不寐常见方证辨证刍议  

The Thoughts of Prescription Syndrome Differentiation in Insomnia

作　　者：蔡琴 梁慧英[1] Cai Qin;Liang Huiying(Zhongshan City People's Hospital,Zhongshan 528400,China)

机构地区：[1]中山市人民医院,广东中山528400

出　　处：《亚太传统医药》2024年第3期230-233,共4页Asia-Pacific Traditional Medicine

摘　　要：不寐是中医门诊常见多发疾病,非常困扰患者。阳出于阴则寤,阳入于阴则寐。阳实不入阴、阴虚不抱阳、阳虚不潜阴、阴阳不顺接均可导致阴阳失交而发生不寐。总结治疗不寐常见方证,分析温胆汤证、栀子豉汤合升降散证、解郁消愁汤证、血府逐瘀汤证、柴胡加龙骨牡蛎汤证、酸枣仁汤证、归脾汤证、黄连阿胶汤证、麻黄附子细辛汤证、乌梅汤证等方证特点,为临床诊疗失眠提供参考。Insomnia is a common and frequently occurring disease in traditional Chinese medicine(TCM)clinics,which is troublesome for patients.“Yang comes out of Yin,and Yang enters Yin,and then sleeps”.Yang excess does not enter Yin,Yin deficiency does not embrace Yang,Yang deficiency does not hide Yin,and Yin and Yang are not connected smoothly,which can lead to the non-intersection of Yin and Yang,then cause insomnia.By summarizing the common prescription syndrome for the treatment of insomnia,We analyzed the clinical characteristics of the formulae of Wendan Decoction,Zhizichi and Shengjiang Decoction,Jieyu Xiaochou Decoction,Xuefu Zhuyu Decoction,Chaihu Plus Dragon Bone and Oyster decoction,Suanzaoren Decoction,Guipi Decoction,Huanglian Ejiao decoction,Mahuang Fuzi Xixin Decoction,Wumei Decoction,to benefit the clinical treatment of insomnia.

关 键 词：不寐 病因病机 方证 

分 类 号：R256.23[医药卫生—中医内科学]