根据“肾藏精”理论及老年不寐病机从肾虚精亏论治老年不寐  

Treating Senile Insomnia from the Method of Nourishing Kidney Essence

作　　者：冯心 陈民[2] FENG Xin;CHEN Min(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2024年第3期123-125,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省科学技术基金项目(2017225046)。

摘　　要：我国患有睡眠障碍的老年人约占40%~70%,睡眠障碍已经成为严重困扰老年人生活质量的关键因素。改善老年失眠可以大大提高老年人生活质量。基于“肾藏精”理论并结合老年人生理病理特点,老年人先天之精、后天之精、肾阴、肾阳亏虚均能致不寐。老年不寐的病机,为“以虚为本”,即肾精亏虚是根,痰饮瘀血互结、虚实并见,易变生他病,常兼杂心肝火旺及脾虚。吾师陈民临床常用补肾填精之方引火汤,配以清肝健脾之药治疗老年不寐。并附典型案例1则。About 40%~70%of the elderly with sleep disorders in China have become a key factor that seriously plagues the quality of life of the elderly.Therefore,improving insomnia in the elderly can greatly improve the quality of life of the elderly.Based on the theory of"The Kidneys Stores The Essence"and combined with the physiological and pathological characteristics of the elderly,the innate essence,acquired essence,kidney yin,kidney yang deficiency of the elderly can cause insomnia.The disease mechanism of the elderly who does not sleep is"based on the void",that is,the kidney essence deficiency is the root,the phlegm drinking and stasis blood are intertwined,the virtual and the real are seen at the same time,it is easy to become other diseases,and it is often mixed with the heart,liver,fire and spleen deficiency.Our teachers clinical commonly used kidney fill-ing formula to Yinhuo Decoction,with liver and spleen cleansing medicine to treat the senile insomnia.A typical case is atta-ched.

关 键 词：老年不寐 肾藏精 补肾填精 引火汤 

分 类 号：R256.23[医药卫生—中医内科学]