杨如意治疗不寐经验介绍  

Experience of YANG Ruyi in Treating Insomnia

作　　者：李烨 杨如意(指导)[2] LI Ye;YANG Ruyi(Instructor)

机构地区：[1]青海大学医学院,青海西宁810000 [2]青海大学附属医院中医科,青海西宁810000

出　　处：《新中医》2022年第24期220-224,共5页New Chinese Medicine

基　　金：杨如意名中医工作室建设项目。

摘　　要：介绍杨如意教授治疗不寐的临床经验。杨如意教授认为,不寐可从气血、痰邪、情志、脏腑阴阳等方面进行诊治。不寐的病因病机有气血不足,脏腑失养;痰邪蕴滞,脏腑失调;七情逆乱,气机郁滞;阴虚火旺,阳不入阴。治疗原则有益气养血、祛痰化滞、调气宁神、滋阴降火。遣药组方以归脾汤、温胆汤、柴胡疏肝散、天王补心丹等诸方为主,或随症加减,或合用他方治之。To introduce Prof. YANG Ruyi’s clinical experience in treating insomnia. Prof. YANG believes that insomnia can be diagnosed and treated from qi and blood,phlegm pathogen,emotion,and yin and yang of zang-fu organs. The etiology and pathogenesis of insomnia include qi and blood insufficiency leading to undernourishment of zang-fu organs,phlegm pathogen accumulation and stagnation resulting in disharmony of zang-fu organs, counterflow and disorder of the seven emotions making constraint and stagnation of the qi mechanism,and yin deficiency resulting in vigorous fire and yang disease not entering yin. In the treatment, methods are boosting qi and nourishing blood, dispelling phlegm and resolving stagnation, regulating qi and calming the mind, and enriching yin and subduing fire. Prescriptions are mainly Guipi Tang, Wendan Tang, Chaihu Shugan Powder, and Tianwang Buxin Pellets, and they are modified according to different syndromes,or combined with other prescriptions.

关 键 词：不寐 辨证论治 益气养血 祛痰化滞 调气宁神 滋阴降火 杨如意 

分 类 号：R249[医药卫生—中医临床基础] R255.9[医药卫生—中医学]