林玉芬主任气机论治疗不寐症经验介绍  

Experience introduction of Director Lin Yufen’s Qi movement theory in treatment of Insomnia

作　　者：吴昌跃 林玉芬 陈梅芳 WU Changyue;LIN Yufen;CHEN Meifang(Rehabilitation Department of Quanzhou Orthopedic Hospital,Quanzhou 362000 Fujian,China)

机构地区：[1]泉州市正骨医院康复科,福建泉州362000

出　　处：《中国民康医学》2025年第2期26-28,32,共4页Medical Journal of Chinese People’s Health

基　　金：福建省第四批老中医药专家学术经验继承工作实施方案(闽卫中医函〔2021〕339号)。

摘　　要：不寐症患者由阴阳失衡,阳不入阴,脾胃失衡,心肾不交所致。林玉芬主任认为气机紊乱、枢转不运是造成阳不入阴的关键;而脾胃失衡可导致气机异常升降,运化功能紊乱,邪实阻滞引发心肾不交,故而不寐。应以调畅气机、枢转阴阳、改善脾胃、调畅情志为治则。林玉芬主任选用中药擅择其所长,如柴胡疏肝利胆,人参、半夏与黄芪健脾益气,浮小麦、甘草、大枣消烦止汗等,诸药合用共奏调理气机之效。附1则验案加以佐证。Insomnia is caused by imbalance of yin and yang,yang failing to enter yin,imbalance of spleen and stomach,and disharmony of heart and kidney.Director Lin Yufen believes that the disorder of qi movement and the failure of pivot movement are the key to the failure of yang to enter yin.Further,the imbalance of spleen and stomach leads to abnormal rise and fall of qi,dysfunction of transportation and transformation,domination of pathogen and block,resulting in disharmony between heart and kidney,so insomnia.The treatment of insomnia should be based on regulating qi movement,pivoting yin and yang,improving spleen and stomach,and regulating emotions.Director Lin Yufen uses traditional Chinese medicine’s strengths,such as Chaihu Shugan for Lidan,Ginseng,Pinellia and Astragalus for invigorating spleen and replenishing qi,blighted wheat,licorice,jujube to eliminate trouble and stop sweating,etc.,all these are used together to regulate qi movement.Attached 1 is a case.

关 键 词：不寐症 气机 经验 林玉芬 

分 类 号：R256.23[医药卫生—中医内科学]