摘要
焦虑性失眠为失眠的常见类型,以焦虑与失眠共同存在为主要临床表现,属于失眠与精神神经系统性疾病共病。李中梓在《医学入门·脏腑》提出“心与胆通”的观点。后世医家基于文献研究总结出“心与胆通”理论的具体内容,指出心胆共主枢机为“心与胆通”理论主要内容之一。心胆作为枢轴参与气机的调节及气血阴阳、脏腑功能的协调,影响情志与睡眠。临床从“心与胆通”理论入手,从心胆同治,调理枢机角度出发,运用柴胡加龙骨牡蛎汤加减治疗焦虑性失眠,促肝胆气机调畅,心肾相交得眠,为临床诊治焦虑性失眠提供新思路。附验案1则以佐证。
Anxiety insomnia is a common type of insomnia.The main clinical manifestation is the co-existence of anxiety and insomnia,which belongs to the comorbidity of insomnia and mental nervous system diseases.LI Zhong-zi put forward the view of“heart and gallbladder interaction”in Introduction to Medicine-Zang Fu.Later generations of doctors summarized the specific content of the theory of heart and gallbladder interaction based on literature research,and pointed out that the common pivot of heart and gallbladder is one of the main contents of the theory of heart and gallbladder interaction.As a pivot,the heart and gall participate in the regulation and coordination of qi,blood,yin,yang and viscera functions,and affect emotion and sleep.Starting from the theory of heart and gallbladder interaction,from the point of view of treating heart and gallbladder together and regulating the pivot,Chaihu Longgu Muli Decoction is used to treat anxiety insomnia,promote the smooth regulation of liver and gallbladder qi,and enable the heart and kidney to sleep together,providing a new idea for clinical diagnosis and treatment of anxiety insomnia.One medical record is attached for evidence.
作者
张鸿雁
魏崇
马琦
廖伯年
ZHANG Hong-yan;WEI Chong;MA Qi;LIAO Bo-nian(Affiliated Hospital of North Sichuan Medical College,Nanchong 637000;Suining Hospital of TCM Affiliated to North Sichuan Medical College,Suining 629000;Department of TCM,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000)
出处
《湖北中医药大学学报》
2022年第6期56-59,共4页
Journal of Hubei University of Chinese Medicine
基金
四川省中医药科研专项项目(项目编号:2020LC0217)。
关键词
焦虑性失眠
心与胆通
枢机
柴胡加龙骨牡蛎汤
Anxiety insomnia
Heart and gallbladder interaction
Pivot
Chaihu Longgu Muli Decoction
