肾不藏志型不寐常见证型特点及方药选用考据  

Common syndrome characteristics and prescription textual research of kidney failing in storing will insomnia

作　　者：贾宏林 张星平[1] 王凯凯 陈旭 吴金鸿 梁瑞宁 JIA Honglin;ZHANG Xingping;WANG Kaikai;CHEN Xu;WU Jinhong;LIANG Ruining(Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Zhang Xingping National Famous Chinese Medicine Expert Inheritance Studio,Urumqi,Xinjiang 830099,China)

机构地区：[1]新疆医科大学附属中医医院,张星平全国名老中医药专家传承工作室,新疆乌鲁木齐830099

出　　处：《上海中医药杂志》2023年第9期6-10,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82160873,81960837,81560762,81260526);全国名老中医药专家传承工作室项目(国中医药人教函〔2022〕75号);新疆维吾尔自治区自然科学基金重点项目(2022D01D48);新疆维吾尔自治区教育厅“十四五”中医学重点学科项目(新教函〔2022〕112号)。

摘　　要：中医不寐五神分型法是依据患者单一症状确立病位的不寐分型诊断法,其中肾不藏志型不寐是其常见证型。其单一主症为夜寐早寤,依据临床兼症可分为肾阴虚型、肾阳虚型、肾虚水泛型、肾精不足型、肾气不固型以及肾不纳气型等。通过查阅历代医家从肾论治不寐的方药,得出治疗肾不藏志型不寐的用药特点,即以熟地黄、酸枣仁、龟甲胶等滋阴安神定志,以附子、干姜、肉桂等温阳安神定志,以茯苓、白术、车前子等利湿安神定志,以远志、熟地黄、牡蛎等填精安神定志,以山茱萸、茯神、枸杞子等益气安神定志,以人参、五味子、蛤蚧等纳气安神定志。Insomnia classification by five kinds of spirits in traditional Chinese medicine is a diagnosis method for the classification of insomnia according to the patient's single symptom,in which the insomnia of kidney failing in storing will is its common syndrome.Its single main symptom is wake up early at night,which can be divided into kidney yin deficiency type,kidney yang deficiency type,kidney deficiency water flooding type,kidney essence deficiency type,non-consolidation of kidney qi type and deficiency of kidney qi failing to control respiring qi type according to clinical symptoms.By locating the prescriptions and medicines of ancient doctors in treating insomnia from kidney,the medicine characteristics of treating kidney failing in storing will type insomnia are obtained,such as nourishing yin and tranquilizing the mind with Rehmanniae Radix,Ziziphi Spinosae Semen,and Testudinis Carapacis Et Plastri Colla,warming yang and tranquilizing the mind with Aconiti Lateralis Radix Praeparata,Zingiberis Rhizoma,and Cinnamomi Cortex,dampness and tranquilizing the mind with Poria,Atractylodis Macrocephalae Rhizoma,and Plantaginis Semen,filling essence and tranquilizing the mind with Polygalae Radix,Rehmanniae Radix,and Ostreae Concha,benefiting qi and tranquilizing the mind with Corni Fructus,Poria and Lycii Fructus,and absorption qi and tranquilizing the mind with Ginseng Radix Et Rhizoma,Schisandrae Chinensis Fructus,Gecko.

关 键 词：不寐 失眠 五神分型 肾不藏志 辨证论治 中医药疗法 

分 类 号：R256.23[医药卫生—中医内科学]