首页|基于"昼精夜瞑"在功能五态理论指导下辨证治疗失眠的法与方

基于"昼精夜瞑"在功能五态理论指导下辨证治疗失眠的法与方

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门九章教授以功能五态论治失眠,强调"昼精"方能"夜瞑","不精"实质上是人体整体功能状态的失常,即营卫失其常也.治疗时,要了解患者之功能状态,借由功能状态的不同及变化,由此辨正邪、明补泻.功能五态中,不足态、不调态、阻滞态更多见失眠,以五态论治,既是对症状的概括,也是对核心病机的把握.门九章教授以态论治,兼以五脏,形神同调,选方用药极为灵活,在方证药证的配合下处方,不论病之虚实新久,常能使患者内外和合,昼精而得夜瞑,临证屡有效验.
The Method and Prescription for Syndrome Differentiation and Treatment of Insom-nia under the Guidance of Functional Five-State Theory Based on"Day Essence and Night Sleepiness"
Professor Men Jiu-zhang treats insomnia with the theory of functional five states,emphasizing that"daytime essence"leads to"night sleepiness".and"lack of essence"is essentially the disorder of the overall functional state of the human body,that is,Ying Wei is out of order.During the treatment,it is necessary to understand the functional state of the patient,and through the differentiation of the different and changing functional states,to discern the correct pathogenetic factors and apply appropriate tonifying or purging methods.Among the functional fivestates,the states of insuf-ficiency,imbalance,and obstruction are more commonly associated with insomnia.By treating according to the functional five-state theory,it is not only summarizes the symptoms but also grasps of the core pathogenesis.Professor Men Jiu-zhang's approach emphasizes treating the states,considering the five internal organs,and harmonizing the shape and spirit.The selection of herbal formulas and medicines is extremely flexible.With the cooperation of prescription and medicine,re-gardless of the deficiency and reality of the disease for a long time,it often enables patients to find internal and external harmony,from being"daytime essence"to attaining"night sleepiness".In clinical practice,this approach has been proven effective repeatedly,and it can also treat other diseases in addition to insomnia.Therefore,this idea of syndrome differentia-tion and treatment is worthy of clinical promotion.

Day Essence and Night SleepinessFunctional Five-StateExperience of Famous Traditional Chinese MedicinePractitionerInsomnia

邓晓鹏、弓鹏、芦亦旻、李孝波

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山西省中西医结合医院,山西太原 030000

山西中医药大学,山西晋中 030619

昼精夜瞑 功能五态 名老中医经验 失眠

门氏中医功能态诊疗体系建设研究山西中医药大学中医临床基础学科基金

2023ZYYA030

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(2)
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