杨志敏教授从三焦论治“水热互结”型失眠的经验探析  

Professor Yang Zhimin's Experience in Treating Insomnia of the“Union of Water with Heat”Type from the Perspective of Triple Energizer

作　　者：朱焕颖 朱娟娟 杨志敏[3] ZHU Huan-ying;ZHU Juan-juan;YANG Zhi-min(The Second Clinical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405;Clinical Medical College of Acupuncture Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou Guangdong 510120)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学针灸康复临床医学院,广东广州510405 [3]广东省中医院,广东广州510120

出　　处：《世界中西医结合杂志》2024年第11期2164-2166,2172,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：广东省中医院临床研究专项(YN10101913);广东省中医院治未病专项(YN2020ZWB07);广州中医药大学第二附属医院省部共建中医湿证国家重点实验室(SZ2021ZZ3001)。

摘　　要：总结杨志敏教授从三焦论治“水热互结”型失眠的经验。杨志敏教授认为治疗“水热互结”型失眠需从三焦入手,重视解表、通腑、淡渗及利湿药,警惕安神药的使用。治疗上,上焦常用解表法,热邪陷里、里热严重则需逐水法;中焦常用泻心汤类的和解法及淡渗法;下焦常用承气汤类的通腑法或伤阴后的养阴清热利水法。三焦水热得清,营卫阴阳恢复运行,则不寐可以痊愈。Objective This paper summarized Professor Yang Zhimin's experience in treating insomnia of the“union of water with heat”type from the perspective of triple energizer.Professor Yang Zhimin believes that doctors should start from triple energizer,attach importance to eliminating dampness with bland medicinal,releasing exterior,and relaxing bowels,and be cautious of the use of sedatives when treating insomnia of the“union of water with heat”type.In terms of treatment,the releasing exterior method is commonly used for the upper energizer,and the expelling water method is necessary for inward invasion of pathogenic heat and severe internal heat.The harmonizing method with Xiexin Decoction and the bland medicinal method are commonly used in the middle energizer.The commonly used methods for the lower energizer include the relaxing bowels method with Chengqi Decoction or the method of nourishing yin,clearing heat,and promoting diuresis after damage to yin.If the water and heat in triple energizer are cleared,and the yin and yang of nutrient and defensive aspects are restored,insomnia can be cured.

关 键 词：失眠 三焦 水热互结 

分 类 号：R256.23[医药卫生—中医内科学]