、饮食不宜等因素导致痰湿、湿热、肝火、气滞、食积等邪客于脏腑间,阻滞卫气出入阴阳之道,从而导致失眠。结合临证实践经验,王暴魁教授以补五脏、宁心神、调阴阳为要,不忘逐客邪,通阴阳,使阴阳既济,互根互用,寤寐得安。 Professor WANG explaines that direct pathogenesis of insomnia is restlessness of Shen,which is closely related to the deficiency of qi and blood in five Zang-organs,six Fu-organs,nutrient and defense.It can lead to five Zang-organs being unable to hide Shen,and defense qi being unable to enter the nutrient.Patients who are old,sick,and physically weak can also be blamed for the deficiency of Yang.However,factors such as organs deficiency,emotional distress,and improper diet can lead to pathogenic factors such as phlegm dampness,dampness and heat,liver fire,qi stagnation,and food accumulation,blocking the entry and exit of defensive qi between Yin and Yang,resulting in insomnia.Based on clinical practice experience,Professor Wangprioritizes nourishing the five Zang-organs,calming Shen,and regulating Yin and Yang.At the same time,Professor Wangdoes not forget to drive away pathogenic qi,connect yin and yang,so that Yin and Yang are both coordinated,mutually beneficial,and can sleep peacefully.
作者 周盈 王健 宋子威 张顺美 ZHOU Ying;WANG Jian;SONG Ziwei;ZHANG Shunmei(Department of Traditional Chinese Medicine,Beijing Puren Hospital,Beijing 100062,China;Department A of Nephrology and Endocrinology,Dongzhimen Hospital BUCM,Beijing 100700,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100007,China;Shougang Hospital of Peking University,Pingguoyuan Community Health Service Center in Shijingshan District,Beijing 100144,China)
出处 《世界睡眠医学杂志》 2024年第5期1026-1029,共4页 World Journal of Sleep Medicine
关键词 失眠 不寐 调和阴阳 宁心安神 王暴魁 临证经验 Insomnia Regulate Yin and Yang Calm heart and tranquilize mind WANG Baokui Clinical experience
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