调和营卫法治疗不寐的药对探析  

Analysis of couplet medicinals by the method of harmonizing yingfen and weifen in the treatment of insomnia

作　　者：张乐怡 黄幸 曹云 耿庆文[3] 马燕 张根明[4] ZHANG Le-yi;HUANG Xing;CAO Yun;GENG Qing-wen;MA Yan;ZHANG Gen-ming(Medical University of Vienna,Vienna 1090,Austria;Beijing Universitity of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]维也纳医科大学,维也纳1090 [2]北京中医药大学第三附属医院脑病科,北京100029 [3]北京中医药大学东直门医院,北京100700 [4]北京中医药大学东直门医院脑病科

出　　处：《中华中医药杂志》2022年第3期1803-1806,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中央高校基本科研业务费专项项目(No.2019-JYB-TD-003);北京中医药大学名医培育计划(No.BUCM-2019-QNMYA004)。

摘　　要：文章从调和营卫法治疗不寐的中药药对,阐释营卫与不寐的关系,从阴阳、气机、气血、脏腑的角度,阐述调和营卫法辨治不寐的临床思路及配伍特点,具体有:桂枝伍白芍、合欢皮伍首乌藤重在调营卫以和阴阳,柴胡伍枳实、远志伍石菖蒲重在调营卫以畅气机,龙骨伍牡蛎、酸枣仁伍柏子仁重在调营卫以安神养血;半夏伍秫米、黄连伍肉桂重在调营卫以安脏腑,最终达到改善睡眠目的。This paper explores the relationship between yingfen-weifen and insomnia from the couplet medicinals by the method of harmonizing yingfen and weifen, and expounds the clinical thoughts and synergy characteristics of the method of harmonizing yingfen and weifen in treating insomnia based on syndrome differentiation from the aspects of yin-yang, qi dynamic,qi and blood and zang-fu. Specifically, Guizhi with Baishao and Hehuanpi with Shouwuteng focuses on regulating yingfen and weifen for harmonizing yin and yang, Chaihu with Zhishi and Yuanzhi with Shichangpu focuses on regulating yingfen and weifen for facilitating the qi dynamic, Longgu with Muli and Suanzaoren with Baiziren focuses on regulating yingfen and weifen for quieting the spirit and nourishing blood, Banxia with Shumi and Huanglian with Rougui focuses on regulating yingfen and weifen for quieting the zang-fu viscera. Finally, the sleep could be improved effectively.

关 键 词：不寐 调和营卫 药对 睡眠 黄帝内经 配伍 阴阳 气机 

分 类 号：R256.23[医药卫生—中医内科学]