国医大师张志远运用黄连阿胶汤加减治疗心肾不交型失眠的经验  

Experience of TCM master ZHANG Zhi-yuan in using modified Huanglian Ejiao Decoction to treat insomnia caused by disharmony between heart and kidney

作　　者：王淞[1,2] 朱俊楠[2] 宋修道 潘琳琳[1] 刘桂荣[1] WANG Song;ZHU Jun-nan;SONG Xiu-dao;PAN Lin-lin;LIU Gui-rong(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Shandong College of Traditional Chinese Medicine,Yantai 264100,China)

机构地区：[1]山东中医药大学,济南250355 [2]山东中医药高等专科学校,烟台264100

出　　处：《中华中医药杂志》2020年第7期3424-3426,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局2017年国医大师张志远传承工作室项目(No.国中医药办人教函[2018]119);山东省2019-2020年度中医药科技发展计划项目(No.2019-0266)。

摘　　要：国医大师张志远教授认为,失眠发病因素很多,实际以心肾不交为主轴,相火妄动,阴阳失交而发为失眠。临证应用时,张志远教授强调黄连和阿胶是方中主药,阿胶用量不能少于黄连的2/3,二者同等药量效果最佳,用黄连阿胶汤加减治疗心肾不交型失眠取得了良好的临床疗效。TCM master ZHANG Zhi-yuan believes that disharmony between heart and kidney is the main axis in the happening of insomnia though there are many other causes.The disharmony leads to the hyperactivity of ministerial fire and the unnormal intersection of yin and yang,thus insomnia occurs.In clinical application,professor ZHANG emphasizes that Rhizoma Coptidis and Colla Corii Asini are the two main drugs in the prescription,and the dosage of Colla Corii Asini should be no less than 2/3 of Rhizoma Coptidis,and the same dose would make the best effect.Huanglian Ejiao Decoction has a good clinical effect in the treatment of insomnia caused by disharmony between heart and kidney.

关 键 词：张志远 黄连阿胶汤 失眠 心肾不交 临床经验 

分 类 号：R249[医药卫生—中医临床基础] R256.23[医药卫生—中医学]