基于“木曰敷和”理论探讨柔肝法治疗老年失眠症  

Exploration on the treatment of elderly insomnia with the method of softening the liver based on the theory of“wood governing harmony”

作　　者：赵云 闫子铭 沈一凡 任磊 秦建国[3] ZHAO Yun;YAN Ziming;SHEN Yifan;REN Lei;QIN Jianguo(The Second Clinical College of Beijing University of Chinese Medicine,Beijing 100078,China;Emergency Department,Shanghai University of Traditional Chinese Medicine Affiliated City Traditional Chinese Medicine Hospital,Shanghai 200071,China;Nephrology Department,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100078 [2]上海中医药大学附属市中医医院急诊科,上海200071 [3]北京中医药大学东方医院肾病科,北京100078

出　　处：《天津中医药》2024年第5期582-585,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(国中医药办人教函〔2021〕271号)。

摘　　要：肝主疏泄、藏血,在畅气机、统气血、燮阴阳方面发挥重要作用,文章从肝性柔润,“木曰敷和”角度出发,根据老年人脏腑柔弱、气血阴阳失调等病理特点,从肝论治老年失眠症,将其病机概括为木失敷和、气血怫郁、阴阳失衡。治疗主张柔肝胜于疏肝,从甘缓和中、养血柔肝,酸甘合阴、益肾柔肝,咸寒潜阳、降逆柔肝,辛润通络、化瘀柔肝4个方面探讨柔肝法应用,为治疗老年失眠症提供新思路,以期提高老年人生活质量。The liver is responsible for relieving and storing blood,and plays an important role in promoting qi circulation,regulating qi and blood,and supporting yin and yang.This article starts from the perspective of liver softness and“wood governing harmony”,and based on the pathological characteristics of the elderly,such as weak viscera and imbalance of qi,blood,and yin and yang,the liver is used to treat elderly insomnia.The pathogenesis of this disease is summarized as wood based application,qi and blood stagnation,and yin and yang imbalance.The treatment advocates softening the liver rather than soothing it,ganhuan hezhong,yangxue rougan;suangan heyin,yishen rougan;xianhan qianyang,jiangni rougan;xinrun tongluo,huayu rougan,exploring the application of the liver softening method from four aspects in order to provide new ideas for the treatment of elderly insomnia and improve the quality of life of the elderly.

关 键 词：老年失眠症 木曰敷和 柔肝 气血阴阳 

分 类 号：R256.23[医药卫生—中医内科学]