摘要
陈大舜教授认为失眠多为虚证,临证常用黄芪、白术、太子参等补气药,当归、阿胶、熟地黄等补血药,麦冬、炙甘草、沙参等补阴药和益智仁、杜仲、川续断等补阳药。失眠的病机一为阴虚不能纳阳,二为阳盛不得入阴,陈大舜教授常用赤芍、知母、黄连、玄参、栀子、黄芩等清热泻火、滋阴清热、清热燥湿药物釜底抽薪,使阴阳平衡。失眠以安神为主,安神重在调和,陈大舜教授运用桂枝汤调和营卫;运用黄芪、当归、生地黄、白芍、川芎等补益气血药物调和气血;运用天王补心丹、黄连阿胶汤等调和脏腑;通过调节阳跷、阴跷脉功能、平抑冲脉,调和经络,则气血平和而寐安。
Professor Chen Da-shun believes that insomnia is mostly due to deficiency syndrome. Therefore, in clinical practice, he often uses qi-nourishing medicinals such as Huangqi(Radix Astragali), Baizhu(Rhizoma Atractylodis Macrocephalae), Taizishen(Radix Pseudostellariae),etc.;blood-nourishing medicinals such as Danggui(Radix Angelicae Sinensis), Ejiao(Colla Corii Asini), Shudihuang(Radix Rehmanniae Praeparata),etc.;yin-nourishing medicinals such as Maidong(Radix Ophiopogonis), Zhigancao(Radix et Rhizoma Glycyrrhizae Praeparata cum Melle), Shashen(Radix Adenophorae seu Glehniae), etc.;yang-nourishing medicinals such as Yizhiren(Fructus Alpiniae Oxyphyllae), Duzhong(Cortex Eucommiae), Chuanxuduan(Radix Dipsaci), etc. The pathogenesis of insomnia is as follows: First, yin deficiency can′t absorb yang. Second, yang excess can′t enter yin. Professor Chen often uses Chishao(Radix Paeoniae Rubra), Zhimu(Rhizoma Anemarrhenae), Huanglian(Rhizoma Coptidis), Xuanshen(Radix Scrophulariae), Zhizi(Fructus Gardeniae), Huangqin(Radix Astragali), etc. to purge fire by clearing heat, nourish yin by clearing heat and dry dampness by clearing heat so as to exert the effect of attacking a problem at its source. Treating insomnia mainly focuses on tranquilizing mind, and tranquilizing mind depends on harmonizing. Professor Chen uses Cinnamon Twig Decoction to harmonize nutrient-defense, makes good use of medicinals for nourishing blood and qi such as Huangqi(Radix Astragali), Danggui(Radix Angelicae Sinensis), Shengdi(Radix Rehmanniae), Baishao(Radix Paeoniae Alba), Chuanxiong(Rhizoma Chuanxiong) to harmonize qi and blood;Celestial Emperor Heart-Supplementing Elixir, Coptis and Colla Corii Asini Decoction to harmonize viscera. By regulating the functions of yang heel vessel, yin heel vessel, smoothing thoroughfare vessel, and regulating meridians, qi and blood become harmonious, then insomnia will be removed.
作者
高玉萍
符碧峰
周德生
GAO Yu-ping;FU Bi-feng;ZHOU De-sheng(The First Affiliated Hospital of Tianjin University of TCM,Tianjin,China,301700;The First Affiliated Hospital of Hunan University of TCM,Changsha,Hunan,China,410007;Chen Da-shun's National Famous Traditional Chinese Medicine Expert Inheritance Studio,Changsha,Hunan,China,410007)
出处
《河南中医》
2019年第9期1330-1333,共4页
Henan Traditional Chinese Medicine
基金
国家中医药管理局陈大舜名老中医药专家传承工作室(国中医药人教发[2014]20号)
关键词
失眠
和法
陈大舜
insomnia
harmonizing method
Chen Da-shun
