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从“阳不交阴”探析顽固性不寐及针灸序贯疗法治疗思路

Exploration of the treatment idea of stubborn insomnia and sequential acupuncture and moxibustion therapy from“failure of Yang to enter Yin”
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摘要 顽固性不寐是临床常见病,病情反复,迁延难愈,严重影响日常生活。“不寐者,病在阳不交阴”。曹玉霞主任医师承经典之说,认为“阳不交阴”是顽固性不寐的基本病机,营卫不和、脏腑失调仅为其表象。在临床医疗实践中采用梅花针激发经气,游走罐助阳通阴,配合电针和阳固阴,再以穴位埋线巩固疗效,共行交通阴阳之功,序贯治疗顽固性不寐,疗效显著,为临床提供新的治疗思路。 Stubborn insomnia is a common clinical disease,which is repeated,prolonged and difficult to cure,and seriously affects daily life.Insomnia is caused by failure of Yang to enter Yin.Cao Yuxia,chief physician,follows the classical theory and believes that“failure of Yang to enter Yin”is the basic pathogenesis of stubborn insomnia,and the disharmony between nutritive Qi and defensive Qi and the disorder of zang-fu organs are only the manifestations.In clinical practice,plum-blossom needle is used to stimulate meridian-Qi,moving cupping is used to help Yang enter Yin,electroacupuncture is used to harmonize Yang and solidify Yin,and acupoint catgut embedding is used to consolidate the curative effect.These can play the role of communicating Yin and Yang.The sequential treatment of stubborn insomnia has a remarkable effect and provides a new therapeutic idea for clinical treatment.
作者 段林余 任帅娣 王海军 曹玉霞 陈晓燕 张罡 冀来喜 Duan Linyu;Ren Shuaidi;Wang Haijun;Cao Yuxia;Chen Xiaoyan;Zhang Gang;Ji Laixi(Shanxi University of Chinese Medicine,Jinzhong Shanxi 030619;Acupuncture and Tuina Hospital Affiliated to Shanxi University of Chinese Medicine,Taiyuan Shanxi 030006)
出处 《山西中医药大学学报》 2023年第10期1167-1170,共4页 Journal of Shanxi University of Chinese Medicine
基金 山西中医药大学2020年度科技创新能力培育计划中医学术流派传承工作室建设项目(2020-PY-LP-03) 师怀堂新九针学术流派传承工作室。
关键词 顽固性不寐 阳不交阴 序贯疗法 stubborn insomnia failure of Yang to enter Yin sequential treatment
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