中医药临床杂志2024,Vol.36Issue(12) :2245-2248.DOI:10.16448/j.cjtcm.2024.1202

基于"肝心和合"理论探讨肝豆状核变性失眠中医诊治思路

Discussion on Chinese Medicine Diagnosis and Treatment of Hepatomegaly Insomnia based on the Theory of"Harmony of Liver and Heart

邢进 张娟
中医药临床杂志2024,Vol.36Issue(12) :2245-2248.DOI:10.16448/j.cjtcm.2024.1202

基于"肝心和合"理论探讨肝豆状核变性失眠中医诊治思路

Discussion on Chinese Medicine Diagnosis and Treatment of Hepatomegaly Insomnia based on the Theory of"Harmony of Liver and Heart

邢进 1张娟2
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作者信息

  • 1. 安徽中医药大学第一临床医学院 安徽 合肥 230022
  • 2. 安徽中医药大学第一附属医院 安徽 合肥 230031
  • 折叠

摘要

肝豆状核变性(Wlison's disease,WD),是一种由ATP7B基因突变而导致的常染色体隐形遗传性疾病.其主要发病机制为铜蓝蛋白合成障碍,铜无法从胆汁排泄,沉积于各个脏器导致的病理变化.失眠是WD常见的一种非运动症状.中医认为失眠属于"不寐"范畴,多与心、肝、肾相关,心阳不振、肾水不足、肝郁化火均是不寐的病因,"肝心和合"理论最早被提出运用于"双心疾病",近年来多被用来作为不寐的辨治思路.文章以中医理论和现代临床研究为基础,探讨了从"肝心和合"理论诊治WD失眠的依据和临床应用要点,为WD失眠的中医诊疗提供新的思路与方法.

Abstract

Wilson's disease(WD)is an autosomal recessive genetic disease caused by ATP7B gene mutation.Its main pathogenesis is the disorder of ceruloplasmin synthesis,copper cannot be excreted from bile,and copper is de-posited in various organs,resulting in pathological changes.Insomnia is a common non-motor symptom of WD.Tra-ditional Chinese medicine believes that insomnia belongs to the category of"insomnia",which is often related to the heart,liver,and kidney.Heart yang deficiency,kidney water deficiency,and liver depression are all causes of insom-nia.The"liver-heart harmony"theory was first proposed and applied to"double heart disease".In recent years,it has been used as a treatment idea for insomnia.Based on traditional Chinese medicine theory and modern clinical research,this article discusses the basis and clinical application points of the"liver-heart harmony"theory for the diagnosis and treatment of WD insomnia,and provides new ideas and methods for the diagnosis and treatment of WD insomnia in tra-ditional Chinese medicine.

关键词

肝心和合/肝豆状核变性/失眠

Key words

Liver-heart harmony/Hepatolenticular degeneration/Insomnia

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出版年

2024
中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
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