孙霈教授基于调整阴阳思想的不寐证治经验  

Prof. Sun Pei’ s clinical experience in treating insomnia through regulating yin-yang balance

作　　者：宋昕 岳利峰 王芳[1] 陈颖[1] 林鸿春 聂可 孙霈(指导) SONG Xin;YUE Lifeng;WANG Fang;CHEN Ying;LIN Hongchun;NIE Ke;SUN Pei(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing.100700;Changping Hospital of Traditional Chinese Medicine;不详)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京市昌平区中医医院 [3]不详

出　　处：《现代中医临床》2022年第6期71-76,共6页Modern Chinese Clinical Medicine

基　　金：北京市中医管理局-北京中医药传承“双百工程”,北京中医药大学优秀青年骨干教师专项计划(No.2016-JYB-QNJSZX007)。

摘　　要：孙霈教授为孙氏中医(含梅花针)第四代嫡传继承人、第四届首都国医名师,在多年临床诊疗过程中,重视内外毒邪致病说和阳中之阴阳、阴中之阴阳的病机转化,重视在辨病的基础上辨证和同病异治、异病同治。在失眠的证治方面,形成了以调和阴阳为核心、调整脏腑气血为辅助的治疗思想,临床经验组药独具特色,善用半夏和夏枯草、蝉蜕和首乌藤组药对调整阴阳;针对失眠的各类兼证,依据病情辨证调整用药,合并郁病加生莲房、生百合、龙胆草、乌药,兼有血瘀加丹参、川芎,火郁重者加菊花、炒栀子、淡豆豉,心神失养加浮小麦、炙甘草、大枣、茯神、徐长卿,痰气交阻加石菖蒲、远志、半夏厚朴汤,心神不宁、肝风内动加生龙齿、生牡蛎、珍珠母。Professor Sun Pei is the fourth-generation heir of Sun’s School of Traditional Chinese Medicine(including the technique of percussopunctator), and a fourth-batch laureate of the title of Prestigious TCM Doctor in Beijing. Over decades of clinical practice, he has always paid attention to the pathogenic theory of internal and external toxins and the pathogenesis transformation of yin-yang balance in yang and yin-yang balance in yin. On the basis of identifying diseases, he has attached great importance to distinguishing between symptoms, different treatment methods for the same disease and one protocol for different diseases. In terms of the treatment of insomnia, the therapeutic idea of harmonizing yin and yang as the core and adjusting zang-fu organs and qi-blood as the auxiliary has been formed. His ingenious insights obtained from clinical experience into the formulation of prescriptions emphasize the combined use of Rhizoma Pinelliae and Spica Prunellae, as well as Periostracum Cicadae and Caulis Polygoni Multiflori to harmonize yin and yang. For various complications of insomnia, the formula is adjusted based on syndrome differentiation: for patients with stagnation disease, Receptaculum Nelumbinis, Bulbus Lilii, Radix et Rhizoma Gentianae, Radix Linderae should be added;for those with blood stasis, Radix et Rhizoma Salviae Miltiorrhizae and Rhizoma Chuanxiong are added;if severe fire constraint is present, the physician should add Flos Chrysanthemi, Fructus Gardeniae Praeparatus and Semen Sojae Praeparatum;for the loss of nourishment of the heart spirit, Fructus Tritici Levis, Radix et Rhizoma Glycyrrhizae Praeparata cum Melle, Fructus Jujubae, Sclerotium Poriae Pararadicis and Radix et Rhizoma Cynanchi Paniculati are added;for obstruction of both phlegm and qi, the formula should be enhanced with Rhizoma Acori Tatarinowii, Radix Polygalae and Pinellia and Officinal Magnolia Bark Decoction;Dens Draconis, Concha Ostreae, Concha Margaritiferae Usta are proper additions to the prescription for restlessness o

关 键 词：阴阳不交 失眠 不寐 名医经验 孙霈 

分 类 号：R256.23[医药卫生—中医内科学]