国医大师严世芸通督宁神法治疗颈源性失眠经验  

National TCM master Yan Shiyun's experience of treating cervicogenic insomnia with Tongdu Ningshen method

作　　者：周文龙 马杰[2] 严骅[3] 严世芸[2] ZHOU Wenlong;MA Jie;YAN Hua;YAN Shiyun(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海中医药大学,上海201203 [3]上海中医药大学附属曙光医院,上海201203

出　　处：《上海中医药杂志》2024年第6期49-52,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市科委面上项目(21ZR1463200);上海市卫健委面上项目(202040001);国家中医药管理局严世芸国医大师传承工作室建设项目(2022);上海市中医药管理局国医大师严世芸学术经验传承创新提质升级项目(2023)。

摘　　要：颈源性失眠为颈椎退行性改变合并(或)颈动脉粥样硬化导致的多因性失眠。国医大师严世芸基于藏象辨证论治理论体系,指出本病责之于督脉失和、神藏不宁,主张以通督宁神法治疗本病,临证多用补气活血、温肾益髓药物。通过探析严世芸教授通督宁神法辨治颈源性失眠的学术思想与临证经验,为临床实践提供思路与方法。Cervicogenic insomnia is a multifactorial insomnia caused by cervical degenerative changes and/or carotid atherosclerosis.Based on the diagnostic system of the visceral manifestation theory,Yan Shiyun,a national master of traditional Chinese medicine(TCM),attributes the root of cervicogenic insomnia to a disharmony in the governor vessel and a disturbance of the stored spirit.He advocates the use of Tongdu Ningshen method(unblocking the governor vessel and pacifying the spirit method)to treat this disease,prescribing medications that supplement qi,activate blood,warm the kidneys,and nourish the marrow for effective clinical results.This article analyses Professor Yan Shiyun's academic thoughts and clinical experience in diagnosing and treating cervicogenic insomnia with Tongdu Ningshen method,providing insights and methodologies for clinical practice.

关 键 词：颈源性失眠 辨证论治 通督宁神法 中医药疗法 名医经验 

分 类 号：R256.23[医药卫生—中医内科学]