摘要
失眠病机在于阴阳失交,多从心血不足、心脾两虚、阴虚火旺、痰热扰心、肝火扰心、胃气不和等论治。虚寒型失眠多因机体阳气消耗过多。王长松教授擅从虚寒辨治,以舌、脉及精神状态、冷热感为辨证要点。用复法治疗,力求主次有序,逐个击破。临证重用桂枝、附子温阳,佐以潜降,加龙骨、牡蛎等重镇安神之品。重视煎煮方法,附子多与干姜或炮姜同煎、久煎,并嘱中饭后30min、睡前1h服用,意在速达药效。
Abstract：Pathogenesis of insomnia is due to imbalance of Yin and ~ang, and most treat it through heart - blood deficiency, deficiency of both heart and spleen, Yin - deficiency and fire - hyperactivity syndrome, phlegm - heat disturbance heart, irascibility disturbance heart, disharmony of stomach etc. Asthenia - cold syndrome insomnia occurs mainly because of excessive consumption of Yang. Professor WANG Chang - song isgood at curing the disease through asthenia - cold and principally focuses on tongue manifestation, pulse condi- tion, mental state, and the sense of hot and cold. He uses the complex method treatment, strives to eliminate symptoms according to the primary and secondary order and strikes them one by one. His experience in using large doses of cassia twig and aconite to warm Yang and cooperating with tranquilizer herbs such as dragonbone, oyster is worth reference. In addition, he also pays attention to decocting medicinal herbs, and suggests aconite and dried ginger or roasted ginger should be decocting together for long time, and taking medicine 30 min after lunch and 1 hour before sleep in order to make the herb liquor work quickly.
出处
《实用中医内科杂志》
2012年第2期14-16,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
虚寒型失眠
不寐
温阳潜降
中医药治疗
王长松
老中医经验
Asthenia - cold type of insomnia
Insomnia
Warming Yang and suppressing exuberance ofYang
TCM treatment
WANG Chang- song
Experience of old TCM expert
