杨震运用相火学说治疗不寐  

Professor Yang Zhen Using Ministerial Fire Theory to Treat Insomnia

作　　者：赵辉 焦涛涛 郝建梅[1] ZHAO Hui;JIAO Taotao;HAO Jianmei(Shaanxi University of Chinese Medicine,Xianyang Shaanxi China 712046)

机构地区：[1]陕西中医药大学,陕西咸阳712046

出　　处：《中医学报》2020年第9期1918-1921,共4页Acta Chinese Medicine

基　　金：杨震全国名中医传承工作室项目{国中医药办人教涵[2018]年119号};黄元御长安学术流派传承工作室项目{陕中医药发[2018]年40号}。

摘　　要：君相失调是导致不寐的内在原因,相火妄动、扰动君火及卫气运行是导致不寐的主要病机。临床应从肝郁化火、少阳失枢、肝血亏虚、肝肾阴虚四个方面分型论治,以疏肝、清肝、养肝相互结合为主,并注重内火迫阴的防治。在详查病因病机的同时,要注意病邪的发展,提前防治、截断病邪进展;临床不寐时间过长,病理因素往往较为复杂,在气滞、郁火、阴虚的基础上可挟有血虚、痰热等,临症处方要分清主次矛盾,紧守病机,灵活组方化裁;注意开导患者调整情绪,使其保持精神舒畅。Insomnia is caused by the disorder of the monarch and minister,and the main pathogenesis of insomnia is the disturbance of the ministerial fire that disturbs the operation of monarchic fire and Weiqi.Clinical treatment should be divided into four aspects:liver depression to transform fire,Shaoyang failure,liver blood deficiency,and liver and kidney yin deficiency.The combination of soothing liver,clearing liver,and nourishing liver should be used,and pay attention to the prevention and treatment of internal fire damaging yin.While investigating the etiology and pathogenesis,we must pay attention to the development of pathogens,prevent them in advance,and cut off the progress of pathogens;The clinical treatment of insomnia takes a long time,and the pathological factors are often more complex.On the basis of qi stagnation,stagnation of fire and yin deficiency,blood stagnation and phlegm heat can be combined,clinical prescriptions must distinguish between primary and secondary contradictions,adhere to pathogenesis,and flexibly compose prescriptions;attention should be paid to enlighten patients to adjust their emotions to keep their spirits comfortable.

关 键 词：不寐 相火学说 君火 卫气 杨震 

分 类 号：R256.23[医药卫生—中医内科学]