吕绍光运用药对治疗围绝经期慢性失眠症患者浅析  

Analysis of LYU Shao-guang’s experience in treating chronic insomnia during perimenopausal period by using couplet medicines

作　　者：陈莹[1] 谢丽君 李红[3] 吕绍光[1] CHEN Ying;XIE Li-jun;LI Hong;LYU Shao-guang(Provincial Clinical Medical College of Fujian Medical University,Fuzhou 350001,China;Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou 363000,China)

机构地区：[1]福建医科大学省立临床医学院,福州350001 [2]福建省漳州市中医院,漳州363000 [3]福建医科大学省立临床医学院中医科,福州350001

出　　处：《中华中医药杂志》2020年第9期4467-4470,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：福建省卫生计生青年科研课题(No.2016/1/6);福建省医学创新课题(No.2016-CX-8);福建省中医药科研项目计划(No.2017FJZYLC103);国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(No.国中医药人教发[2017]24)。

摘　　要：从药对角度总结分析吕绍光主任治疗围绝经期慢性失眠症的临床经验,其在临床实践中形成独具特色的"从肝论治"围绝经期慢性失眠症学术思想,灵活运用疏肝药对,如青皮-枳实、合欢皮-佛手、香附-川芎、当归-川芎、紫苏叶-佛手;清肝药对,如郁金-百合、炒栀子-淡豆豉;养肝药对,如炒酸枣仁-柏子仁、首乌藤-合欢皮、灵芝-合欢皮;平肝药对,如紫石英-珍珠母、煅龙骨-煅牡蛎、煅龙骨-琥珀、朱砂冬-朱砂苓、龟甲-鳖甲,辨病与辨体相结合,兼顾心脾肾三脏,驭简于繁,以期为临床诊疗提供借鉴,传承吕教授的学术经验。To summarize and analyse the clinical experience of professor LYU Shao-guang in the treatment of chronic insomnia during perimenopausal period from the aspect of couple medicine.Professor LYU formed a unique academic thought of‘treating from the liver’in treating chronic insomnia during perimenopausal period,with making good use of couple medicine to disperse stagnated liver qi as Pericarpium Citri Reticulatae-Viride-Fructus Aurantii Immaturus,Cortex Albiziae-Fructus Citri Sarcodactylis,Rhizoma Cyperi-Rhizoma Ligustici Chuanxiong,Radix Angelicae Sinensis-Rhizoma Ligustici Chuanxiong,Folium Perillae-Fructus Citri Sarcodactylis,Radix Curcumae-Bulbus Lilii,Fructus Gardeniae-Semen Sojae Preparatum,to clear liver as Radix Curcumae-Bulbus Lilii,Fructus Gardeniae-Semen Sojae Preparatum,Semen Ziziphi Spinosae-Semen Platycladi,Caulis Polygoni Multiflori-Cortex Albiziae,Ganoderma-Cortex Albiziae,to nourish liver as Semen Ziziphi Spinosae-Semen Platycladi,Caulis Polygoni Multiflori-Cortex Albiziae,Ganoderma-Cortex Albiziae,Fluoritum-Concha Margaritifera,Os Draconis-Concha Ostreae,Os Draconis-amber,Cinnabaris with Radix Ophiopogonis-Cinnabaris with Poria,Carapax et Plastrum TestudinisCarapax Trionycis.and to suppress hyperactive liver as Fluoritum-Concha Margaritifera,Os Draconis-Concha Ostreae,Os Draconis-amber,Cinnabaris with Radix Ophiopogonis-Cinnabaris with Poria,Carapax et Plastrum Testudinis-Carapax Trionycis.Combinating of disease differentiation and constitution differentiation,taking care of the heart,spleen and kidney,inherit professor LYU’s academic experience to provide reference for clinical diagnosis and treatment.

关 键 词：围绝经期慢性失眠症 药对 从肝论治 学术经验 吕绍光 

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