夏永良教授运用中医圆运动理论治疗耳鸣伴睡眠障碍及焦虑状态患者的临床经验浅析  

Application of the Traditional Chinese Medicine Circular Motion Theory in Tinnitus Patients with Sleep Disorders and Anxiety State

作　　者：黄余亮 陈佳丽 夏永良[3] HUANG Yuliang;CHEN Jiali;XIA Yongliang(The Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China;The First Clinical Medical School of Zhejiang Chinese Medical University;The First Affiliated Hospital of Zhejiang Chinese Medical University)

机构地区：[1]浙江中医药大学附属第二医院,杭州310006 [2]浙江中医药大学第一临床医学院 [3]浙江中医药大学附属第一医院

出　　处：《浙江中医药大学学报》2024年第6期729-732,共4页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]总结夏永良教授运用中医圆运动理论治疗耳鸣伴睡眠障碍及焦虑状态患者的临证经验。[方法]通过侍诊学习以及对典型医案的收集、整理,以一则耳鸣伴睡眠障碍及焦虑状态医案为例,阐述夏教授的见解及治疗经验。[结果]夏教授认为,本病病因在于清阳不升,浊阴不降,故五官九窍壅滞,病发日久则肝木过亢反克脾土,使病情迁延难愈,患者多出现情绪急躁、焦虑紧张等症状。故以补中益气汤补中气而升清阳,中轴运转,四维相附,则相火之降,君火之升,另以升降气机,交通上下,助运气机,诸症得以缓解。医案中患者首次就诊,夏教授辨证分析,药随症出,以补中益气汤为主方,随症加减,患者症状缓解。[结论]夏教授运用中医圆运动理论,治疗耳鸣伴睡眠障碍及焦虑状态,临床收效显著,对中医药治疗该病具有重要的临床指导意义。[Objective]To summarize Professor XIA Yongliang's clinical experience in treating tinnitus with sleep disorder and anxiety by using the circular motion theory of traditional Chinese medicine.[Methods]Through the way of clinical study with teacher,reviewing the literature of traditional Chinese medicine and collecting and sorting typical medical records,taking one medical case of tinnitus with sleep disorder and anxiety as example to expound Professor XIA's opinion and application experience.[Results]Professor XIA believes that the etiology of tinnitus with sleep disorder and anxiety is clear Yang does not rise,the turbid Yin dose not pour down,leading to the stagnation of five senses organs and nine orifices.As days going on,hyperactivity of liver wood restrains spleen earth,making the condition difficult to cure.Patients often present with symptoms such as irritability and anxiety.Therefore,Professor XIA uses Buzhong Yiqi Decoction to replenish the middle Qi and ascend clear Yang,with the middle axis in operation and the four dimensions attached,leading to fall of minister fire,rise of monarch fire.In addition,ascending and descending Qi,transportation up and down,and assisting Qi mechanism are used to alleviate various symptoms.In the medical case,the patient visited the hospital for the first time.Professor XIA analyzed the symptoms based on differentiation,and the medication was prescribed according to the symptoms,Buzhong Yiqi Decoction was used as the main prescription,which was adjusted according to the symptoms,and the patient's symptoms were relieved.[Conclusion]Professor XIA treats the disease according to the circular motion theory of traditional Chinese medicine,the clinical effect is remarkable.This has important clinical significance in the treatment of this disease with traditional Chinese medicine.

关 键 词：《圆运动的古中医学》 彭子益 耳鸣 睡眠障碍 焦虑状态 夏永良 

分 类 号：R249[医药卫生—中医临床基础]