运用“扶阳三焦次第法”论治失眠  

The"FuyangSanjiaoCidi Method"is an Effective Treatment for Insomnia

作　　者：陈灿荣 杨书慧 张鼎 周珂青 陈飞宇 胡跃强[2] CHEN Canrong;YANG Shuhui;ZHANG Ding;ZHOU Keqing;CHEN Feiyu;HU Yueqiang(Guangxi University of Traditional Chinese Medicine,Nanning530001,Guangxi,China;First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning530022,Guangxi,China;Yongning District Traditional Chinese Medicine Hospital,Nanning530299,Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学第一附属医院,广西南宁530022 [3]南宁市邕宁区中医医院,广西南宁530299

出　　处：《实用中医内科杂志》2025年第2期8-11,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家自然科学基金项目(82260904);国家中医药管理局高水平重点学科项目-中医内科学(ZYYZDXK-2023166);广西中医脑病临床研究中心项目(桂科AD20238028);广西中医药大学“歧黄工程”高层次人才团队项目(202410);广西中医药大学博士研究生创新项目(YCBXJ2023010);广西中医药重点学科建设项目(GZXK-Z-20-13)。

摘　　要：失眠既是病名,又是疾病常伴有的症状,是指患者对睡眠质量不满意的一种主观体验,常觉睡眠时间不够,或是睡眠深度不够,严重的甚至影响日常生活、工作。失眠患者比较常见的症状是久久不能入睡、眠浅、梦多易醒、早醒后再难入睡和睡眠时间减少,同时也会有白天精神差、易困倦,注意力难以集中、记忆力下降等表现。此文主要阐述胡跃强教授基于“扶阳三焦次第”治疗失眠的理论基础及病案探讨。胡教授临证善用扶阳法,治病立法,强调阳主阴从观,其在仔细辨证后屡用扶阳法治疗失眠多获良效,笔者有幸跟师学习,现举验案两则,通过分析此中精髓,以资借鉴,为中医治疗此病提供临床经验。Insomnia is not only a disease name,but also a symptom often accompanying the disease.It refers to patients'dissatisfaction with the quality of sleep.They often feel that sleep time is insufficient or sleep depth is inadequate,seriously affecting daily life and work.Common symptoms of insomnia patients include long-term inability to fall asleep,shallow sleep,easily waking up from dreams,difficulty falling asleep after waking up early,and reduced sleep time.At the same time,poor daytime spirit,easy sleepiness,difficulty concentrating,and memory decline also manifest.This paper mainly expounds the theoretical basis and case study of Professor Hu Yueqiang's treatment of insomnia based on"FuyangSanjiaoCidi".Professor Hu is good at using the Fuyang method in clinical practice,treating disease according to the law,emphasizing the concept of Yang governing Yin.Through careful syndrome differentiation,he often uses the Fuyang method to treat insomnia and achieves good results.The author is honored to learn from the teacher.Now,two cases are given.By analyzing the essence of this,clinical experience can be provided for the treatment of this disease in traditional Chinese medicine.

关 键 词：扶阳思想 三焦次第法 不寐 失眠 名中医经验 

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