柴可夫滋水涵木法治疗围绝经期睡眠障碍经验  

Chai Ke-fu's Experience of Treating Perimenopausal Sleep Disorder with Method of Nourishing Liver and Kidney

作　　者：寿艳春 柴可夫[2] SHOU Yan-chun;CHAI Ke-fu(Huang Shan Branch of Zhuji People's Hospital of Zhejiang Province,Zhuji,Zhejiang,China,311809;Zhejiang University of TCM,Hangzhou,Zhejiang,China,310053)

机构地区：[1]诸暨市人民医院璜山分院,浙江诸暨311809 [2]浙江中医药大学,浙江杭州310053

出　　处：《河南中医》2018年第11期1665-1668,共4页Henan Traditional Chinese Medicine

摘　　要：围绝经期睡眠障碍病机为本虚标实,虚实夹杂。肝肾不足为本病之本,肝郁化火,心火偏亢为本病之标,故治疗宜从滋水涵木与清热解郁着手。根据本病的基本病机,柴教授确立了滋补肝肾,疏肝解郁,养心安神的治疗大法,以一贯煎、滋水清肝饮为基础方加减,在补益肝肾的基础上,兼顾疏肝养心安神,使肾水得至,水升火降,心神得安,肝用得立,阴阳平衡。另外还采用膏方治疗,精神调摄,饮食调节,运动锻炼等综合施治方案以保证疗效。In terms of perimenopausal sleep disorder,the roots include deficient root and excessive tips,intermingled deficiency and excess,deficient liver and kidney. Its tips include stagnated liver transforming into fire,hyperactivity of heart fire. Therefore its treatment focuses on nourishing liver and kidney,clearing away heat and removing stagnation. According to the basic pathogenesis of the disease,Professor Chai has established the treatment method of nourishing the liver and kidney,soothing the liver and relieving depression,nourishing the heart and calming the mind,so Effective Integration Decoction and Decoction for Nourishing Kidney and Clearing Away Liver Heat are often used as the basic formulas for modification in order to obtain kidney fluid to ascend water and descend fire,calm heart and mind,activate liver,keep yin-yang balance. Besides,plaster formulas,regulating emotions and diets,doing exercises are also often used to guarantee efficacy.

关 键 词：围绝经期睡眠障碍 滋水涵木法 一贯煎 滋水清肝饮 柴可夫 

分 类 号：R271.116[医药卫生—中医妇科学]