周衡从“饮”论治失眠经验  

Zhou Heng′s Experience in Treating Insomnia from Phlegm

作　　者：王浩瞩 周衡[1] 周青[1] 欧龙云 田雪飞[2] WANG Haozhu;ZHOU Heng;ZHOU Qing;OU Longyun;TIAN Xuefei(The First Affiliated Hospital to Hunan University of Chinese Medicine,Changsha Hunan China 410007;The Integrative Medicine Hospital Affiliated to Hunan University of Chinese Medicine,Changsha Hunan China 410208)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学中西医结合学院,湖南长沙410208

出　　处：《中医学报》2023年第9期1946-1949,共4页Acta Chinese Medicine

基　　金：湖南省“国内一流培养学科”中西医结合开放基金项目(2020ZXYJH34,2020ZXYJH35)。

摘　　要：周衡教授认为,水饮停滞脏腑,功能失调引起阴阳失衡贯穿于失眠始终,提出“饮滞元真”之说。故临床治疗失眠可从“饮”入手,以辛温化饮、育阴化饮、和胃化饮为主要治疗方法,其治法离不开仲圣“病痰饮者,当以温药和之”总则,常采用苓桂术甘汤、猪苓汤、半夏秫米汤等。从饮论治失眠,可调整脏腑气化功能,从而达到阴阳平衡,治疗时又须分年老幼少而辨虚实,同时重视情志的疏导。Professor Zhou Heng thinks that the imbalance between Yin and Yang caused by Water and Phlegm in Zang and Fu runs through the whole process of insomnia,and he puts forward the theory of"Yin Zhi Yuan Zhen".Therefore,the clinical treatment of insomnia can start with the"Phlegm",with Xin Wen Hua Yin,Yu Yin Hua Yin and He Wei Hua Yin as the main treatment methods.The treatment cannot be separated from Zhong Jing′s general principle that"those who suffers from Phlegm should be treated with warm drugs and harmonizing method",and Linggui Zhugan Decoction,Zhuling Decoction and Banxia Xiemi Decoction are often used.Treating insomnia from perspective of Phlegm can adjust the Qi Hua function of the Zang and Fu organs so as to achieve the balance of Yin and Yang.When treating insomnia,it is necessary to distinguish between deficiency and excess as well as the age and the young,and at the same time pay great attention to emotional counseling.

关 键 词：失眠症 水饮 辛温化饮法 育阴化饮法 和胃化饮法 周衡 

分 类 号：R249.8[医药卫生—中医临床基础]