摘要
赵和平老师认为,失眠的病因病机比较复杂,涉及到多个脏腑,常虚实夹杂,虚主要表现在心脾血虚或肝肾阴虚,实主要表现在痰、热和瘀血。赵老师常用的治疗方法有:疏肝解郁安神法、清热化痰安神法、活血化瘀安神法、滋水涵木安神法、益气养血安神法、交通心肾安神法。其常用药对有:酸枣仁配延胡索、半夏配夏枯草、合欢皮配夜交藤、石菖蒲配郁金、生龙骨配生牡蛎。赵老师认为,不良的生活习惯也是导致失眠的重要原因,除口服辨证中药外,还需戒烟限酒,避免熬夜,克服焦虑、抑郁、紧张等不良情绪,保持精神舒畅,养成良好的作息习惯等,如此方能获得满意的疗效。
Professor Zhao He-ping thinks that the etiology and pathogenesis of insomnia are complex, involving multiple organs, and intermingled with asthenia and sthenia. Asthenia is mainly manifested in blood deficiency of the heart and spleen, and liver- kidney yin deficiency,while sthenia is mainly manifested in phlegm, heat and blood stasis. He usually uses the following thera- pies：dissipating liver and removing depression to tranquilize the mind;clearing heat and resolving phlegm to tranquilize the mind; activating blood circulation and removing blood stasis to tranquilize the mind;nourishing kidney and liver to tranquilize the mind; supplementing qi and nourishing blood to tranquilize the mind;harmonizing heart and kidney to tranquilize the mind. The com- monly-used pair-drugs are as follows ： Suanzaoren （ Semen Ziziphi Spinosae ） combined with Yanhusuo （ Rhizoma Corydalis ） ; Banxia （Rhizoma Pinelliae） combined with Xiakucao （Spica Prunellae） ;Hehuanpi （Cortex Albiziae） combined with Yejiaoteng （ Caulis Polygoni Muhiflori） ; Shiehangpu （ Rhizoma Acori Tatarinowii） combined with Yujin （ Radix Curcumae） ; Shenglonggu （ Os Draconis） combined with Shengmuli （ Concha Ostreae）. Professor Zhao also thinks that bad habits are important causes of insomnia. In addition to taking oral medicine, the patient also needs to quit smoking and controlling alcohol, avoid staying up late, overcome anxiety, depression, tension and other negative emotions, maintain good spirit, develop good habits, in order to obtain sat- isfactory curative effect.
出处
《河南中医》
2016年第12期2071-2073,共3页
Henan Traditional Chinese Medicine
基金
湖北省卫生厅课题[2012]84号(编号:2012Z-Y23)
关键词
失眠
疏肝解郁安神法
清热化痰安神法
活血化瘀安神法
滋水涵木安神法
益气养血安神法
交通心肾安神法
赵和平
insomnia
dissipating liver and removing depression to tranquilize the mind
clearing heat and resolving phlegm totranquilize the mind
activating blood circulation and removing blood stasis to tranquilize the mind
nourishing kidney and liver totranquilize the mind
supplementing qi and nourishing blood to tranquilize the mind
harmonizing heart and kidney to tranquilizethe mind
Zhao He-ping
