李丹丹运用柴胡加龙骨牡蛎汤改善肝郁型失眠患者过度觉醒状态临证经验  

LI Dandan’s Clinical Experience in Using Bupleurum Plus Longgu Oyster Decoction to Improve Hyperarousal State in Patients with Liver Depression Type Insomnia

作　　者：周鼎 陈壮志 李丹丹[1] ZHOU Ding;CHEN Zhuangzhi;LI Dandan(The Second Affiliated Hospital of Hunan University of Chinese Medicine,Hunan Changsha 410005,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《中医药临床杂志》2024年第2期250-254,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局吴清明全国名老中医药专家传承工作室(国中医药人教函[2022]75号)。

摘　　要：李丹丹教授通过研究原发性失眠现代医学发病机制和中医基础理论,认为改善过度觉醒状态的关键在于调节阴阳。当前社会人们面临的压力日渐增大,情志变化逐渐成为失眠的主要原因,情志抑郁,肝失疏泄,枢机不利,阴阳失调是关键病机所在。故从肝论治,以疏肝解郁、平衡阴阳为治疗原则,选用柴胡加龙骨牡蛎汤改善肝郁型失眠患者过度觉醒状态。Professor LI Dandan studied the modern medical pathogenesis of primary insomnia and the basic theory of traditional Chinese medicine and believed that the key to improving the state of excessive arousal lies in regulating Yin and Yang.In today’s society,people are facing increasing pressure,and emotional changes have gradually become the main cause of insomnia.Emotional depression,liver failure,cardinal disadvantages,and Yin and Yang imbalance are the key pathogenesis.Therefore,treatment is based on the liver,with the treatment principles of soothing the liver,relieving stagnation,and balancing Yin and Yang.Bupleurum plus Longgu Oyster Decoction is used to improve the hyperarousal state of patients with insomnia caused by liver stagnation.

关 键 词：失眠 柴胡加龙骨牡蛎汤 过度觉醒 临床经验 李丹丹 

分 类 号：R256.4[医药卫生—中医内科学]