| 方芳,张永华.张永华教授应用半夏类方治疗不寐的临证经验[J].浙江中医药大学学报,2020,44(5):438-441. |
| 张永华教授应用半夏类方治疗不寐的临证经验 |
| Professor ZHANG Yonghua's Clinical Experience in Treating Insomnia with Pinellia Class Prescriptions |
| DOI：10.16466/j.issn1005-5509.2020.05.007 |
| 中文关键词: 不寐 睡眠障碍 阳不入阴 中焦 半夏类方 半夏体质 张永华 临证经验 |
| 英文关键词: insomnia sleeping disorders Yang failing to enter Yin middle Jiao Pinellia class prescriptions Pinellia constitution ZHANG Yonghua clinical experience |
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| 中文摘要: |
| [目的]总结浙江省名中医张永华教授应用半夏类方治疗不寐的临证经验，提高不寐的临床疗效。[方法]通过跟师学习，记录和整理张永华教授运用半夏类方治疗不寐的医案，结合相关古籍资料及现代文献研究，研究半夏类方所主不寐的病机、半夏体质的主要特征以及半夏类方的应用，最终分析总结张永华教授运用半夏类方辨证治疗不寐的临床经验，并通过验案佐证。[结果]张永华教授认为，不寐的病机与中焦不畅、阳不入阴有关，而半夏具有化痰降逆、通利中焦等功效。通过配伍，半夏秫米汤、半夏枯草煎、半夏厚朴汤、黄连温胆汤、半夏泻心汤等半夏类方可通过化痰降逆、通利中焦、调和阴阳，发挥治疗不寐的效果。所举医案，患者为胆胃不和、痰热中阻之不寐，治以理气化痰、清热安神之法，依次以半夏类方黄连温胆汤及黄连温胆汤合半夏厚朴汤加减治疗，效果明确。[结论]张永华教授运用半夏类方药辨治属半夏体质的不寐疗效显著，经验值得临床传承及推广学习。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor ZHANG Yonghua in applying Pinellia class prescriptions to treat insomnia， and to improve the clinical effect of insomnia.[Methods]Through learning from the teacher， recording and collating insomnia medical cases treated with Pinellia class prescriptions，combining with relevant ancient books and modern literature research， the main pathogenesis of insomnia of Pinellia class prescriptions， the main characteristics of Pinellia constitution and the application of Pinellia class prescriptions were investigated，and Professor ZHANG Yonghua's clinical experience in treating insomnia with Pinellia class prescriptions based on syndrome differentiation were finally analyzed and summarized. One medical case was presented as proof.[Results]In Professor ZHANG Yonghua's opinion， the pathogenesis of insomnia is related to the obstruction of middle Jiao and Yang failing to enter Yin， and Pinellia has the effect of eliminating phlegm， descending inverse and smoothing the movement of middle Jiao. Through compatibility， Banxia Shumi decoction， Banxia Kucao elixation，Banxia Houpu decoction， Huanglian Wendan decoction， Banxia Xiexin decoction and other Pinellia class prescriptions can treat insomnia through eliminating phlegm， descending inverse and smoothing the movement of middle Jiao， harmonizing Yin and Yang. The case was insomnia of disharmony of gallbladder and stomach， and obstruction of phlegm and heat， and achieved definite curative effect after treated with modified Huanglian Wendan decoction and Huanglian Wendan decoction combined with Banxia Houpu decoction according to the treatment principle of regulating Qi and eliminating phlegm， clearing heat and calming the nerves.[Conclusion]The clinical effect of Professor ZHANG Yonghua using Pinellia class prescriptions in the treatment of Pinellia constitution insomnia is significant， and the experience is worthy of clinical inheritance and promotion for learning. |
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