周红运用三辨模式论治抑郁症失眠经验介绍  

Introduction of ZHOU Hong's Experience in Treating Depression and Insomnia By Three-Differentiation Model

作　　者：刘汯林 沈玲珊 苏家纬 黄冰茹 周红(指导)[1,2] LIU Honglin;SHEN Lingshan;SU Jiawei;HUANG Bingru;ZHOU Hong(Instructor)(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China)

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]广东省中医院,广东广州510120

出　　处：《新中医》2024年第24期211-214,共4页New Chinese Medicine

基　　金：广东省中医院王永洲名中医学术经验传承工作室项目(中医二院〔2020〕161号)。

摘　　要：介绍周红教授运用三辨模式论治抑郁症失眠的临床经验。周红教授提出辨病为先、辨体为纲、重视辨证的三辨模式。在辨病上,认为抑郁症失眠的根本病机为阴阳不和、情志过极、气血亏虚。在辨体上,抑郁症失眠患者的体质主要分为气郁质与阳虚质,部分患者兼有瘀血质、气虚质。在辨证上,抓住五点主症(情绪状态、睡眠状态、口腔感觉、恶寒恶热、脉诊)和四点兼症(大便、食欲、腰膝状况、出汗情况)进行辨证,灵活运用和法调和表里、阴阳、寒热、气血,临床常获良效。This article introduces Professor ZHOU Hong's clinical experience in treating depression and insomnia by three-differentiation model.Professor ZHOU proposes a model that prioritizes disease differentiation,constitution differentiation,and syndrome differentiation.In terms of disease differentiation,it is believed that the fundamental pathogenesis of depression and insomnia lies in the disharmony between yin and yang,excess of moodiness,and deficiency of qi and blood.For constitution differentiation,patients with depression and insomnia are mainly categorized into constitution of qi constraint and yang deficiency,with some also exhibiting constitution of blood stasis and qi deficiency.Syndrome differentiation focuses on five primary symptoms(emotional state,sleep state,oral sensations,aversion to cold and heat,pulse diagnosis)and four secondary symptoms(stool status,appetite,condition of the lower back and knees,sweating).By flexibly applying methods to harmonize the exterior and interior,yin and yang,cold and heat,and qi and blood,clinical outcomes are often favorable.

关 键 词：抑郁症 失眠 三辨模式 周红 

分 类 号：R249[医药卫生—中医临床基础] R256.23[医药卫生—中医学]