张永华运用情志辨证体系辨治睡眠障碍经验介绍  

Experience Introduction of ZHANG Yonghua Treating Sleep Disorders with Emotional Syndrome Differentiation System

作　　者：陈志雨 鲁慧琳 张一鸣[1] 张永华(指导)[1] CHEN Zhiyu;LU Huilin;ZHANG Yiming;ZHANG Yonghua

机构地区：[1]浙江中医药大学附属杭州市中医院,浙江杭州310005

出　　处：《新中医》2022年第6期215-218,共4页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2020ZX013)。

摘　　要：介绍张永华教授运用情志辨证体系辨治睡眠障碍的临床经验。张永华教授认为,睡眠障碍与情志因素密切相关,提倡运用以情志辨识为主导,结合辨体质、辨病症的情志辨证体系辨治睡眠障碍。主张情志辨识主要从心烦易怒、多思善虑、悲忧不欢、惊恐不安四大类型进行把握,辨体质主要从气郁质、痰湿质、火旺质3种体质进行辨别,辨病症主要包括失眠症、不安腿综合征、阻塞性睡眠呼吸暂停低通气综合征,从辨情志-辨体质-辨病症3个方面综合把握病机,遣方用药,达到身心同治的效果。This paper introduces the clinical experience of Professor ZHANG Yonghua treating sleep disorders with emotional syndrome differentiation system. Professor ZHANG Yonghua believes that sleep disorders are closely related to emotional factors. For the treatment of sleep disorders,he advocates the application of emotional syndrome differentiation system,which is dominated by emotion differentiation and combined with the differentiation of constitutions and diseases. It is advocated that emotion differentiation should be mainly based on four types,namely vexation and irascibility,excessive thinking and contemplation, sorrow and anxiety, and fear and restlessness;constitution differentiation should be mainly based on three types,namely qi-depression constitution,phlegm-dampness constitution and fire-effulgence constitution;disease differentiation mainly includes insomnia,restless legs syndrome,and obstructive sleep apnea hypopnea syndrome;the pathogenesis should be comprehensively grasped from three aspects, namely emotion differentiation, constitution differentiation and disease differentiation;then medicines are prescribed to achieve the effect of treating body and mind simultaneously.

关 键 词：睡眠障碍 情志辨证 体质 身心同治 张永华 

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