刘敏从"阳多胆郁,阴多阳浮"论治失眠经验
Journal of Guangzhou University of Traditional Chinese Medicine（2023）
Abstract
失眠在中医学中又称为"不寐".刘敏教授认为不寐之根本病机为阳不入阴、阴阳不交,与气血阴阳能否濡养密切相关.结合多年的临床实践,刘敏教授概括不寐的病症特点为"阳多胆郁,阴多阳浮":失眠阳证、实证多见少阳病,枢机不利,胆气内郁,胆火上扰心神;阴证、虚证多见少阴病,阳虚阴盛,虚阳上浮不得眠.临证善用六经辨证,重视阴阳气血,治疗以改善症状缓其标急、调节体质重在固本为主要目标.对于不寐表现为阳证者,治疗常用柴胡类方,以舒畅情志、解郁助眠;对于表现为阴证之不寐者,治疗以附子类方为基础方加减,以温阳固本、镇静安神.同时需重视对患者的心理疏导及健康教育.
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Key words
insomnia,sleeplessness,shaoyang disease,stagnation of gallbladder qi,gallbladder fire disturbing the mind,shaoyin disease,deficient yang floating upward,LIU Min
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