朱宗元基于“异病同治”论治颈源性失眠  

Zhu Zongyuan’s Treatment of Cervical Insomnia Based on "Same Treatment for Different Diseases"

作　　者：张锐 秦铭一 钱占红 张志芳 李永乐 

机构地区：[1]北京大学肿瘤医院内蒙古医院综合门诊内科,内蒙古 呼和浩特 [2]乌海市中医蒙医医院老年病科,内蒙古 乌海 [3]内蒙古医科大学中医学院,内蒙古 呼和浩特

出　　处：《中医学》2025年第3期1144-1148,共5页Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承工作。

摘　　要：为探寻颈源性失眠的有效治疗方案,总结朱宗元教授临证相关治疗经验。朱认为颈椎病与失眠有着密切联系,二者存着经络阻滞不通、营卫运行失常、脏腑功能失调共同的发病机制。在“异病同治”理念指导下,抓住二者共同病机进行辨治,以活血化瘀通络、调和营卫为治疗大法,选用临床治疗颈椎病的葛根汤合斑龙丸为主方加减治疗,并重用活血通络之药,临床疗效显著,为临床医生治疗颈源性失眠提供了一定思路及参考。In order to explore the effective treatment of cervicogenic insomnia, the clinical treatment experience of Professor Zhu Zongyuan was summarized. Zhu believes that there is a close relationship between cervical spondylosis and insomnia. The two share a common pathogenesis involving blocked meridians, abnormal operation of Ying and Wei, and dysfunction of zang-fu organs. Guided by the concept of “treating different diseases with the same method,” the common pathogenesis of the two is grasped for differentiation and treatment. The treatment method involves promoting blood circulation, removing blood stasis, and dredging collaterals, as well as reconciling Ying and Wei. The clinical treatment of cervical spondylosis is based on the addition and subtraction of Gegen Decoction and Banlong Pill, with repeated use of blood circulation-promoting and collateral-dredging medicines. The clinical effect is remarkable, providing valuable ideas and references for clinicians treating cervical insomnia.

关 键 词：颈源性失眠 异病同治 朱宗元 临床经验 

分 类 号：R256.23[医药卫生—中医内科学]