从五脏火论治围绝经期失眠  

Treatment of Perimenopausal Insomnia from Five viscera Fire

作　　者：王巧 张丽娟 WANG Qiao;ZHANG Lijuan(Graduate School,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China;The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China)

机构地区：[1]山东中医药大学研究生院,山东济南250014 [2]山东中医药大学第一临床医学院,山东济南250014

出　　处：《中国中医药现代远程教育》2021年第18期71-73,共3页Chinese Medicine Modern Distance Education of China

摘　　要：失眠是围绝经期女性常见病。火热病机在中医病机中影响深远,五脏皆有火,围绝经期女性脏腑亏虚,火热之邪更易滋生,扰乱心神而致不寐。笔者临床中发现该病患者多表现有热象,本文阐述五脏火热病机与围绝经期失眠的关系,从心肾之火(水火不济)、肝火(肝郁化火),脾胃之火(宿食痰火)、肺阴虚内热分别论述,总结出清五脏之火,配合滋肾、解郁、健脾、除烦、安神的治疗方法,并强调辨明致火之源、火起之脏、火之病理产物以及火之虚实、脏腑间相互影响的重要性。Insomnia is a common disease in perimenopausal women. The pathogenesis of fiery heat has far-reaching influence on the pathogenesis of TCM. All the five internal organs have fire, and the viscera of perimenopausal women are deficient. The evil of fiery heat is more likely to breed, which disturbs the mind and causes insomnia. The author found that the patients with the disease often showed heat symptoms in clinic. This paper expounds the relationship between the pathogenesis of five zang-organs fire and perimenopausal insomnia, from the fire of heart and kidney(fire and water are not good), the fire of liver depression to fire, the fire of spleen and stomach(phlegm fire), and the internal heat of lung yin deficiency, and summarizes the treatment methods of clearing fire of five zang-organs, nourishing kidney, relieving depression, invigorating spleen, relieving restlessness and calming nerves, and emphasizes the identification of fire.

关 键 词：五脏火 火热病机 脏燥 围绝经期 失眠 

分 类 号：R256.23[医药卫生—中医内科学]