姚乃礼治疗失眠常用方剂浅析  

A Brief Analysis of YAO Naili's Commonly Used Prescriptions in Treatment of Insomnia

作　　者：陈静[1] 徐蕾 曹正民 李娟梅[1] 吕文良[1] CHEN Jing;XU Lei;CAO Zhengmin;LI Juanmei;LYU Wenliang(Guang’anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100032,China)

机构地区：[1]中国中医科学院广安门医院,北京100032

出　　处：《辽宁中医杂志》2023年第7期32-35,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划“药现代化研究”项目(2018YFC1705700);国家自然基金面上项目(81774282);国家中医药管理局科技项目(2020ZYLCYJ-8);国家中医药管理局京津冀中医药协同发展项目(GZY-GCS-2017-60);国家卫生健康委员会国家科技重大专项(2018ZX10303-502)。

摘　　要：失眠是临床常见疾病,迁延日久不仅会引起高血压、冠心病、消化系统疾病、过敏性疾病、糖尿病、甲状腺功能亢进、皮肤病、性功能障碍、月经紊乱等心身性疾病,而且会严重影响患者的日间社会功能及生活质量。姚乃礼教授是首都国医名师,不仅擅于消化系统疾病的诊治,而且在失眠疾病的诊治方面亦积累了大量经验。笔者有幸跟师学习,通过观察,发现姚师门诊失眠病人以女性居多、顽固性失眠居多,且大部分伴有抑郁状态,而姚师治疗失眠有三方最为常用,分别为酸枣仁汤、温胆汤和柴胡加龙骨牡蛎汤。三者虽然均是中医经典方,常见方,但是姚师在临床应用中有自己的诊疗思路及用药经验,在辨证准确的基础上通过对三方进行加减变化,使其焕然一新,力起沉疴。本文主要通过对此三方进行浅析,以进一步对姚师治疗失眠的经验进行归纳总结,以期为临床治疗提供些许借鉴。Insomnia is a common clinical disease,which can not only cause psychosomatic diseases such as hypertension,coronary heart disease,digestive system diseases,allergic diseases,diabetes,hyperthyroidism,dermatosis,sexual dysfunction and menstrual disorders,but also seriously affect patients'daytime social function and quality of life.Professor YAO Naili is a famous traditional Chinese medicine doctor in the capital.He is not only good at the diagnosis and treatment of digestive system diseases,but also accumulates a lot of experience in the diagnosis and treatment of insomnia.The author is fortunate to learn from the tutor.Through observation,it is found that most of the insomnia patients in the outpatient clinic of tutor YAO are female and intractable insomnia patients,and most of them are accompanied by depression,while tutor YAO most commonly uses Suanzaoren Decoction(酸枣仁汤),Wendan Decoction(温胆汤)and Chaihu plus Longgu Muli Decoction(柴胡加龙骨牡蛎汤)in the treatment of insomnia.Although the three are classic prescriptions of traditional Chinese medicine and common prescriptions,tutor YAO has his own diagnosis and treatment ideas and medication experience in clinical application.On the basis of accurate syndrome differentiation,he adds and subtracts the three prescriptions to make them take on a new look.This article mainly analyzed these three aspects to further summarize tutor YAO’s experience in treating insomnia,in order to provide some reference for clinical treatment.

关 键 词：失眠 酸枣仁汤 温胆汤 柴胡加龙骨牡蛎汤 经验总结 

分 类 号：R249[医药卫生—中医临床基础]