真武汤配合针刺治疗阳虚水泛型失眠伴幻觉理论探析  

Theory of Zhenwu Decoction(真武汤)Combined with Acupuncture for Insomnia with Hallucination Due to Yang Deficiency and Water Flood

作　　者：吉丽芹 张松兴[2,3] JI Liqin;ZHANG Songxing(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Second Affiliated Hospital of the Liaoning University of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China;Key Laboratory of Acupuncture and Moxibustion Biology,Liaoning Provincial Department of Education,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034 [3]辽宁省教育厅针灸生物学重点实验室,辽宁沈阳110847

出　　处：《实用中医内科杂志》2025年第4期60-63,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)。

摘　　要：失眠是一种临床常见病,长期失眠会损害人们的身体和心理健康。失眠常伴随一些其他症状,部分严重者会导致精神障碍症状的产生,如幻觉,严重的影响人们的工作学习和生活。真武汤出自于《伤寒论》,具有扶阳驱寒镇水之功,用于阳虚水泛之证。该文通过阐释失眠和幻觉的病因病机、针刺调神及真武汤的作用机制,以探析真武汤结合针刺治疗阳虚水泛型失眠伴幻觉的机理。并在文末附1例验案,以供同道学习。Insomnia is a common clinical disease,long-term insomnia will harm people's physical and mental health.Insomnia is often accompanied by a number of other symptoms.Some severe patients suffer mental disorders,such as hallucinations,seriously affecting people's work,study and life.Zhenwu Decoction(真武汤)comes from Treatise on Febrile Diseases.It is used for edema due to Yang deficiency syndrome to reinforce Yang,dispel cold and relieve edema.In this paper,the etiology and pathogenesis of insomnia and hallucination,the mechanism of Zhenwu Decoction combined with acupuncture in treating insomnia with hallucination due to edema due to Yang deficiency syndrome were discussed.At the end of the paper,a case was attached for study.

关 键 词：真武汤 针刺 失眠 幻觉 

分 类 号：R256.23[医药卫生—中医内科学]