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滋阴降火法治疗阴虚火旺型失眠的研究进展

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朱丹溪所著《格致余论》中有观点:"天之阳气为气,地之阴气为血。故气常有余,血常不足",气属阳而血属阴,故可延伸为"阳常有余,阴常不足",并提出了滋阴降火的治法。后世诸多医家在诊疗的过程中观察到,诸多长期失眠患者会伴随出现心烦,手足心热,头晕耳鸣,心悸健忘,颧红潮热,口干少津,舌红少苔,脉细数等表现,属阴虚证,如未及时干预,易化生火热,故而常结合朱丹溪之滋阴降火法治疗。在历史前进的过程中,滋阴降火法的运用也在不断的发展。文章对于滋阴降火法治疗阴虚火旺型失眠的研究进展展开综述,归纳治疗滋阴降火法的方药及针刺研究,总结其治疗失眠的独特之处,为中医治疗失眠提供良好的依据。
Research Progress in the Treatment of Insomnia of Yin Deficiency and Fire Hyperactivity by Nourishing Yin and Lowering Fire
Zhu Danxi's"Gezhi Yu Lun"has the point of view that"the Yang of the sky is Qi,and the Yin of the earth is Blood.Therefore,there is always an excess of Qi and a lack of Blood."And proposed the treatment method of nourishing Yin and reducing Fire.Many physicians in later generations have observed in the process of diagnosis and treatment that many long-term Insomnia patients will be accompanied by upset,hot hands and feet,dizziness and tinnitus,palpitations and forgetfulness,red cheeks and hot flashes,dry mouth and less fluid,red tongue and less coating,and rapid pulse.It belongs to Yin deficiency syn-drome,if not intervened in time,it is easy to transform into heat,so it is often combined with Zhu Danxi's method of nourishing Yin and reducing Fire.In the process of historical progress,the application of the method of nourishing Yin and reducing Fire is also constantly developing.This article will review the research progress of nourishing Yin and reducing Fire in the treatment of insomnia due to Yin deficiency and hyperactivity of Fire,and summarize the prescriptions and acupuncture researches on nouris-hing Yin and reducing Fire,generalize the unique features of nourishing Yin and reducing Fire in the treatment of Insomnia,and provide solid foundation for treating Insomnia with Chinese medicine.

insomniaYin deficiency and fire prosperousnourishing Yin and reducing fireYang with excess Yin deficien-cyfire theory

缪慧慧、唐娜娜、徐媛媛、王思梦、陈抒鹏

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江西中医药大学临床医学院,江西南昌 330004

江西中医药大学附属医院心血管科,江西南昌 330006

失眠 阴虚火旺 滋阴降火 阳有余阴不足 相火论

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(8)