“阳明四法”治疗失眠  

‘Yangming four methods’in the treatment of insomnia

作　　者：张丰跃 刘畅 张晓轩 原嘉民 徐福平 张铸奇 麦润汝 杨志敏 许家栋 ZHANG Feng-yue;LIU Chang;ZHANG Xiao-xuan;YUAN Jia-min;XU Fu-ping;ZHANG Zhu-qi;MAI Run-ru;YANG Zhi-min;XU Jia-dong(The Second Clinical College of Guangzhou University of Chinese Medicine,Guangzhou 510105,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广州510105 [2]广州中医药大学第二附属医院,广州510120

出　　处：《中华中医药杂志》2022年第1期225-228,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：杨志敏广东省名中医传承工作室建设项目[No.粤中医办函(2020)1号];广东省中医院许家栋学术经验传承工作室项目(No.中医二院[2018]101号);广东省中医院扶阳流派工作室项目(No.2013KT1517);广东省中医院颜德馨膏方工作室(No.中医二院[2014]89号-6)。

摘　　要：现代人生活方式及饮食结构的改变,易出现胃肠道和精神方面的双重疾患,阳明热盛证成为失眠常见证型。经方名家许家栋根据药物性味而总结治疗阳明病之辛寒、苦寒、咸寒、酸寒四法,杨志敏教授在辨治失眠过程中灵活运用"阳明四法"而常获佳效。文章通过对"阳明四法"应用指征阐述并加以杨志敏教授临证验案举证,旨在对"阳明四法"治疗失眠的机制进行深一步探究,以求辨证论治有章可循、法度森严。The change of lifestyle and dietary structure of modern people is prone to double diseases of gastrointestinal tract and mental aspects.Intense heat of yangming syndrome has become a common type of insomnia.XU Jia-dong,a famous master of classical prescription,summed up the four methods(pungent cold,bitter cold,salty cold,sour coud)for treating yangming disease according to the medicinal taste,and professor YANG Zhi-min used the four methods flexibly in the differentiation and treatment of insomnia and often achieved good results.This paper expounds the application indications of yangming four methods and proves the case of professor YANG Zhi-min,aiming to further explore the mechanism of of yangming four methods in the treatment of insomnia,in order to have rules to follow and strict laws to treat the syndrome differentiation.

关 键 词：失眠 阳明四法 苦寒法 辛寒法 咸寒法 酸寒法 杨志敏 经验 

分 类 号：R256.23[医药卫生—中医内科学]