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基于"肾虚肝逆"病机探析失眠辨治思路

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基于"肾虚肝逆"的中医病理特点与失眠病因病机的相关性,归纳了从"肾虚肝逆"论治失眠的理法方药.从中医病因病机学来看,"肾虚"是失眠的重要病因,而"肝逆"是失眠发病的关键病机.从"肾虚肝逆"论治失眠,应病因病机兼顾,补肾平肝.入睡困难型宜滋阴降火、潜阳安神以促寐,睡眠维持困难型宜填精补血、清降浮热以安眠,多梦型宜补阳固肾、和风安魂以消梦.
Exploration of the approach to treatment based on syndrome differentiation for insomnia based on the pathogenesis of kidney deficiency and liver qi invasion
Based on the correlation between the pathological characteristics of traditional Chinese medicine for kidney deficiency and liver qi invasion and the etiology and pathogenesis of insomnia,this paper summarizes the principle-method-recipe-medicines for treating insomnia from the perspective of"kidney deficiency and liver qi invasion".From the perspective of etiology and pathogenesis in traditional Chinese medicine,"kidney deficiency"is an important cause of insomnia,and"liver qi invasion"is the key pathogenesis of insomnia.The treatment of insomnia from the perspective of"kidney deficiency and liver qi invasion"should take into account both the etiology and pathogenesis,and invigorating the kidney and calming the liver.Patients who have difficulty in falling asleep are suitable for nourishing yin for lowering fire,and suppressing liver-yang and relieving uneasiness of body and mind to promote sleep.Patients who have difficulty in maintaining sleep are suitable for supplementing essence and replenishing blood,clearing and lowering superficies heat to sleep peacefully.Patients who have multiple dreams are suitable for tonifying yang and consolidating kidney,and calming the spirit to eliminate dreams.

kidney deficiency and liver qi invasioninsomniainvigorating the kidney and calming the liver

吴彬、韩振蕴、胡文悦、牟雷、钟碧莹、李红培

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北京中医药大学第五临床医学院脑病科,广东 深圳 518100

北京中医药大学,北京 100029

肾虚肝逆 失眠 补肾平肝

深圳市'医疗卫生三名工程'资助项目龙岗区医学重点学科建设经费资助

SZZYSM202105010

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(10)