从情志论治失眠症
Clinical Journal of Traditional Chinese Medicine（2020）
Abstract
失眠症属于睡眠障碍的一种,中医学称之为“不寐”,其临床表现复杂多样,或难以入睡,或寐而易寤,或寤后不能再寐,或彻夜难以入寐,或多梦,或噩梦纷纭.从情志出发探讨了失眠症的理论治法用方.情志与五脏密切相关,暴怒伤肝、思虑伤脾、惊恐胆怯、过喜则心气涣散.其中以肝失疏泄、郁而化火最为常见.提出了疏肝解郁、泻火养心、镇静安神为主要治疗大法.常用药物有陈皮、香附、柴胡、芍药、当归、黄芩、煅龙骨、煅牡蛎等,根据不同临床表现加减,效果显著.
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