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基于近现代医案整理从肝论治不寐经验

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目的 通过近现代医案整理从肝论治不寐的用药经验及组方规律.方法 在中国知网、万方数据库、相关医案、学术期刊等资源中检索近现代收录的应用从肝论治不寐的相关医案,并进行分类编撰.按照统一的标准进行收集整理.将整理的内容通过比对进行纳入和删除,应用中医传承辅助平台软件V3.0进行频数、关联规则及聚类等统计和分析.经过专家论证,形成一套应用从肝论治不寐的经验总结,既可丰富基础理论,又可指导临床实践.结果 不寐以肝为主;从肝论治不寐药物四气中,以寒为主;五味中,以甘为主;从肝论治不寐药物功效中,以补虚类为主;不寐从肝论治主要方剂分布中,以逍遥散为主;从肝论治不寐用药频次统计中,以柴胡为主.结论 肝为气血之枢,若肝中气血失于调和,肝失条达而气郁或肝胆实火旺盛等,均可致阳不入阴而不寐,不寐之证,可以调肝,柴胡作为治肝的主要中药,可以和解少阳而治疗不寐.
Experience summary of treating insomnia from the perspective of liver based on modem medical records
Objective To comprehensively summarize the experience in the treatment of insomnia based on the liver theory.Methods The relevant medical records of treating insomnia from the perspective of the liver collected in modern times were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Data,related medical records,and academic journals,and they were then classified and compiled.The sorted contents were included and deleted through comparison,and the frequency,association rules and clustering were counted and analyzed by V3.0,a traditional Chinese medicine inheritance assistance platform software.After an expert argumentation,a set of experience summaries for treating insomnia based on the liver theory was formed.Results The liver was most closely related to insomnia among the zang-fu viscera.Herbs with the cold nature were dominantly used when treating insomnia from the perspective of the liver.While concerning tastes,herbs with the sweet taste occupied the first place.As for their actions,herbs for tonifying deficiency ranked first.Among the prescriptions for treating insomnia from the perspective of the liver,Xiaoyao Powder was used most frequently,and Chinese thorowax root maintained the highest frequency among the ingredients in the major prescriptions.Conclusion The liver is the pivot of qi and blood.If the qi and blood in the liver are not coordinated,or the liver qi fails to move freely to get depressed,or the excessive fire of the liver and gallbladder gets exuberant,all these conditions can cause one unable to sleep at night due to the failure of yang entering yin.Therefore,it can be concluded that the syndrome of insomnia can be treated by regulating the liver.Chinese thorowax root,as the main traditional Chinese medicine used for treating insomnia from the liver,can reconcile Shaoyang and treat the disease.

treatment based on the theory of liverinsomniamedication regularities

于兰、孙美玉、王冀洋、葛子暄、南红梅

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长春中医药大学附属医院,长春 130021

长春中医药大学中医学院,长春 130117

从肝论治 不寐 用药规律

吉林省中医药科技项目

2022023

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(4)
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