基于"血实宜决之"辨治老年慢性失眠

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中文摘要："血实宜决之"出自《素问·阴阳应象大论》，意为通过针药并用祛邪逐瘀以治疗血瘀壅滞等血实之象。慢性失眠是老年人的常见病，瘀血内阻是老年慢性失眠的核心病机。临床治疗老年慢性失眠可遵循"血实宜决之"治则，以血府逐瘀汤为基础方，根据肝郁、痰火、阴虚、气虚、血虚等不同致瘀原因加减化裁，同时配合针刺、耳穴等疗法，以提高疗效。

外文标题：Treatment of Chronic Insomnia in the Elderly Based on "Blood Excess Should Be Dissolved"

外文摘要："Blood excess should be dissolved"comes from Plain Conversation·Major Discussion on the Theory of Yin and Yang and the Coresponding Relationships Among All the Things in Nature,which refers to that the symptoms of blood stasis and blood stagnation are treated with acupuncture and medicine.Chronic insomnia is a common disease in the elderly,and internal accumulation of blood stasis is the core pathogenesis of chronic insomnia in the elderly.Clinical treatment of chronic insomnia in the elderly can follow the treatment principle of"blood excess should be dissolved"and Xuefu Zhuyu Decoction(血府逐瘀汤)is given as the basic prescription,which is modified according to different causes of blood stasis such as liver stagnation,phlegm fire,yin deficiency,qi deficiency,and blood deficiency,etc.At the same time,acupuncture,auricular points and other therapies can be combined to improve the curative efficacy.

外文关键词：

Blood excess should be dissolvedblood stasischronic insomnia in the elderlyXuefu Zhuyu Decoctionliver stagnationphlegm fireyin deficiencyqi deficiencyblood deficiency

作者：

卞旭东、赵晓东、高芳玲、温豆、杨秀元、李颖瑜、丁霞

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作者单位：

北京中医药大学东直门医院,北京 100700

北京中医药大学,北京 100029

关键词：

血实宜决之瘀血老年慢性失眠血府逐瘀汤肝郁痰火阴虚气虚血虚

基金：

国家重点研发计划项目北京中医药大学孙思邈研究院资助项目

项目编号：

2018YFC1704106SSMYJY-2-2021-12

出版年：

2024

DOI：

10.16295/j.cnki.0257-358x.2024.10.006

山东中医杂志

山东中医药学会山东中医药大学

山东中医杂志

CSTPCD

影响因子：0.431

ISSN：0257-358X

年,卷(期)：2024.43(10)