| 王前江,黄炜,袁鹏,等.《伤寒杂病论》失眠药对配伍规律及应用探讨[J].浙江中医药大学学报,2021,45(10):1121-1124. |
| 《伤寒杂病论》失眠药对配伍规律及应用探讨 |
| Study on the Compatibility Principle and Application of Insomnia Drug Pairs in “Treatise on Febrile and Miscellaneous Diseases” |
| DOI：10.16466/j.issn1005-5509.2021.10.014 |
| 中文关键词: 伤寒杂病论 张仲景 失眠 药对 配伍 临床应用 安神 用药特色 |
| 英文关键词: “Treatise on Febrile and Miscellaneous Diseases” ZHANG Zhongjing insomnia drug pairs compatibility of medicines clinical application calm the mind medication characteristics |
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| 中文摘要: |
| [目的] 探讨《伤寒杂病论》失眠药对的配伍规律及应用，为临床治疗失眠提供借鉴。[方法] 通过研读《伤寒杂病论》失眠相关经典原文及方药，总结出经方中的失眠药对，分析失眠药对配伍规律及应用。[结果] 《伤寒杂病论》论述失眠病机总以阴阳失交为关键，或阳盛扰动心神，或阴衰心神失养，或二者兼有。《伤寒杂病论》失眠药对配伍严谨，按功效可以分为6类，包括清热安神药对(栀子-豆豉)、和胃安神药对(栀子-厚朴)、滋阴安神药对(黄连-阿胶、百合-生地)、养血安神药对(酸枣仁-川芎)、温阳安神药对(附子-干姜)、重镇安神药对(龙骨-牡蛎)等。[结论] 《伤寒杂病论》失眠药对发挥合用增效的优势，以“补虚泻实，调整阴阳”为准则，辨证分型为方法，适用范围比较广泛，若临证应用得当，可提高疗效。 |
| 英文摘要: |
| [Objective] To explore the compatibility and application of insomnia drug pairs in “Treatise on Febrile and Miscellaneous Diseases”， and provide reference for clinical treatment of insomnia. [Methods] By studying the original text and prescription of insomnia related to the theory of “Treatise on Febrile and Miscellaneous Diseases”， this paper summarized the insomnia drug pairs in the classical prescription， and analyzed the compatibility principle of insomnia drug pairs and application of insomnia drugs. [Results] “Treatise on Febrile and Miscellaneous Diseases” discusses that insomnia pathogenesis always takes the imbalance of Yin and Yang as the key， or the mind is disturbed by too much Yang， or the mind is not nourished by the Yin， or both. The insomnia drug pairs are rigorous， which can be divided into 6 categories， including drug pair of calming the mind by clearing away heat(Gardeniae Fructus-Sojae Semen Praeparatum)， drug pair by regulating stomach(Gardeniae Fructus-Magnoliae Officinalis Cortex)， drug pair of nourishing Yin(Coptidis Rhizoma-Asini Corii Colla， Lilii Bulbus-Rehmannia glutinosa(Gaert.) Libosch. ex Fisch. et Mey)， drug pair of nourishing blood(Ziziphi Spinosae Semen-Chuanxiong Rhizoma)， drug pair of warming Yang(Radix Aconiti Lateralis Preparata-Zingiberis Rhizoma)， drug pair of tranquillizing with heavy material(Os Dracons-Ostreae Concha)， etc. [Conclusion] Insomnia drug pairs of “Treatise on Febrile and Miscellaneous Diseases” have the advantage of combining and increasing efficiency， taking “tonifying deficiency and reducing excess， adjusting Yin and Yang” as the criterion， syndrome differentiation and classification as the method. These insomnia drug pairs are widely used， which can improve the efficacy， if the clinical application is appropriate. |
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