| 黄硕,徐艳琳,周光毅,等.何若苹辨治失眠的临证经验探析[J].浙江中医药大学学报,2019,43(11):1213-1216. |
| 何若苹辨治失眠的临证经验探析 |
| Clinical Experience of HE Ruoping in Treating Insomnia |
| DOI：10.16466/j.issn1005-5509.2019.11.002 |
| 中文关键词: 失眠 何若苹 补益法 疏肝解郁 活血化瘀 药对 医案 名医经验 |
| 英文关键词: insomnia HE Ruoping tonify therapeutic method dispersing stagnated liver and reliving depression promoting blood circulation and removing blood stasis drug pair medical records experience of famous doctor |
| 基金项目:全国名老中医药专家传承工作室建设项目(国中医药人教发[2016]42号) |
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| 中文摘要: |
| [目的]探讨何若苹治疗失眠的临证经验。[方法]通过跟师学习及搜集、整理何师治疗失眠的典型医案，从诊治思路、遣方用药方面总结其辨治特色与临证经验，并举两则验案予以佐证。[结果]何师认为，失眠病位主要在心，与脾、肝、肾关系密切。虽病因病机多样，但不离虚、实两方面。虚者，包括心、脾、肝、肾四脏亏虚，从补心、健脾、养肝、益肾入手，分别予天王补心丹、归脾汤、酸枣仁汤、六味地黄丸加减治疗；实者，包括气滞与瘀血，以疏肝解郁、活血化瘀为治，分别予逍遥散、血府逐瘀汤、癫狂梦醒汤施治，同时随症加减，灵活使用药对。所举验案，分别以活血化瘀、疏肝健脾养心为法，方选血府逐瘀汤、逍遥散加减，患者睡眠质量均得到改善。[结论]何师从虚与实两方面论治失眠，临床疗效肯定，值得后辈学习借鉴。 |
| 英文摘要: |
| [Objective] To discuss the clinical experience of HE Ruoping in treating insomnia. [Methods] By learning from Professor HE and collecting typical medical cases of insomnia, the curative characteristics and clinical experience of Professor HE in treating insomnia were summarized from diagnosis and treatment thinking, prescription making and drug administration. In addition, two cases were presented as proof. [Results] In Professor HE’s opinion, the main pathogenesis of insomnia lies in the heart, and spleen, liver, kidney are closely related to it. Though its etiology and pathogenesis are complex and diverse, it can not be separated from the deficiency and excess. If the etiology and pathogenesis are deficiency of heart, spleen, liver and kidney, Professor HE uses Tianwang Buxin Pellet to invigorate heart, Guipi Decoction to strengthen spleen, Suanzaoren Decoction to nourish liver, and Liuwei Dihuang Pills to tonify kidney. If insomnia results from excess, including Qi stagnation and blood stasis, Professor HE always prescribes Xiaoyao Powder, Xuefu Zhuyu Decoction, and Diankuang Mengxing Decoction for the patients based on the treatment strategy of dispersing stagnated liver and relieving depression, promoting blood circulation and removing blood stasis. At the same time, Professor HE always adds and subtracts neatly by using drug pair according to the symptoms. And the sleep quality in the two cases was improved after treated with Xuefu Zhuyu Decoction to promote blood circulation and remove blood stasis, Xiaoyao Powder to soothe liver, strenghthen spleen and nourish heart. [Conclusion] Professor HE treats insomnia from deficiency and excess, and obtains remarkable therapeutic effect, and it is worth learning. |
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