徐凤芹教授基于“和法”辨证论治睡眠障碍临证经验  

Professor Xu Fengqin′s clinical experience of syndrome differentiation and treatment of sleep disorders based on"harmony method"

作　　者：吕海波 张萍[2] 张艳虹[2] 吴敏[3] 徐凤芹[2] LYU Haibo;ZHANG Ping;ZHANG Yanhong;WU Min;XU Fengqin(Department of General Practice,Beijing Zhongguancun Hospital,Beijing 100190,China;Department of Comprehensive Internal Medicine,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Department of Cardiovascular Medicine,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京市中关村医院全科医学科,北京100190 [2]中国中医科学院西苑医院综合内科,北京100091 [3]中国中医科学院广安门医院心血管内科,北京100053

出　　处：《中国当代医药》2025年第8期99-103,共5页China Modern Medicine

摘　　要：“和法”是通过“和解”或“调和”的方法,将失衡的人体机能调整并恢复到“阴平阳秘”功能状态的一种中医治法。徐凤芹教授在陈可冀院士学术成就的影响和启发下,结合自己的临床实践进行探索创新,善于使用“和法”治疗疾病,其认为“和法”可以通过使用调和类方剂、性味平和类中药、性味相反的药对、调和类药膳等方法应用于临床之中。徐教授使用“和法”治疗睡眠障碍取得了令人满意的临床效果,因其认为情志失和是睡眠障碍的核心病机,具体有少阳失和、肝脾不和,营卫不和、寒热错杂等证型,故运用“和法”治疗可使用和解少阳、调和脏腑、调和营卫、通调寒热等方法。徐教授临床常用治疗睡眠障碍的调和类方剂有小柴胡汤、柴胡加龙骨牡蛎汤、酸枣仁汤、柴胡疏肝散、加味逍遥散、自拟解郁合欢汤、黄连温胆汤、乌梅丸等。本文对徐教授临床运用“和法”辨证论治睡眠障碍临证经验进行部分归纳总结。"Harmony method"is a traditional Chinese medicine treatment method that adjusts and restores imbalanced human body functions to the"relative equilibrium of yin-yang"functional state through"reconciliation"or"harmonization".Under the influence and inspiration of Academician Chen Keji's academic achievements,Professor Xu Fengqin explored and innovated in combination with her own clinical practice,and was good at using the"harmony method"to treat diseases.She believed that the"harmony method"could be applied to clinical practice through the use of concordant prescriptions,traditional Chinese medicines of moderate nature and taste,drug pairs of opposite nature and taste,concordant Tonic Diet and other methods.Professor Xu has achieved satisfactory clinical results in the treatment of sleep disorders using the"harmony method".He believes that emotional disharmony is the core pathogenesis of sleep disorders,which includes the disharmony of Shaoyang,liver and spleen,Ying Wei,and mixed cold and heat syndromes.Therefore,the use of the"harmony method"can be applied to methods such as resolving Shaoyang,harmonizing organs,harmonizing Ying Wei,and regulating cold and heat.Professor Xu's commonly used clinical concordant prescriptions for sleep disorders include Xiaochaihu Decoction,Chaihu Plus Longgu Oyster Docoction,Suanzaoren Decoction,Chaihu Shugan Powder,Jiawei Xiaoyao Powder,self-made Jieyu Hehuan Decoction,Huanglian Wendan Decoction,Wumei Pills,etc.This article partially summarizes Professor Xu's clinical experience in using the"harmony method"to diagnose and treat sleep disorders.

关 键 词：睡眠障碍 和法 临证经验 辨证论治 

分 类 号：R249[医药卫生—中医临床基础]